This site is intended for US health care professionals only.

IMPORTANT SAFETY INFORMATION

This site is intended for US health care professionals only.

WARNING: ABUSE AND DEPENDENCE

  • CNS stimulants (amphetamines and methylphenidate-containing products), including Vyvanse, have a high potential for abuse and dependence. Assess the risk of abuse prior to prescribing and monitor for signs of abuse and dependence while on therapy.
Full Safety Information Below

Vyvanse is indicated for the treatment of Attention-Deficit/Hyperactivity Disorder (ADHD) in patients ages 6 and above, and for the treatment of moderate to severe binge eating disorder (B.E.D.) in adults. Vyvanse is not indicated or recommended for weight loss. Use of other sympathomimetic drugs for weight loss has been associated with serious cardiovascular adverse events. The safety and effectiveness of Vyvanse for the treatment of obesity have not been established.

Shedding Light on the Affordable Care Act

The Affordable Care Act (ACA) includes some of the most sweeping changes to American health care since Medicare and Medicaid were established in 1965.1

As a result of the ACA, the number of uninsured individuals is expected to decrease. This is because more people will access coverage through the Health Insurance Marketplace or Medicaid.2 States are encouraged to expand Medicaid eligibility as of January 1, 2014. In states that choose to expand, the Medicaid eligibility threshold will increase to include individuals and families with incomes that are up to 138 percent of the federal poverty level.3 Still, it’s projected that most Americans will continue to have employer-sponsored health insurance.

As of 2014, 27 states, including the District of Columbia, have opted to expand Medicaid eligibility.3 Patients who are uninsured can visit healthcare.gov or call 1-800-318-2596 to find out if they are eligible for Medicaid, as well as explore other health insurance options.4

Frequently Asked Questions

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How can I help my patients access coverage?

The first step is to visit healthcare.gov or call 1-800-318-2596. This site will guide visitors through a series of questions based on their income and family status, and then direct them to the appropriate coverage and subsidy options based on their responses.5

Is everyone now required to have health insurance coverage?

Under the individual mandate provision, most Americans are required to purchase basic insurance or pay a penalty.6

What is the Health Insurance Exchange?

The Health Insurance Exchange (also known as the Health Insurance Marketplace) is a one-stop shop for health insurance. The Marketplace is available online, by phone, or in person. It provides a choice of health plans, common rules regarding the offerings, pricing of insurance, and helpful information about the plans. For small businesses, the Marketplace is called Small Business Health Options Program (SHOP).7

Will we see new insurance carriers?

While there may be new insurance carriers in the Marketplace, you will likely see many of the same health plans as before, both in and outside of the Marketplace. Insurers may choose which state Marketplaces they’d like to participate in. So far, there’s great variation in which insurers are offering Marketplace coverage in each state. Examples of some major national insurers that may be found in the Marketplace include WellPoint, Aetna, UnitedHealth Group, Cigna, and Humana.8-10

What new types of coverage will people have?

Most people will continue to have coverage under employer-sponsored plans. For those covered under the Health Insurance Marketplace (also known as exchange plans), there is a range of standard plan categories being offered by commercial carriers, including:

  • Bronze plans (cover 60% of expenses)
  • Silver plans (cover 70% of expenses)
  • Gold plans (cover 80% of expenses)
  • Platinum plans (cover 90% of expenses)7

In addition, the Marketplace also offers catastrophic plans for individuals who are under 30 or are facing a qualifying hardship. These members pay high out-of-pocket expenses in exchange for very low premiums.7

What services do plans have to cover?

Insurers that participate in Health Insurance Marketplaces must offer qualified health plans. In order for a plan to be considered a qualified health plan, it must:

  • Be certified by the Health Insurance Marketplace
  • Provide essential health benefits
  • Follow established limits on cost sharing (like deductibles, co-pays, and out-of-pocket maximum amounts)
  • Meet other requirements, such as state-specific regulations11

What are essential health benefits?

Essential health benefits include 10 essential services that qualified health plans must cover, including:

  • Ambulatory patient and emergency care
  • Behavioral health treatment
  • Hospitalization
  • Prescription drugs
  • Maternity and newborn care
  • Rehabilitative and habilitative services and devices
  • Care for patients with mental health and substance abuse disorders
  • Laboratory services
  • Preventive and wellness services, chronic disease management, and pediatric services, including oral and vision care7

What services are covered without cost sharing?

Plans cover a range of preventive services without cost sharing, as long as an in-network physician provides the services. These preventive services include many immunizations, screenings, well visit exams, well baby visits, prenatal care, behavioral assessments for children, and a number of other services.12

What financial assistance is available for those who are not eligible for Medicaid?

Most individuals and families who purchase plans through the Marketplace will be eligible for tax credits and subsidies to help pay for their insurance premiums and/or out-of-pocket costs. The Marketplace directs applicants to the appropriate program based on income.7

What is an Accountable Care Organization (ACO)?

An Accountable Care Organization is an entity comprised of physicians, hospitals, and other health care providers who are accountable for the cost and quality of care delivered to a specified group of patients.13

What insurance protections do people have under the ACA?

The ACA establishes a patient’s bill of rights to protect consumers in dealing with insurance companies and help them access health coverage regardless of their health status. These rules remove pre-existing conditions limitations, protect a patient's choice of doctors, prevent insurers from cancelling coverage except in cases of fraud, cover preventive care with no cost, end lifetime dollar limits on care, and more.14

How long can dependents stay on a parent or guardian’s health plan?

If a plan covers children, they can be added to or kept on a parent's health insurance policy until they turn 26 years old.7

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