Overseas Americans who eventually return to the US do receive one benefit from the ACA: the ban on excluding coverage of preexisting conditions.
That means the most for those whose coverage in their host country wouldn't have met the HIPAA requirements for creditable coverage, of course. However, even those whose coverage would have satisfied the HIPAA requirements do get to avoid at least one round of confusing paperwork.
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Overseas Americans who eventually return to the US do receive one benefit from the ACA: the ban on excluding coverage of preexisting conditions.
That means the most for those whose coverage in their host country wouldn't have met the HIPAA requirements for creditable coverage, of course. However, even those whose coverage would have satisfied the HIPAA requirements do get to avoid at least one round of confusing paperwork.