Who is Impacted AHCCCS or Marketplace Do It Yourself Enrollment Assistance Employer sponsored Insurance 46 Uninsured 18 12 million Medicaid AHCCCS 18 Medicare 13 Private ID: 597951
Download Presentation The PPT/PDF document "Connecting To Coverage" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Connecting To Coverage
Who is Impacted
AHCCCS or Marketplace
Do
It
Yourself
Enrollment AssistanceSlide2
Employer sponsored
Insurance: 46
Uninsured: 18 (1.2 million)
Medicaid (AHCCCS): 18
Medicare
:
13
Private
Insurance
:
4
Other Public
If Arizona Had 100 PeopleSlide3
Uninsured: 18
Private Insurance:
4
Who Has the Most to Gain?
22Slide4
Marketplace &
Financial Assistance
AHCCCS
AHCCCS or Marketplace
Income
400% FPL
250% FPL
138% FPL
0Slide5
AHCCCS or Marketplace
Household Size
Income
1
2
3
4
5
6
7
8
$
0 - $
11,499
$
11,500 - $
15,999
$
16,000 - $
19,999
$
20,000 - $
23,999
$
24,000 - $
27,999
$
28,000 - $
31,999
$
32,000 - $
45,999
$
46,000 - $
62,499
$
62,500 - $
78,499
$
78,500 - $
94,499
$
95,000 - $
110,499
$
110,500 - $
126,499
$
126,500 - $
142,499
$
142,500 - $
158,999
$159,000+
AHCCCS
Marketplace & Fin. Asst.Slide6
Best door if earn too much for AHCCCS
No Wrong Door, Maybe a “Better” Door
Best door if most likely eligible for AHCCCS and interested in SNAP (Food Stamps) or Cash AssistanceSlide7
Navigators
Certified Application Counselors (CAC)
Health-e-Arizona Plus Assisters
Insurance Brokers
Connecting to CoverageSlide8
Arizona Alliance for Community Health Centers, Statewide
Arizona Board of Regents, University of Arizona
The Center for Rural Health, Tucson
Campesinos Sin Fronteras, Inc
., Yuma County
Greater Phoenix Urban League, Inc., Maricopa, Pinal and Pima Counties
Navigators EntitiesSlide9
Unbiased
FACILITATORS
Can assist with AHCCCS or Marketplace
Strict conflict of interest and privacy requirements
Must show all Marketplace options
Will assist in multiple languages
Navigators & Application CounselorsSlide10
Insurance Brokers
Represent multiple insurance companies;
not necessarily all Marketplace plans
Sell
group and individual, off and on
the Marketplace
Paid commission by insurance company
Motivated to
retain customers
Not trained to assist with AHCCCSSlide11
BEWARE
SCAM
ALERT
Legitimate
Brokers, Navigators and Certified Application Counselors
d
on’t charge fees to consumers for their services.Slide12
Do It Yourself
AHCCCS
Healthearizona.org
DES Offices
Paper Applications
Marketplace
Healthcare.gov
Marketplace hotline:
(800) 318-2596 or
TTY: (855) 889-4325
Paper ApplicationsSlide13
Where to Find Help
AHCCCS
&
Marketplace
Navigators and Application Counselors
1-800.235.9678 (24/7)
Online directories at:
Healthcare.gov
Coveraz.orgSlide14
Key Dates
Marketplace
Oct. 1 – March 31: Open enrollment for the Marketplace
Coverage begins January 1, 2014
B
e “safe” enroll by December 1 if you want coverage to begin in January
AHCCCS
No open enrollment period
Expanded AHCCCS coverage, scheduled to begin January 1Slide15
Five Lead Navigators strategically placed to coordinate activates in each region
Aiming to assist 225,000 people
Partners currently offer more than 202 service sites
More than 50 individuals to be trained as Navigators; more than 140 as CAC
Will collaborate with three other Navigator entitiesSlide16
AACHC Navigator Partners
Arizona Alliance
for
Community Health Centers
Adelante Healthcare (FQHC
)*
Canyonlands Healthcare (FQHC)
North Country HealthCare (FQHC
)*
People of Color Network
Sun Life Family Health Center (FQHC
)*
Sunset Health Center (FQHC
)*
Tuba City Regional
Healthcare
Kids Health
Link
-
CAA
J C Lincoln Desert
Mission
Empowerment
Systems
Helping Families in Need
Keogh Health
Connection
Phoenix Day HealthLinks
Women’s Health Coalition of AZ
Nuestra
Salud -
PCAP
Pima Community Access Program (PCAP
)*
Pima County Health
Dept.
St.
Elizabeth’s
United Way of Tucson & Southern Arizona
Each partner has extensive experience with AHCCCS and KidsCare outreach & application assistance
* Hosting a Regional Lead NavigatorSlide17
General ACA
www.coveraz.org ACA with an Arizona twist
https://www.healthcare.gov
/ Official Marketplace site
http://marketplace.cms.gov/ Great site for education
and materials
http://
healthreform.kff.org Subsidy calculator and more
Arizona Medicaid Expansion
http://www.azahcccs.gov/publicnotices/MovingForward.aspx
http://www.azahcccs.gov/applicants/Downloads/KidsCareII/ConsolidatedLocationsList6A.pdf
- List of groups that will help
ResourcesSlide18
Allen Gjersvig
Director Healthcare Innovation
alleng@aachc.org
602.288.7554Slide19
www.coveraz.org
Coverage Resources
for
Your Organization