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Connecting To Coverage Who is Impacted AHCCCS or Marketplace Do It Yourself Enrollment Assistance. If Arizona Had 100 People. Employer sponsored Insurance: 46. Uninsured: 18 (1.2 million). Medicaid (AHCCCS): 18. Medicare : 13. Private Insurance : 4. Other Public.
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Connecting To Coverage • Who is Impacted • AHCCCS or Marketplace • Do It Yourself • Enrollment Assistance
If Arizona Had 100 People Employer sponsored Insurance: 46 Uninsured: 18 (1.2 million) Medicaid (AHCCCS): 18 Medicare: 13 PrivateInsurance: 4 Other Public
Who Has the Most to Gain? Uninsured: 18 22 Private Insurance: 4
AHCCCS or Marketplace Income 400% FPL 250% FPL 138% FPL 0 Marketplace & Financial Assistance AHCCCS
AHCCCS or Marketplace AHCCCS Marketplace & Fin. Asst.
No Wrong Door, Maybe a “Better” Door Best door if most likely eligible for AHCCCS and interested in SNAP (Food Stamps) or Cash Assistance Best door if earn too much for AHCCCS
Connecting to Coverage • Navigators • Certified Application Counselors (CAC) • Health-e-Arizona Plus Assisters • Insurance Brokers
Navigators Entities • 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 & Application Counselors • 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
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 AHCCCS
BEWARE Legitimate Brokers, Navigators and Certified Application Counselors don’t charge fees to consumers for their services. SCAM ALERT
AHCCCS Marketplace Do It Yourself • Healthearizona.org • DES Offices • Paper Applications • Healthcare.gov • Marketplace hotline:(800) 318-2596 or TTY: (855) 889-4325 • Paper Applications
AHCCCS & Marketplace Where to Find Help • Navigators and Application Counselors1-800.235.9678 (24/7) • Online directories at: • Healthcare.gov • Coveraz.org
Key Dates • Marketplace • Oct. 1 – March 31: Open enrollment for the Marketplace • Coverage begins January 1, 2014 • Be “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 1
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 entities
AACHC Navigator Partners Each partner has extensive experience with AHCCCS and KidsCare outreach & application assistance * Hosting a Regional Lead Navigator
Resources 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.aspxhttp://www.azahcccs.gov/applicants/Downloads/KidsCareII/ConsolidatedLocationsList6A.pdf - List of groups that will help
Allen GjersvigDirector Healthcare Innovation alleng@aachc.org 602.288.7554
www.coveraz.org Coverage Resources for Your Organization