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Covered California

May 21, 2013. Covered California . ACTION Council of Monterey County Annabelle Rodriguez. Covered California. What is it?. The federal Affordable Care Act (ACA), aimed at reforming the nation’s health care system became law in March 2010: MediCal Expansion up to 138% FPL

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Covered California

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  1. May 21, 2013 Covered California ACTION Council of Monterey County Annabelle Rodriguez

  2. Covered California

  3. What is it? The federal Affordable Care Act (ACA), aimed at reforming the nation’s health care system became law in March 2010: • MediCal Expansion up to 138% FPL • 1.4 million newly eligible • 1.3 million currently eligible but not enrolled • Health Exchange – subsidies for 138-400% FPL • Approximately 2 million will be eligible • Will make shopping for health insurance easier, costs and benefits of plans more understandable, administers subsidies

  4. Aims to expand affordable health care coverage to millions of uninsured Americans • Improve quality of care they receive • Curb rising health care costs • Creates a transparent marketplace • Streamline eligibility & enrollment • Protect the consumer • Implementation staged over a number of years • Some have taken effect, others until 2014 and beyond • Expands MediCal coverage to low-income adults and children – aimed at improving access to neediest of Californians

  5. Who is eligible? • Who is eligible to use the Exchange? • Citizen or legal resident • No affordable insurance available through employer • Above the Medi-Cal eligibility threshold (138% FPL) • Who can participate in the affordability programs? • Eligible to use the Exchange and below 400% FPL

  6. Outreach & Education Grant Program: Target Populations

  7. Eligibility cont.. Who remains uninsured? • Between 3 and 4 million in 219; 1 million due to immigration status • Undocumented • 26,100 – Monterey County • Anyone who chooses to pay the penalty rather than purchase insurance (penalty may be cheaper than premiums) • Source: ucberkeley labor central/ucla center for health policy research • CSUMB: Phase iii report, health care reform an analysis of safety net provider to serve mo. Co. residents

  8. What does this mean for 0-5 families • Stronger prevention focus on health care • Improved Prenatal Care • Well baby checks • 26 Covered Preventitive Services for Children • Developmental Screenings for children under 3 • Autism screening for children 18 to 24 months • Behavioral assessments for children 0 to 17, and monitoring • Partner with parents to be great parents

  9. Outreach & Education Grant Program: Purpose The Outreach and Education Program will engage organizations and entities with trusted relationships with uninsured consumers to: • Increase awareness and understanding of health care options; • Promote a culture of coverage; • Communicate the importance of having health coverage; • Remove barriers to enrollment; and, ultimately, • Motivate our families to take action and enroll.

  10. Resources • www.coverdca.com • healthcare.gov • chcf.org • http://Californiafamilyresource.org • mreenlining.org • Mtyhd.org

  11. Thank You Annabelle Rodriguez Director of Programs & Community Engagement ACTION Council of Monterey County Annabelle@actioncouncil.org (831) 783-1244 www.actioncouncil.org

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