1. What?Who?When?How?Options? Medicare65 & over Some persons w/ disabilities Oct 15 th to Dec 7 th open enrollment for all; Year round enrollment for special needs groups w/ lower incomes or chronic diseases www.medicare.gov APPRISE Helpline is 1-800-783- 7067 Original Medicare Original w/ a Supplemental Medicare Medicare Advantage Health Insurance Marketplace aka “Obamacare” “Marketplace” “Exchange” 18 to 64 y.o; Middle low to higher income; Small biz owners/employees; Workers w/o health insurance Currently, only persons eligible for special enrollment periods; Open enrollment annual periods (November 1 st – January 31 st ); www.healthcare.gov Bronze Silver (subsidized for low income persons) Gold Platinum Medicaid/ CHIP No to very low income adults and children Any time www.compass.state.pa.us County Assistance Offices Medicaid enrollment 1-866- 550-4355 Health Choices 2015-2016 Health Insurance Enrollment Options

2. “Obamacare” Marketplace - 2016 Special Enrollment Period Only Medicaid Expansion (no cost) – individuals must enroll - www.compass.state.pa.us Options for Adults 18-64 years old

3. Household Size Below 138%138%250%400%Above 400% 1 < $16,242$16,242$29,425$47,080> $47,080 2 < $21,983$21,983$39,825$63,720> $63,720 3 < $27,724$27,724$50,225$80,360> $80,360 4 < $33,465$33,465$60,625$97,000> $97,000 Obamacare 2015-16 Marketplace Adults (18-64) – Annual Income

4. Household Size Medicaid Expansion Below 138%138%250%400%Above 400% 1< $676$676$1,226$1,962> $1,962 2< $919$919$1,659$2,655> $2,655 3< $1,155$1,155$2,092$3,348> $3,348 4< $1,394$1,394$2,526$4,042> $4,042 Obamacare Marketplace Adults (18-64) Bi-Weekly Gross Pay

5. No health insurance may = a fine; $695 fine per adult household member or up to $2,085* 2016 Penalty *Paid when you do your 2016 taxes in 2017

6. Who qualifies for special enrollment periods?  Loss of health coverage (in the past 60 days)  Losing eligibility for Medicaid, CHIP or Medicare  Losing coverage through a family member  Got married  Had a baby  Divorce or legally separated  Some household moves  Check www.healthcare.gov for other scenarios