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P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | NEW JERSEY PRIMARY CARE ASSOCIATION How to enroll & Where.

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Presentation on theme: "P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | NEW JERSEY PRIMARY CARE ASSOCIATION How to enroll & Where."— Presentation transcript:

1 P: F: West Main Street, New York, NY | NEW JERSEY PRIMARY CARE ASSOCIATION How to enroll & Where to go to do it Michelle E. Michel, MA, MPH Manager of Outreach and Enrollment, NJPCA P: F: Quakerbridge Rd, Ste 201 Hamilton, NJ | Wednesday, November 20, 2013 MIDDLESEX COUNTY NJ HEALTH INSURANCE MARKETPLACE AWARENESS EVENT

2 P: F: West Main Street, New York, NY | Today’s Presentation Outline 1 How to apply for coverage 2 Where YOU can go for help / your local health center 3 How YOU can prepare and save time 4 Wrap-up

3 P: F: West Main Street, New York, NY | P: F: Quakerbridge Rd, Ste 201 Hamilton, NJ | The Marketplace is NOT the same as Medicaid! Marketplace  Private insurance companies State Medicaid (NJ FamilyCare) How are they related: Eligibility and how much you save are INCOME-BASED The Marketplace online application will send your information to NJFC if you qualify for Medicaid Marketplace vs. Medicaid (NJ FamilyCare)

4 P: F: West Main Street, New York, NY | P: F: Quakerbridge Rd, Ste 201 Hamilton, NJ | Four Ways to Apply for Marketplace Coverage By phone, On paper In person

5 P: F: West Main Street, New York, NY | P: F: Quakerbridge Rd, Ste 201 Hamilton, NJ | In-Person Assistance Navigators Application assisters Certified application counselors (CAC) Local Department of Social Services Insurance agents and brokers can also help you with your application and choices

6 P: F: West Main Street, New York, NY | P: F: Quakerbridge Rd, Ste 201 Hamilton, NJ | Get Help LOCALLY Local Help Get help applying in person There are 20 federally qualified health centers throughout the state of New Jersey, with a total of 113 sites All 20 are functioning as CACs Two (2) are in Middlesex County Jewish Renaissance Medical Center, Perth Amboy, NJ Eric B. Chandler Health Center, New Brunswick, NJ

7 P: F: West Main Street, New York, NY | P: F: Quakerbridge Rd, Ste 201 Hamilton, NJ | Outreach and Enrollment Our FQHCs are focusing on In-reach and Outreach In-reach: Enrollment of existing patients who are currently uninsured and are eligible for enrollment in Medicaid expansion or the Marketplace. Outreach: Identify and enroll new patients and community members who reside in the communities in which our centers and satellites are located.

8 P: F: West Main Street, New York, NY | P: F: Quakerbridge Rd, Ste 201 Hamilton, NJ | Requirements for Assisting people to Enroll MUST BE CERTIFIED by Centers for Medicare and Medicaid Services (CMS) They must complete and pass a web-based training course with a passing score of 80 You can be confident that you’re getting the best service at our state’s federally qualified health centers Health Center staff must be certified to be CACs

9 P: F: West Main Street, New York, NY | P: F: Quakerbridge Rd, Ste 201 Hamilton, NJ | Marketplace Application Checklist HAVE THIS INFORMATION HANDY!!

10 P: F: West Main Street, New York, NY | P: F: Quakerbridge Rd, Ste 201 Hamilton, NJ | Marketplace Application Checklist To speed up the process and save some time… HAVE THIS INFORMATION HANDY!! For every person in your household: Social Security numbers (or document numbers) Employer and income info Policy numbers for current health plans Job-based health insurance info

11 P: F: West Main Street, New York, NY | P: F: Quakerbridge Rd, Ste 201 Hamilton, NJ | Job Health Insurance Employer Coverage Tool Only if employed, and/or are eligible for health insurance from your or another person’s job Complete one tool for each employer that offers health coverage that you’re eligible for

12 P: F: West Main Street, New York, NY | P: F: Quakerbridge Rd, Ste 201 Hamilton, NJ | 1.Come prepared…save time!! a.SSN, income, employment, health insurance policy numbers (if any) 2.Go to your local health center for help a.Jewish Renaissance Medical Center Perth Amboy area b.Eric B. Chandler Health Center New Brunswick area


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