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Connecting To Coverage  Who is Impacted  AHCCCS or Marketplace  Do It Yourself  Enrollment Assistance.

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Presentation on theme: "Connecting To Coverage  Who is Impacted  AHCCCS or Marketplace  Do It Yourself  Enrollment Assistance."— Presentation transcript:

1 Connecting To Coverage  Who is Impacted  AHCCCS or Marketplace  Do It Yourself  Enrollment Assistance

2 Employer sponsored Insurance: 46 Uninsured: 18 (1.2 million) Medicaid (AHCCCS): 18 Medicare: 13 Private Insurance : 4 Other Public If Arizona Had 100 People

3 Uninsured: 18 Private Insurance: 4 Who Has the Most to Gain? 22

4 Marketplace & Financial Assistance AHCCCS AHCCCS or Marketplace Income 400% FPL 250% FPL 138% FPL 0

5 AHCCCS or Marketplace Household Size Income $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.

6 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 Assistance

7  Navigators  Certified Application Counselors (CAC)  Health-e-Arizona Plus Assisters  Insurance Brokers Connecting to Coverage

8  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 Entities

9  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 Counselors

10 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

11 BEWARE SCAM ALERT Legitimate Brokers, Navigators and Certified Application Counselors don’t charge fees to consumers for their services.

12 Do It Yourself AHCCCS  Healthearizona.org  DES Offices  Paper Applications Marketplace  Healthcare.gov  Marketplace hotline: (800) or TTY: (855)  Paper Applications

13 Where to Find Help AHCCCS & Marketplace  Navigators and Application Counselors (24/7)  Online directories at:  Healthcare.gov  Coveraz.org

14 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

15  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

16 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 Navigator

17 General ACA ACA with an Arizona twist https://www.healthcare.gov/ Official Marketplace site Great site for education and materials Subsidy calculator and more Arizona Medicaid Expansion ConsolidatedLocationsList6A.pdf - List of groups that will help Resources

18 Allen Gjersvig Director Healthcare Innovation

19 Coverage Resources for Your Organization


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