The Patient Protection and Affordable Care Act Young Adult Outreach and Education
Who Doesn’t Have Insurance? 13.4% of residents in Virginia lack insurance 23.3% of year olds in Virginia lack insurance 15.7% of residents in the U.S. lack insurance 26.9% of year olds in the US lack insurance
Who are Young Invincibles?
How does the ACA affect young adults Young adult outreach Overview
ACA was signed into law March 23, 2010 Could cover as many as 17 million previously uninsured young Americans Reforms insurance market Phased in from What is the ACA?
ACA Provisions Already in Effect that Help Young Adults
Under 26 can stay on parent’s plan Under 19 – no denial for pre-existing conditions Free Preventive Care – no co-pays on screenings and check-ups Must spend 80 or 85% of premiums on health care (depending on plan) What’s Already in Effect?
Student Health Plans Women’s Health Contraception Community Health Centers New This Year
Previously limited regulations Now subject to standardized ACA requirements Must include preventive care benefits 80/20 Ratio by 2014 Student Health Plans
Women’s Health Benefits Well-women visits Support for breastfeeding Domestic violence screening and counseling Mammograms and cancer screenings
Contraception As of Aug 2012, new health insurance plans must cover contraception with no co-pay Most plans will see this change in Jan 2013 Religious institutions exempt Religiously-affiliated institutions get 1 year delay After Aug 2013, employees and students get coverage directly from insurance companies
Currently 8,000 CHCs provide care to 20 million individuals In June 2012 grants went to 219 community health centers around the country Increased number of patients served by 1.25 million Growth of Community Health Centers (CHCs)
What Changes Will Come in 2014?
Medicaid Expansion Subsidies Exchanges/Marketplaces Individual Mandate Changes to Come
Currently eligible: Low-income children, parents and pregnant women Individuals with disabilities Eligible in 2014: EVERYONE ≤133% of FPL States can decide whether to expand Virginia has not decided whether to expand Medicaid Virginia and Medicaid
Potential Benefit to Young Adults in Virginia
Those making % of the federal poverty level (FPL) will qualify for subsidies (tax credits) to buy insurance on the exchange 133% of FPL for 1 person is $14,900 400% of FPL for 1 person is $44,000 Subsidies/Tax Credits
How Much of a Subsidy? FPLIncomePremiumTax CreditActual Cost 133%$1,275$283$244$39 250%$2,397$283$90$193 Four tiers of plans – Bronze, Silver, Gold, and Platinum Subsidies are calculated based on Silver plan Individuals can use subsidy for any plan
Shop for insurance Each state is different State-based exchange Federally-facilitated exchanges (FFEs) Partnerships Subsidies applied directly Virginia is still undecided on what type of exchange it will have Ex-cha-cha-cha-Changes
Exchanges in the States Governor Bob McDonnell must notify HHS about what type of exchange VA will have by Dec. 14 Picture Source: Kaiser Family Foundation
How many young people in Virginia could get benefits?
Other important parts of the ACA Picture Source: Catastrophic plans Available on exchange, no subsidies apply Marketed to the young Targets those with financial hardship No Annual Limits in 2014 (already phasing out) Tax Credit for employers (already started)
Individuals must have qualifying health insurance If not, penalties $95 the first year Rises in 2016, ex. $695 Exemptions Individual Mandate and Penalties Picture Source:
Jessica, 19 years old Part-time student, part-time job $10,000/year before taxes ~ 87% of poverty Without Medicaid expansion, she doesn’t qualify for Medicaid and would not have health insurance
Jeff, 21 years old Part-time student, full-time construction worker Earns $23,000/year Takes home: $1,438/month Total health premium: $283/month With tax credits he pays: $121/month
Young adults have high rates of uninsurance The ACA has many provisions that help young adults Dependent Coverage Student Health Plans Contraception and Women’s Health Changes to come Expanded Medicaid Subsidies Exchanges Individual Mandate Overview: ACA and Young Adults
Outreach and Education for Young Adults in Virginia
Health Care Outreach Mobile Technology Social Media Challenges Navigators Timeline Overview
Traditional Outreach Tabling Group presentations Hosting events New Outreach Strategies Health Care Outreach
Your Healthcare Finder Find doctors in the area For Android and iPhoneAndroidiPhone Mobile Website Text Message Services QR Codes Can be scanned and direct users to your website Mobile Outreach
Find doctors and Community Health Centers in your area Search by location with GPS or zip code Search by name or category Shows user ratings of doctors in the area Find a Doctor
Explains how to find health insurance for different people (students, chronic conditions, buying your own plan) Explains the health care law Defines common health insurance terms Healthcare FAQ
Facebook Create events Send news updates Twitter Connect with new people Coordinate plans Retweet Be fun! Using Social Media Picture Source: Wikimedia Commons
It’s expensive ACA offers new options I’m young and healthy Injuries can happen to anyone Make it personal Why do I need health insurance? Uninsured drives up health care costs Individual mandate requires insurance Why do I need Insurance?
Navigators & Assisters Type of ExchangeNavigator In-Person Assistance Program State-Based ExchangeState runsOptional Partnership Exchange Fed. Govt. and state decide who runs ? Federally-Facilitated Exchange Fed. Govt. runs
Present – end of 2012: Educate young adults about ACA Ensure young adults are on dependent coverage Jan – Oct 2013: Educate young adults about the upcoming Exchanges Oct 1 st, 2013 – March 31 st, 2014 Open enrollment for exchanges Ensure young adults are getting subsidies and Medicaid, if possible Timeline: What to Look For
ACA is phasing in, some changes already underway Outreach and education Traditional outreach Social media and mobile technology Big changes in 2013 Like us on Facebook Follow us on Twitter Key