CONNECT FOR HEALTH COLORADO PATTY FONTNEAU CHIEF EXECUTIVE OFFICER

2 What is Connect for Health Colorado An open, competitive marketplace for individuals and small employers to: Shop health plan features containing the same base benefits Compare information regarding cost and quality Determine eligibility for and access new federal financial assistance, based on income Support network access, including service center, health coverage guides and brokers Enroll in a health plan

3 Connect for Health Colorado is NOT NOT: A replacement for the current market or brokers Engaged with negotiating rates between carriers and providers Part of Medicaid A new government health care system A State agency or regulatory body An organization that can receive funding from Colorado General Fund

4 Exchange Value Increase competition in the marketplace through its side by side comparison shopping Provide access to federal tax credits (in the form of premium reductions) that will make health insurance more affordable Reduce uncompensated care and cost transference to the broader market Help to preserve the overall risk mix in the market - by providing affordable plans for young healthy adults Provide expanded choice for employers and employees Create transparency to allow for more informed decision-making Provide decision support, through online tools and a support network (customer service center, health coverage guides and brokers)

5 Cost reduction for Individuals & Families Financial help to reduce the cost of premiums Individual earning between $15,282 to $45,960/year Couple earning between $20,628 to $62,040/year Family of four earning $31,322 to $94,200/year o Tax credit applied up-front by IRS o Tax credit is higher for Coloradans ages Financial help to reduce out of pocket costs (co-pays and deductibles) Individuals earning $15,282 to $28,725/year Family of 4 earning $31,322 to $58,875/year

6 Comprehensive Coverage Federal law requires health plans sold to individuals and small businesses inside and outside of Connect for Health Colorado to provide, at a minimum, the following categories of services, also known as essential health benefits: Ambulatory patient services Emergency Services Hospitalization Maternity/newborn care Mental health/substance abuse Prescription drugs Rehab/habilitative services and devices Laboratory services Preventive and wellness care/chronic disease management Pediatric services, including oral and vision care

7 Sustainability

8 Contact Website: Questions: Social (stakeholders)