1. Joan Fisher United Way of Anchorage Monique Martin ANTHC

2.  Don’t expect to enroll people on the first visit ◦ It takes 3-4 visits for some individuals/families  The Affordable Care Act is complicated and people need to understand how the tax credits work and what insurance plans are available  Then they apply it to their circumstances and are ready to enroll

3.  Talking about the Medicaid Expansion Gap requires time and sensitivity  Demonstrate the Gap using the Calculator  Give people options for care such as referrals to the Community Health Centers  Remain neutral and objective  Have a box of tissue handy

4.  The MAGI – Modified Adjusted Gross Income  Discussion on the new formula for Medicaid  No longer assets based – income includes the Permanent Fund Dividend  Review your income on a quarterly basis

5.  Bone up on your insurance terms and keep up your training! ◦ Learn how to explain deductibles, co-insurance, co-payment, in/out of network in multiple languages ◦ Attend the Weekly Assister’s Trainings on Fridays ◦ Understand the Qualified Health Plans and the benefit coverage

6.  Did you know you were going to be a tax expert? You aren’t so be careful. ◦ Learn how the Advanced Tax Credits work and are reconciled ◦ Explain how the filing status impacts the ATC ◦ Remember – victims of domestic violence can file married single and get the tax credits ◦ Stress to people to update their income

7.  Share with us one lesson that you learned from your experience as a Navigator or Certified Application Counselor  Questions?