healthcare reform the future of the minnesota comprehensive health association
Download
Skip this Video
Download Presentation
Healthcare Reform: the Future of the Minnesota Comprehensive Health Association

Loading in 2 Seconds...

play fullscreen
1 / 10

Healthcare Reform: the Future of the Minnesota Comprehensive Health Association - PowerPoint PPT Presentation


  • 81 Views
  • Uploaded on

Healthcare Reform: the Future of the Minnesota Comprehensive Health Association. The History of MCHA. Created by the state legislature in 1976 to give Minnesotans with pre-existing conditions access to health insurance.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Healthcare Reform: the Future of the Minnesota Comprehensive Health Association' - elliot


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
the history of mcha
The History of MCHA
  • Created by the state legislature in 1976 to give Minnesotans with pre-existing conditions access to health insurance.
  • One of the first and one of the largest high-risk insurance pools in the country.
  • Regulated and Directed by the Minnesota Department of Commerce and an eleven-member board of directors.
reasons minnesotans turn to mcha
Reasons Minnesotans Turn to MCHA
  • They have a pre-existing health conditions and:
  • Used up COBRA or continuation benefits
  • Employer doesn’t offer health insurance
  • Employer doesn’t offer spousal or dependent coverage
  • Works part-time or are self-employed
  • Age 65 or older and not eligible for Medicare
mcha demographics
MCHA Demographics
  • Currently insures approximately 26,000 enrollees
  • Median age is 52
  • Nearly a quarter of all enrollees have a mental health diagnosis
  • Most Common Mental Health Diagnoses:
    • Depression
    • Anxiety
    • PTSD
    • Obsessive Compulsive Disorder
    • Bipolar Disorder
    • Substance Abuse
the new marketplace does mcha fit
The New Marketplace: Does MCHA Fit?
  • Guaranteed Issue: The Affordable Care Act guarantees everyone, regardless of a current or past health condition, a health insurance plan.
  • Two-year Board of Directors planning process
  • The need for MCHA is disappearing.
  • MCHA will cease operations on 12/31/14
mcha phase out plan
MCHA Phase-Out Plan
  • Legislators Passed the Minnesota Insurance Marketplace Act in 2012
  • Commissioner of Commerce & MCHA Board given authority to develop a phase-out plan
  • Agreed on a fifteen-month wind-down
mcha transition plan timeline
MCHA Transition Plan Timeline
  • Oct 1, 2013-Mar 31, 2014Open enrollment period for all new health plans individual and small group)
  • Dec 15, 2013 Last day to enroll in new plans for Jan 1, 2014 effective date
  • Jan 1, 2014MCHA closes enrollment to all new applicants
  • Oct 15-Dec 7, 2014Open enrollment for 2015 coverage
  • Dec 31, 2014 MCHA expected to close
advantages of changing plans in 2014
Advantages of Changing Plans in 2014
  • No annual maximums
  • No lifetime maximums
  • No-cost preventive care: i.e.: mammograms/well visits
  • Affordable plans (MCHA premiums are 18% higher)
  • No denials for pre-existing conditions
  • Tax subsidies through MNsure for below 400% FPL
  • Expanded access to medical assistance
  • Expanded benefits under MinnesotaCare
what mcha enrollees should consider before buying a plan
What MCHA Enrollees Should Consider Before Buying a Plan
  • Is your doctor or clinic in the plan’s network?
  • Are your medications covered under the plan’s approved list of prescription drugs?
  • Are you eligible for a tax credit through MNsure?
  • What level coverage works for you: Bronze, Silver, Gold, Platinum?
  • By changing plans for Jan. 1, 2014, you will avoid paying two deductibles.
  • Does the plan cover care/services you are currently receiving and do you need pre-approval?
  • Does this plan fit with your future needs?
resources for mcha enrollees
Resources for MCHA Enrollees
  • Health Insurance Agents
      • Can advise enrollees on what plan would be the best fit for their needs.
      • www.myMCHAagent.com
  • Community Navigators
      • Can help enrollees navigate through MNsure, but cannot recommend a plan.
      • www.myMCHAnavigator.com
      • www.mnsure.org/images/AssisterDirectory.pdf
ad