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Health Insurance Marketplace Overview . Materials and Resources for USDA. January 2014. What is the Health Insurance Marketplace?. Part of the Affordable Care Act of 2010 Where qualified individuals directly compare private health insurance options Known as Qualified Health Plans (QHPs)

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Health insurance marketplace overview
Health Insurance Marketplace Overview

Materials and Resources for USDA

January 2014


What is the health insurance marketplace
What is the Health Insurance Marketplace?

  • Part of the Affordable Care Act of 2010

    • Where qualified individuals directly compare private health insurance options

      • Known as Qualified Health Plans (QHPs)

    • Can directly compare on the basis of price, benefits, quality, and other factors

    • Also known as Exchanges or Obamacare

  • Small Business Health Options Program (SHOP)

    • Marketplace for small businesses


The marketplace
The Marketplace…

  • It’s a way to shop for health coverage

    • Simplifies the search

    • With one streamlined application an individual or family can explore every qualified insurance plan in the area

  • Most people are able to get a break on costs

    • 90% of people who are currently uninsured will qualify for savings on health insurance

  • Clear options with apples-to-apples comparisons

    • All health insurance plans in the Marketplace present their price and benefit information in plain language


Update from cms
Update from CMS

  • Nationwide Enrollment for Health Care coverage Surged in December

  • Most recent data indicate that more than 2.1 million people enrolled in a private health insurance plan through Federal and State-based Marketplaces

  • 3.9 million Americans learned they’re eligible for coverage through Medicaid and the Children’s Health Insurance Program (CHIP) in Oct. and Nov.

    • http://www.hhs.gov/healthcare/facts/blog/2013/12/nationwide-enrollment-surges.html


Initial open enrollment period for the individual market
Initial Open Enrollment Period for the Individual Market

  • October 1, 2013 – March 31, 2014

  • Some exceptions may allow for earlier effective dates


How you can help moving f orward
How You Can Help Moving Forward

  • Education

    • Educate public about benefits of health insurance

    • Hold community events

    • Partner with local orgs to get the word out

  • Enrollment

    • Marketplace is open until March 31, 2014

    • Medicaid is open year round

  • Helping people with new coverage

    • Fact sheets available on Marketpalce.cms.gov




Marketplace cms gov resources for assisters
Marketplace.cms.govResources for Assisters

Get the latest resources for assisters to help people apply, enroll, and get coverage.

Click “Get Training” for helpful videos


Resources for assisters
Resources for Assisters

  • Marketplace.cms.gov

    • Webinar/Call recordings and slides

    • Frequently Asked Questions Application, eligibility, enrollment

    • Assister Resources

      • Helping Consumers with Casework (new)

      • Factsheets/Tips/Guidelines

  • CAC & Navigator Weekly Calls Fridays @ 2:00pm ET

  • Weekly Assister Newsletter from CCIIO


Marketplace cms gov get training
Marketplace.cms.govGet Training

Get the latest training resources.

Click “Get Training” for helpful videos


Training materials
Training Materials

  • Navigator Training

  • CAC Training

  • Overviews of Health Insurance Marketplace

    • Slides, speaker notes, video, Spanish version

  • Marketplace 101

    • Slides, speaker notes, Spanish version

    • Youtube: http://www.youtube.com/watch?v=L9WlRWsftMA

  • SHOP

    • Slides and speaker notes


Marketplace cms gov official resources
Marketplace.cms.govOfficial Resources

Get the latest resources, factsheets and materials.

Click “Get Training” for helpful videos


Cms official resources
CMS Official Resources

  • Publications/Drop in Articles

    • Factsheets, enrollment info, QHP factsheets

  • Widgets and Badges

  • Logos, Graphic and infographics

  • Spanish plus 32 additional languages

    • Translated Consumer Application (all)

    • Other translated materials (9)

  • Other Partner Resources

    • Flyers, toolkits, local Navigator help


Partnering with other organizations
Partnering with Other Organizations

  • Find Local Help

    • CACs, Navigators, and FQHC listed as assisters

    • https://localhelp.healthcare.gov/

  • Champions for Coverage

    • Organizations helping with education not enrollment)

    • http://marketplace.cms.gov/help-us/champions-for-coverage-list.pdf

  • Public Enrollment Events

    • http://marketplace.cms.gov/getofficialresources/other-partner-resources/events-calendar-for-ffm-and-spms-.pdf


Locating the uninsured
Locating the uninsured

  • Data on Uninsured

    • http://marketplace.cms.gov/exploreresearch/census-data.html

  • State Maps of Uninsured

    • http://www.enrollamerica.org/state-maps-and-info/state-profiles/

  • Interactive: A State-by State Look at How Uninsured Fare Under ACA

    • http://kff.org/interactive/uninsured-gap/


Questions and sharing stories
Questions and Sharing Stories

  • Questions from CACs

    • CACquestions@cms.hhs.gov

  • Questions from Navigators

    • Email your CMS project specialist

  • Questions about partnering or materials

    • partnership@cms.hhs.gov

  • Sharing good news stories

    • http://www.hhs.gov/healthcare/facts/my-story/index.html



Want more information about the marketplace
Want more information about the Marketplace?

  • Stay Connected

    • Sign up to get email and text alerts at HealthCare.gov/subscribe

      • CuidadoDeSalud.gov for Spanish

    • Updates and resources for partner organizations are available at Marketplace.cms.gov

    • Twitter@HealthCareGov

    • Facebook.com/Healthcare.gov


Cms contacts
CMS Contacts

  • Susie Butler, Acting Director

    • Susie.butler@cms.hhs.gov

    • 410-786-7211

  • Christiana Mpaka, Public Affairs Specialist

    • Christiana.Mpaka@cms.hhs.gov

    • 410-786-5616

  • Stefanie Costello, Health Insurance Specialist

    • Stefanie.costello@cms.hhs.gov

    • 202-690-6003