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Connecting To Coverage Who is Impacted AHCCCS or Marketplace Do It Yourself

Connecting To Coverage Who is Impacted AHCCCS or Marketplace Do It Yourself Enrollment Assistance. If Arizona Had 100 People. Employer sponsored Insurance: 46. Uninsured: 18 (1.2 million). Medicaid (AHCCCS): 18. Medicare : 13. Private Insurance : 4. Other Public.

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Connecting To Coverage Who is Impacted AHCCCS or Marketplace Do It Yourself

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  1. Connecting To Coverage • Who is Impacted • AHCCCS or Marketplace • Do It Yourself • Enrollment Assistance

  2. If Arizona Had 100 People Employer sponsored Insurance: 46 Uninsured: 18 (1.2 million) Medicaid (AHCCCS): 18 Medicare: 13 PrivateInsurance: 4 Other Public

  3. Who Has the Most to Gain? Uninsured: 18 22 Private Insurance: 4

  4. AHCCCS or Marketplace Income 400% FPL 250% FPL 138% FPL 0 Marketplace & Financial Assistance AHCCCS

  5. AHCCCS or Marketplace AHCCCS Marketplace & Fin. Asst.

  6. No Wrong Door, Maybe a “Better” Door Best door if most likely eligible for AHCCCS and interested in SNAP (Food Stamps) or Cash Assistance Best door if earn too much for AHCCCS

  7. Connecting to Coverage • Navigators • Certified Application Counselors (CAC) • Health-e-Arizona Plus Assisters • Insurance Brokers

  8. Navigators Entities • Arizona Alliance for Community Health Centers, Statewide • Arizona Board of Regents, University of Arizona The Center for Rural Health, Tucson • Campesinos Sin Fronteras, Inc., Yuma County • Greater Phoenix Urban League, Inc., Maricopa, Pinal and Pima Counties

  9. Navigators & Application Counselors • Unbiased FACILITATORS • Can assist with AHCCCS or Marketplace • Strict conflict of interest and privacy requirements • Must show all Marketplace options • Will assist in multiple languages

  10. Insurance Brokers • Represent multiple insurance companies; not necessarily all Marketplace plans • Sell group and individual, off and on the Marketplace • Paid commission by insurance company • Motivated to retain customers • Not trained to assist with AHCCCS

  11. BEWARE Legitimate Brokers, Navigators and Certified Application Counselors don’t charge fees to consumers for their services. SCAM ALERT

  12. AHCCCS Marketplace Do It Yourself • Healthearizona.org • DES Offices • Paper Applications • Healthcare.gov • Marketplace hotline:(800) 318-2596 or TTY: (855) 889-4325 • Paper Applications

  13. AHCCCS & Marketplace Where to Find Help • Navigators and Application Counselors1-800.235.9678 (24/7) • Online directories at: • Healthcare.gov • Coveraz.org

  14. Key Dates • Marketplace • Oct. 1 – March 31: Open enrollment for the Marketplace • Coverage begins January 1, 2014 • Be “safe” enroll by December 1 if you want coverage to begin in January • AHCCCS • No open enrollment period • Expanded AHCCCS coverage, scheduled to begin January 1

  15. Five Lead Navigators strategically placed to coordinate activates in each region • Aiming to assist 225,000 people • Partners currently offer more than 202 service sites • More than 50 individuals to be trained as Navigators; more than 140 as CAC • Will collaborate with three other Navigator entities

  16. AACHC Navigator Partners Each partner has extensive experience with AHCCCS and KidsCare outreach & application assistance * Hosting a Regional Lead Navigator

  17. Resources General ACA www.coveraz.org ACA with an Arizona twist https://www.healthcare.gov/ Official Marketplace site http://marketplace.cms.gov/ Great site for education and materials http://healthreform.kff.org Subsidy calculator and more Arizona Medicaid Expansion http://www.azahcccs.gov/publicnotices/MovingForward.aspxhttp://www.azahcccs.gov/applicants/Downloads/KidsCareII/ConsolidatedLocationsList6A.pdf - List of groups that will help

  18. Allen GjersvigDirector Healthcare Innovation alleng@aachc.org 602.288.7554

  19. www.coveraz.org Coverage Resources for Your Organization

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