Health Care Is Contagious…

1. Health Care Is Contagious… Spread the Word Presentation by Kate Habegger & Annie Wood Bell

2. Session Objective: • To provide information about affordable, reliable, and available health care and insurance resources.

3. How Does This Relate to the Conference Objective? Conference Objective: To empower and equip professionals with practical resources and knowledge to assist clients in response to the current economic recession.

4. Putting Your Health Care Knowledge to the Test

5. Problems and Benefits of the Health Care System • Problems 1. Aspects of privatization. 2. The time it takes to get approved. 3. Termination and evaluation. 4. The amount of people who can get services. • Benefits 1. Specialization for certain people’s needs. 2. There are options for clients. 3. The cost of insurance is affordable. 4. If eligible, the coverage is broad.

6. Hoosier Healthwise-What Is It? • A form of Medicaid. • A government health insurance program in the state of Indiana. It runs through Health Insurance providers, Anthem and Mdwise. • The Children’s Health Insurance Program (CHIP) is part of Hoosier Healthwise.

7. Hoosier Healthwise-Who Is Eligible? • Children, pregnant women, and low-income families who are residents of Indiana. • Undocumented immigrants are only eligible for certain packages.

8. Hoosier Healthwise-What Does It Provide? • Primary Medical Physician (PMP) • Chosen by enrolled members. Provides regular checkups and health care for illnesses. • Package A- Standard Plan • Regular checkups and health care for illnesses, prescriptions, dental care, vision care, family planning services, and mental health services to eligible adults and children.

9. Hoosier Healthwise-What Does It Provide? • Package B-Pregnancy Coverage • Pre-natal and post-partum care. • Package C-Children’s Health Plan • Regular checkups and health care for illnesses, prescriptions, dental care, vision care, family planning services, and mental health services. • For children under age 19.

10. Hoosier Healthwise-What Does It Provide? • Package E- Emergency Services Only • Immigrants who do not meet the necessary immigration status requirements. • Only covers emergency services.

11. Hoosier Healthwise-What Is The Cost? • Package A- Standard Plan • No premiums. • Package B- Pregnancy Coverage • No premiums.

12. Hoosier Healthwise-What Is The Cost? • Package C- Children’s Health Plan • The amount a person will have to pay is capped at 5% of his/her annual income before taxes. • Some co-pays for benefits. • Package E- Emergency Services Only • No premium or cost.

13. Hoosier Healthwise-Where Do You Go To Apply? • County office • Can be found online. • Enrollment Center • Find online. • A doctor’s office, clinic or other local agency. • Madison County Community Health Center. • Saint John’s Health System. • Pregnancy Plus. • Mail In Application • Find online.

14. HIP (Healthy Indiana Plan) • Program started January 2008. • It is a national model. • It is for uninsured Hoosiers between the ages of 19-64.

15. HIP Eligibility Requirements 1. Individuals must earn less than 200% of the federal poverty level (FPL). A single adult earning less than $20,000, or families of four earning less than $40,000 likely meet the basic financial requirements. 2. Individuals must not have access to employer sponsored health insurance coverage. 3. Individuals must be uinsured for the previous six months.

16. HIP Income Eligibility Requirements Number of people in your family 100% FPL 125% FPL 150% FPL 200% FPL • 1 $10,836 $13,548 $16,248 $21,660 • 2 $14,580 $18,216 $21,864 $29,148 • 3 $18,312 $22,896 $27,468 $36,624 • 4 $22,056 $27,564 $33,084 $44,100 • 5 $25,800 $32,244 $38,688 $51,588 • 6 $29,532 $36,924 $44,304 $59,064 • 7 $33,276 $41,592 $49,908 $66,540 • 8 $37,020 $46,272 $55,524 $74,028

17. What Is Covered?

18. Cost of HIP • Coverage starts the first day of the following month after the money is received. • Exact cost depends on the person’s income and family size.

19. HIP Enrollment Centers • Indiana Health Center in Marion • Madison County Community Health Center in Anderson • Pregnancy Plus in Anderson • St. John’s Health System in Anderson

20. Medicare-What Is It? • Original Medicare is a fee-for-service plan managed by the Federal Government. • Medicare Advantage Plans are health plan options that are approved by Medicare but run by private companies. They are part of the Medicare Program, and sometimes called "Part C."

21. Medicare-Who Is Eligible? • General requirements- • Worked for at least 10 years in Medicare-covered employment, you are 65 years or older and a citizen or permanent resident of the United States. • Other factors involved. • Special eligibility exceptions • Note: People are eligible for Medicare when they turn 65 even if they are not eligible for Social Security retirement benefits.

22. Medicare-What Does It Provide? • Medicare Part A (Hospital Insurance) • Helps pay for care in a hospital and skilled nursing facility, home health care, and hospice care. • Medicare Part B (Medical Insurance) • Helps pay for doctors, outpatient hospital care, and other medical services. • Medicare Part C (Medicare Advantage Plans) • Health plan options that are approved by Medicare but run by private companies. • The plans provide all of your Part A (hospital) and Part B (medical) coverage and must cover medically-necessary services.

23. Medicare-What Is The Cost? • Part A: (Hospital Insurance) • Most people get Part A automatically when they turn age 65. Most people do not have to pay a monthly premium. • Some people do not qualify for premium-free Part A. • Part B: (Medical insurance) • At least $96.40 per month. • Part C: Medicare advantage plans • Premiums and service costs vary • Costs for prescription drug coverage can be lower than in the stand-alone Medicare Prescription Drug Plans.

24. Medicare-Where Do You Go To Apply? • Online • Fill out a questionnaire to determine eligibility and premium costs. • Local Social Security office • Locate on website. • They will help people apply and answer any questions about Medicare.

25. Medicare Prescription Drug Plans • What are they? • Prescription drug plans offered by insurance companies and other private companies approved by Medicare. • Who is eligible? • Anyone with Medicare.

26. Medicare Prescription Drug Plans • What do they provide? • Patients pay less for prescriptions. • A plan member card to use when brand name and generic prescriptions are filled at participating pharmacies. • Protection for people who have very high drug costs or from unexpected prescription drug bills in the future.

27. Medicare Prescription Drug Plans • What is the cost? • Any premium, co-payment, coinsurance, and/or deductible, varies with plans. • How to apply? • Join a Medicare Advantage Plan. • Join a Medicare Health Plan that offers drug coverage. • Apply and get more information from Social Security by calling or visiting the website.

28. Hoosier Rx • What is it and what is provided? • Indiana’s prescription drug assistance program. • Helps people pay for Medicare Rx, Part D Plan.

29. Hoosier Rx • Who is eligible? • Indiana residents, low-income, 65 years old or older. • Meet certain income requirements. • Have applied for the “Medicare Extra Help” through Social Security to pay for your Medicare Part D plan, and received either a “Notice of Award” or “Notice of Denial” from Social Security.

30. Hoosier Rx • What is the cost? • No cost if eligible. • Can help pay the monthly Part D premium, up to $70 per month. • How to apply? • Download application, mail or fax to Hoosier Rx in Indianapolis.

31. Medication Assistance • What is it and what does it provide? • A program through pharmaceutical companies where clients can apply to get long-term non-narcotic medications for free. • If person is approved the pharmaceutical company will send the medication to be picked up.

32. Medication Assistance • Who is eligible? • Adults, older than 18, no prescription insurance, some Medicare D and income eligibility. • What is the cost? • Free for those who qualify.

33. Medication Assistance • Where do you apply? • St. John’s Medication Access Coordinator • Chastity Hardin • Madison County Community Health Center • Marlita Williams • Doctor’s offices and hospitals should have information about it or refer people out to it.

34. What Is Happening In Our Community? • Madison County Community Health Center • Triad—Denny’s advocating work • Madison County Coalition • St. Vincent’s Health Care Goal for 2020

35. Questions/Comments http://pickingupthepieces.wikispaces.com/ -Resource List