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Delaware’s Health Insurance Marketplace: Update on Activity. Delaware Health Care Commission, January 9, 2014 Secretary Rita Landgraf, Department of Health and Social Services. Agenda. Updates since last Health Care Commission meeting Enrollment activity Marketplace Guide update
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Delaware Health Care Commission, January 9, 2014
Secretary Rita Landgraf, Department of Health and Social Services
Updates since last Health Care Commission meeting
Marketplace Guide update
Marketing and website update
Stories from the ground
As of January 3, 2014, 4,241 Delawareans have gained access to health care coverage through expanded Medicaid and the Marketplace since October 1
Number of individuals assessed eligible for Medicaid/CHIP by the Marketplace by the U.S. Dept. of HHS = 5,732
Electronic account transfer between the State and FFM has been delayed. Delaware is among the first group of states selected for testing account transfer functionality with the Marketplace. Delaware has successfully implemented account transfer to the Federal government and successfully received account transfers from the Federal government in a test environment.
For those individuals assessed eligible for Medicaid by the Federal Government, DHSS is conducting further outreach and completing eligibility determinations.
As of January 3, 2014, 1,058 adults were enrolled in the Medicaid program under the ACA expansion.
Note that rounding may account for deviations from 100%
The most efficient “door” for Delawareans:
Insurers (>400% FPL)
Not-eligible for subsidies
Eligible for Federal Subsidies
ASSIST (<138% FPL or <212% for children and pregnant women)
As of January 7, 2014:
Between October 1 and December 31, 2013, Marketplace Guides have referred 298 consumers to Medicaid
Guides continue to focus the bulk of their efforts on meeting one-on-one with consumers to facilitate Marketplace applications and enrollments
Guide organizations have and will continue to offer larger scale enrollment events to connect with the maximum number of consumers possible
Please check www.ChooseHealthDE.com for the most up-to-date information about Marketplace Guide activities, including enrollment events
The table below provides links to each of the
Delaware QHP Insurance Company Customer Service Centers
Traffic from ChooseHealthDE.com to HealthCare.gov:
As of Jan. 6, 2014, ChooseHealthDE.com has directed 27,117 visits to HealthCare.gov.
A 26-year-old Newark woman, who isn’t offered insurance through her job, chose a catastrophic plan. She is excited that her PCP is in-network and that her co-pay for visits will be only $20. Her monthly premium is $134.
A 62-year-old Felton woman and her husband, who are self-employed and have individual insurance, met with a marketplace guide to look for “something more affordable.” She and her husband received a tax credit and are relieved to have new affordable insurance.
A 44-year-old New Castle man, who has been trying to enroll since Oct. 1, was able to enroll on Dec. 24.
A family from Dover was assisted at a Westside Family Healthcare enrollment event by a Spanish-speaking guide. The child is enrolled in CHIP, and the husband and wife -- who received a $545 tax credit -- will pay $38 a month for a Marketplace plan.
A Rehoboth Beach man was incorrectly flagged as being potentially eligible for Medicaid. He has an upcoming appointment with a Marketplace Guide to resolve his application.
A Bear man in his 50s, who received a $242 tax credit, will pay $334 a month. He told a Guide he is relieved to have insurance.
A Delaware woman, who thought she had enrolled for medical and dental coverage Oct. 20 but whose enrollment became stuck, enrolled Dec. 20 with the help of Rep. John Carney’s office and a troubleshooting team from HHS.
A 26-year-old Wilmington woman, who works part-time at a hospital and is a UD nursing student, received a tax subsidy and will pay $100 a month. “I feel like the ACA was built for people like me,” she said.
One of Westside’s Guides enrolled herself and her 19-month-old daughter, who qualified for CHIP, in 15-20 minutes. The Guide, who will receive a $93 tax credit; will pay $138 a month.