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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. - PowerPoint PPT Presentation
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Connecting To Coverage Who is Impacted AHCCCS or Marketplace Do It Yourself Enrollment Assistance
Employer sponsored Insurance: 46
Uninsured: 18 (1.2 million)
Medicaid (AHCCCS): 18
Medicare: 13
Private Insurance: 4 Other Public
If Arizona Had 100 People
Uninsured: 18
Private Insurance: 4
Who Has the Most to Gain?
22
Marketplace &Financial Assistance
AHCCCS
AHCCCS or Marketplace
Income
400% FPL
250% FPL
138% FPL
0
AHCCCS or Marketplace
Household SizeIncome 1 2 3 4 5 6 7 8
$0 - $11,499$11,500 - $15,999$16,000 - $19,999$20,000 - $23,999$24,000 - $27,999$28,000 - $31,999$32,000 - $45,999$46,000 - $62,499$62,500 - $78,499$78,500 - $94,499
$95,000 - $110,499$110,500 - $126,499$126,500 - $142,499$142,500 - $158,999
$159,000+
AHCCCS
Marketplace & Fin. Asst.
Best door if earn too much for AHCCCS
No Wrong Door, Maybe a “Better” Door
Best door if most likely eligible for AHCCCS and interested in SNAP (Food Stamps) or Cash Assistance
Navigators
Certified Application Counselors (CAC)
Health-e-Arizona Plus Assisters
Insurance Brokers
Connecting to Coverage
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
Navigators Entities
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
Navigators & Application Counselors
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
BEWARE
SCAM
ALERT
Legitimate Brokers, Navigators
and Certified Application Counselors
don’t charge fees to consumers for their
services.
Do It Yourself
AHCCCS Healthearizona.org
DES Offices
Paper Applications
Marketplace Healthcare.gov
Marketplace hotline:(800) 318-2596 or TTY: (855) 889-4325
Paper Applications
Where to Find Help
AHCCCS & Marketplace
Navigators and Application Counselors1-800.235.9678 (24/7)
Online directories at:Healthcare.govCoveraz.org
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
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
AACHC Navigator PartnersArizona Alliance
for Community Health Centers Adelante Healthcare (FQHC)*Canyonlands Healthcare (FQHC)North Country HealthCare (FQHC)*People of Color NetworkSun Life Family Health Center (FQHC)*Sunset Health Center (FQHC)*Tuba City Regional Healthcare
Kids Health Link - CAA J C Lincoln Desert MissionEmpowerment SystemsHelping Families in Need Keogh Health ConnectionPhoenix Day HealthLinksWomen’s Health Coalition of AZ
Nuestra Salud - PCAPPima Community Access Program (PCAP)*Pima County Health Dept.St. Elizabeth’sUnited Way of Tucson & Southern Arizona
Each partner has extensive experience with AHCCCS and KidsCare outreach & application assistance
* Hosting a Regional Lead Navigator
General ACAwww.coveraz.org ACA with an Arizona twisthttps://www.healthcare.gov/ Official Marketplace sitehttp://marketplace.cms.gov/ Great site for education and materialshttp://healthreform.kff.org Subsidy calculator and more
Arizona Medicaid Expansionhttp://www.azahcccs.gov/publicnotices/MovingForward.aspx
http://www.azahcccs.gov/applicants/Downloads/KidsCareII/ConsolidatedLocationsList6A.pdf - List of groups that will help
Resources
www.coveraz.org
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