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Connecting To Coverage Who is Impacted AHCCCS or Marketplace Do It Yourself Enrollment Assistance Slide 2 Employer sponsored Insurance: 46 Uninsured: 18 (1.2 million) Medicaid (AHCCCS): 18 Medicare: 13 Private Insurance : 4 Other Public If Arizona Had 100 People Slide 3 Uninsured: 18 Private Insurance: 4 Who Has the Most to Gain? 22 Slide 4 Marketplace & Financial Assistance AHCCCS AHCCCS or Marketplace Income 400% FPL 250% FPL 138% FPL 0 Slide 5 AHCCCS or Marketplace Household Size Income 12345678 $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. Slide 6 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 Slide 7 Navigators Certified Application Counselors (CAC) Health-e-Arizona Plus Assisters Insurance Brokers Connecting to Coverage Slide 8 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 Slide 9 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 Slide 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 Slide 11 BEWARE SCAM ALERT Legitimate Brokers, Navigators and Certified Application Counselors dont charge fees to consumers for their services. Slide 12 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 Slide 13 Where to Find Help AHCCCS & Marketplace Navigators and Application Counselors 1-800.235.9678 (24/7) Online directories at: Healthcare.gov Coveraz.org Slide 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 Slide 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 Slide 16 AACHC Navigator Partners Arizona Alliance for Community Health Centers Adelante Healthcare (FQHC)* Canyonlands Healthcare (FQHC) North Country HealthCare (FQHC)* People of Color Network Sun Life Family Health Center (FQHC)* Sunset Health Center (FQHC)* Tuba City Regional Healthcare Kids Health Link - CAA J C Lincoln Desert Mission Empowerment Systems Helping Families in Need Keogh Health Connection Phoenix Day HealthLinks Womens Health Coalition of AZ Nuestra Salud - PCAP Pima Community Access Program (PCAP)* Pima County Health Dept. St. Elizabeths United Way of Tucson & Southern Arizona Each partner has extensive experience with AHCCCS and KidsCare outreach & application assistance * Hosting a Regional Lead Navigator Slide 17 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.aspx http://www.azahcccs.gov/applicants/Downloads/KidsCareII/ ConsolidatedLocationsList6A.pdf - List of groups that will help Resources Slide 18 Allen Gjersvig Director Healthcare Innovation alleng@aachc.org 602.288.7554 Slide 19 www.coveraz.org Coverage Resources for Your Organization