Health Insurance Annual Open Enrollment Periods Medicare* – Oct 15 th to Dec 7 th Obamacare*# -...
-
Upload
claude-trevor-gardner -
Category
Documents
-
view
216 -
download
0
Transcript of Health Insurance Annual Open Enrollment Periods Medicare* – Oct 15 th to Dec 7 th Obamacare*# -...
![Page 1: Health Insurance Annual Open Enrollment Periods Medicare* – Oct 15 th to Dec 7 th Obamacare*# - Nov 15 th to Feb 15 th Medicaid Expansion # – starts Dec.](https://reader035.fdocuments.net/reader035/viewer/2022062517/56649f345503460f94c525dc/html5/thumbnails/1.jpg)
Health InsuranceAnnual Open Enrollment Periods
Medicare* – Oct 15th to Dec 7th
Obamacare*# - Nov 15th to Feb 15th
Medicaid Expansion # – starts Dec 1st
*Special enrollments periods exist #Based on income and household size
![Page 2: Health Insurance Annual Open Enrollment Periods Medicare* – Oct 15 th to Dec 7 th Obamacare*# - Nov 15 th to Feb 15 th Medicaid Expansion # – starts Dec.](https://reader035.fdocuments.net/reader035/viewer/2022062517/56649f345503460f94c525dc/html5/thumbnails/2.jpg)
Last year, 150,000 Obamacare health policies
Almost 100,000 newly
eligible individuals for health insurance
![Page 3: Health Insurance Annual Open Enrollment Periods Medicare* – Oct 15 th to Dec 7 th Obamacare*# - Nov 15 th to Feb 15 th Medicaid Expansion # – starts Dec.](https://reader035.fdocuments.net/reader035/viewer/2022062517/56649f345503460f94c525dc/html5/thumbnails/3.jpg)
Examples of the uninsured?
Daycare workers Food service workers Barbers Beauticians Taxi drivers Part time workers Young adults Unemployed individuals Small business
owners/employees
![Page 4: Health Insurance Annual Open Enrollment Periods Medicare* – Oct 15 th to Dec 7 th Obamacare*# - Nov 15 th to Feb 15 th Medicaid Expansion # – starts Dec.](https://reader035.fdocuments.net/reader035/viewer/2022062517/56649f345503460f94c525dc/html5/thumbnails/4.jpg)
Household Size
MedicaidExpansion
1 < $619 $619 $1,007 $1,795 > $1,795
2 < $835 $835 $1,512 $2,420 > $2,420
3 < $1,043 $1,043 $1,903 $3,044 > $3,044
4 < $1,266 $1,266 $2,293 $3,669 > $3,669
Obamacare Marketplace
Situation?Bi-Weekly Gross Pay
![Page 5: Health Insurance Annual Open Enrollment Periods Medicare* – Oct 15 th to Dec 7 th Obamacare*# - Nov 15 th to Feb 15 th Medicaid Expansion # – starts Dec.](https://reader035.fdocuments.net/reader035/viewer/2022062517/56649f345503460f94c525dc/html5/thumbnails/5.jpg)
Household Size
MedicaidExpansion
1 < $16,105 $16,105 $29,175 $46,680 > $46,680
2 < $21,707 $21,707 $39,325 $62,920 > $62,920
3 < $27,310 $27,310 $49,475 $79,160 > $79,160
4 < $32, 913 $32,913 $59,625 $95,400 > $95,400
Obamacare Marketplace
Situation?Annual Income
![Page 6: Health Insurance Annual Open Enrollment Periods Medicare* – Oct 15 th to Dec 7 th Obamacare*# - Nov 15 th to Feb 15 th Medicaid Expansion # – starts Dec.](https://reader035.fdocuments.net/reader035/viewer/2022062517/56649f345503460f94c525dc/html5/thumbnails/6.jpg)
6
Health Plan CategoriesHealth Plan Categories
Highest PremiumsLowest Out-of-Pocket Costs
Lowest PremiumsHighest Out-of-Pocket Costs
Covered Percent of Total Cost of Care Covered 60% 70% 80% 90%
![Page 7: Health Insurance Annual Open Enrollment Periods Medicare* – Oct 15 th to Dec 7 th Obamacare*# - Nov 15 th to Feb 15 th Medicaid Expansion # – starts Dec.](https://reader035.fdocuments.net/reader035/viewer/2022062517/56649f345503460f94c525dc/html5/thumbnails/7.jpg)
7Health Insurance Marketplace 101
6/20/13
Ambulatory patient services Prescription drugsEmergency services Rehabilitative and habilitative
services and devicesHospitalization Laboratory servicesMaternity and newborn care Preventive and wellness services
and chronic disease management
Mental health and substance use disorder services, including behavioral health treatment
Pediatric services, including oral and vision care (pediatric oral services may be provided by stand-alone plan)
Qualified Health Plans cover Essential HealthBenefits which include at least these 10 categories
Essential Health BenefitsEssential Health Benefits
![Page 8: Health Insurance Annual Open Enrollment Periods Medicare* – Oct 15 th to Dec 7 th Obamacare*# - Nov 15 th to Feb 15 th Medicaid Expansion # – starts Dec.](https://reader035.fdocuments.net/reader035/viewer/2022062517/56649f345503460f94c525dc/html5/thumbnails/8.jpg)
“Obamacare” Marketplace (some will get a federal “coupons”)
(State approval + Federal dollars =) Medicaid Expansion
Options for the Uninsured
![Page 9: Health Insurance Annual Open Enrollment Periods Medicare* – Oct 15 th to Dec 7 th Obamacare*# - Nov 15 th to Feb 15 th Medicaid Expansion # – starts Dec.](https://reader035.fdocuments.net/reader035/viewer/2022062517/56649f345503460f94c525dc/html5/thumbnails/9.jpg)
Enrollment options
![Page 10: Health Insurance Annual Open Enrollment Periods Medicare* – Oct 15 th to Dec 7 th Obamacare*# - Nov 15 th to Feb 15 th Medicaid Expansion # – starts Dec.](https://reader035.fdocuments.net/reader035/viewer/2022062517/56649f345503460f94c525dc/html5/thumbnails/10.jpg)
Health InsuranceSign up Options
Medicaid Expansion – www.compass.state.pa.us or 1-866-550-4355 (Starts December 1st)
Special enrollments periods exist*
Obamacare Marketplace – www.healthcare.gov or 1-800-318-2596
![Page 11: Health Insurance Annual Open Enrollment Periods Medicare* – Oct 15 th to Dec 7 th Obamacare*# - Nov 15 th to Feb 15 th Medicaid Expansion # – starts Dec.](https://reader035.fdocuments.net/reader035/viewer/2022062517/56649f345503460f94c525dc/html5/thumbnails/11.jpg)
Enrollment options
• Stay tuned for more in-person assistance enrollment options
Visit www.bhnphilly.org for more info
![Page 12: Health Insurance Annual Open Enrollment Periods Medicare* – Oct 15 th to Dec 7 th Obamacare*# - Nov 15 th to Feb 15 th Medicaid Expansion # – starts Dec.](https://reader035.fdocuments.net/reader035/viewer/2022062517/56649f345503460f94c525dc/html5/thumbnails/12.jpg)
Key points New health insurance options for
EVERYONE. Most people DO NOT know. People MUST ACT
To get coverage To potentially get a better deal or save
money Help is available