By ….AFFORDABLE CARE

ACT IN ACTION

[SELF INTRODUCTION SLIDE]

• Introduction• Basics on the Affordable Care Act (ACA)• Connect for Health Colorado•Medicaid Expansion• Expanding Coverage• Conclusion

CONTENT

THREE PILLARS OF HEALTH CARE REFORM

Contain Costs

Expand Coverage

Ensure Quality

IMPROVING QUALITYESSENTIAL HEALTH BENEFITS

Source: Hoopayz.com

• No exclusion for pre-existing conditions • No lifetime or annual

limits• Guaranteed issue

and renewability

• Rating on only 4 factors• Age (3:1)• Location• Family size• Tobacco usage (1.15:1)

CONSUMER PROTECTIONS IN THE ACA

80/20 Rule

COST CONTAINMENT

Rate Review

• Individual Mandate• Colorado will expand Medicaid to cover approximately 160,000 new Coloradans• Employer Responsibility• 50+ employees: must offer coverage or pay a penalty in 2015•Under 50 employees: no requirement but may be eligible for financial assistance

• Dependents up to age 26 can stay on parents’ plans

EXPANDING COVERAGE

CONNECT FOR HEALTH COLORADO

www.connectforhealthco.com

1-855-PLANS-4-YOU  (1-855-752-6749)

HOW MUCH WILL INSURANCE COST?

Source: Avalere Health LLC

FINANCIAL ASSISTANCE FOR INDIVIDUALS

http://www.connectforhealthco.com/let-us-help/individuals-families/calculators-individuals-families/,

Income (Individual) Premium Contribution

FPL Annual Income As % of Income Monthly Payment

150-200% $17,235-$22,980 4-6.3% $19.15-$57.45

200-250% $22,980-$28,725 6.3-8.05% $57.45-$120.65

250-300% $28,725-$34,470 8.05-9.5% $120.65-$272.89

300-400% $34,470-$45,960 9.5% $272.89-$363.85

Source: NASTAD, Premium Tax Credits and Cost Sharing Subsidies (Feb, 2013)

Medicaid Expansion

COLORADO MEDICAID

Source: Colorado Health Institute

Support for individuals and/or small businesses in-person or telephone using Connect for Health ColoradoAssistance Guides will offer:• Information on public and private health insurance options• Access to assistance, training, and a certification program from a central support system

YOU WON’T HAVE TO GO IT ALONE!

WHERE ARE YOUR HEALTH CARE COVERAGE GUIDES LOCATED?

EXPANDING COVERAGE: HOW MANY UNINSURED ADULTS AND CHILDREN STAND TO BECOME

INSURED AFTER HEALTH REFORM IN COLORADO?

Source: Colorado Health Institute

First Enrollment Period for the Connect for Health Colorado Marketplace: October 1, 2013

New Individual Coverage begins: January 1, 2014

New Employer Coverage begins: January 1, 2015

CONCLUSION