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HEAVENS HARVEST

MINISTRIES – FINANCE NIGHT

AFFORDABLE HEALTHCARE ACT 2013

Presented by: Jennoa R. Graham, Ph.D.

Friday, October 11, 2013

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OVERVIEW Affordable Healthcare Website

Highlight website areas for review

Key Features Benefit Specific Yearly Breakdown

Penalties

http://www.hhs.gov/healthcare

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OVERVIEW (CONT.) Selection Tips

Application

Additional Resources

http://www.hhs.gov/healthcare

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LOG ONTO WEBSITE http://www.hhs.gov/healthcare

Links to follow About the Law Prevention and Wellness Facts and Features

Read everything Set aside at least 2 hours If the lettering is blue, click it for more information

If you get lost.. Click “Home” under Insurance Marketplace

http://www.hhs.gov/healthcare

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KEY FEATURES On March 23, 2010, President Obama signed the

Affordable Care Act. The law puts in place comprehensive health insurance reforms that will roll out over four years and beyond.

Designed for %15 of Americans who do not have health insurance. Rates/subsidy income based.

NOT for Americans that have insurance through their place of employment or Medicare.

Law prohibits lifetime or annual limits for benefits; review 2014 plans carefully for any terms like “exclusions or “grandfathered” in the text.

http://www.hhs.gov/healthcare

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http://www.hhs.gov/healthcare

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KEY FEATURES (CONT.) Benefits for Adults

Insurance options Preventative Service Coverage Lower Costs No Cost screenings Pregnancy benefits

Children Coverage Coverage up to age 26 Preventative Service Coverage Vaccinations Emotional & Behavior wellness

http://www.hhs.gov/healthcare

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KEY FEATURES (CONT.) Services for Seniors

Medicare Preventative Services Medicare Drug Discounts $250 Rebate for Prescription Drugs Strengthening Medicare

Holding Insurance Companies Accountable Justify rate increases greater than 10% Can not refuse coverage for pre-existing

conditions

http://www.hhs.gov/healthcare

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KEY FEATURES BY YEAR 2010: A new Patient's Bill of Rights goes

into effect, protecting consumers from the worst abuses of the insurance industry. Cost-free preventive services begin for many Americans.

2011: People with Medicare can get key preventive services for free, and also receive a 50% discount on brand-name drugs in the Medicare “donut hole.”

http://www.hhs.gov/healthcare

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KEY FEATURES BY YEAR (CONT.) 2012: Accountable Care Organizations and

other programs help doctors and health care providers work together to deliver better care.

2013: Open enrollment in the Health Insurance Marketplace begins on October 1st.

2013: Open enrollment in the Health Insurance Marketplace closes on March 31st.

Purchase by December 14, 2013 to BEGIN COVERAGE JANUARY 1, 2014.

http://www.hhs.gov/healthcare

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KEY FEATURES BY YEAR (CONT.) 2014: All Americans will have access to

affordable health insurance options. The Marketplace will allow individuals and small

businesses to compare health plans on a level playing field.

Middle and low-income families will get tax credits that cover a significant portion of the cost of coverage.

Medicaid program will be expanded to cover more low-income Americans.

Millions of people who were previously uninsured will gain coverage, thanks to the Affordable Care Act.

http://www.hhs.gov/healthcare

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PENALTIES There is a fee for not signing up for 2014

insurance

2014 – The highest amount of $95.00 per adult $47.50 per child 1% of your income

2015 – The highest amount of $325.00 per adult $162.50 per child 2% of your income

Jen Christensen - www.cnn.com

10/1/2013

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SELECTION TIPS Ask current doctors

Companies accepting in 2014 Plans they recommend for your needs

Some may not answer this one Does not hurt to ask

Read coverage carefully Preventative Outpatient vs. Inpatient Out-of-Network vs. In-Network

Deductibles – What you have to pay

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SELECTION TIPS (CONT.) Flexible Savings Account

Tax free savings for prescription and copays Use it by the end of year or lose the money May (or may not) be used for over the counter meds

Dental and Vision will be separate Some plans may have one free annual visit for these Check pediatric and young adult coverage

Prescription Drug Terms Generic vs. Name Brand Deductible vs. Copay

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SELECTION TIPS (CONT.) Terms – Shared costs with you and insurer

Coinsurance – Insurer splits costs with you Copay – Payment at the time of service Before Deductible / After Deductible

Additional Coverage Chiropractic Hospice

Additional Information Am Best Rating – Report Card for Insurance Companies This rating should not be older than 2 years or lower

than a B+ NR = Not Rated… stay away from these!

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APPLICATION https://www.healthcare.gov

Select “Apply Now”

Select your state and “Apply Now”

Create a Market place account Enter name and email address [mandatory] Create a username and password [write down &

save] Create security questions and provide answers

http://www.hhs.gov/healthcare

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APPLICATION Go to email to receive confirmation of

account

Login using user id and password

Begin the application process

Problems or Questions call the Customer Service Center at 1-800-318-2596

DO NOT sign up or pay for a policy you are unsure about!

http://www.hhs.gov/healthcare

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ADDITIONAL RESOURCES http://www.healthcare.com

A secondary site for insurance quotes

Go directly to company websites Blue Cross Blue Shield - http://get.bcbsga.com

Subsidized health plan for students and grads Kaiser Permanente – http://www.kp.kaiser.org Cigna - http://www.cigna.com Other – all companies have websites ready

Interactive subsidy calculator http://kff.org/interactive/subsidy-calculator/

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