how to apply

How the Health Insurance Marketplace Works

How To Apply for Health Insurance Through the Health Insurance Marketplace

By Howard Chapman, Jr.November 26, 2013

Affordable Care Act (Continued)Reason for the Affordable Care Act•Health Care Cost – 18% of U.S. GNP is Spent on Healthcare (Sweden next at 11%)•Uninsured● Over 50 million people in the U.S. (NACHC 2012)● 1 million people in Virginia (2012 County Health Rankings at 14% - Families USA The Lewin Group noted 29.2% in 2004 over 2 million)

Affordable Care Act (Continued)Three Goals1.Access To Healthcare● Health Insurance Marketplace2.New Consumer Protections● Pre-existing Conditions● Consumer Assistance

Affordable Care Act (Continued)Goals continued3. Improving Quality and Lowering Healthcare Cost● Free Preventative Care● RX Discounts for Seniors● Protection Against Health Care Fraud● Small Business Tax Credits

Online Enrollment•Most effective method•We will focus on the Online Enrollment•Plagued with problems since Day 1•Improved, but still not fully functional

Online Enrollment (Continued)Step 1: Set up an account•Visit Marketplace(/marketplace/individual)•Provide some basic information•Select user name, password, & security question*Note: Must have an established email account

Online Enrollment (Continued)Step 2: Fill out online application● Provide family information that includes:● Income● Household members● Current health coverage information● More

* Note: Households with more than one tax filing must call the Marketplace Call Center at 1-800-318-2596 (TTY: 1-855-889-4325)

Online Enrollment (Continued)Step 3: Compare your options● See all the options you qualify for including:● Private insurance plans● Free/low cost Medicaid and CHIP coverage● Compare the premiums and out-of-pocket cost● Provide details on cost/benefits to choose a plan

Online Enrollment (Continued)Step 4: Enroll•Choose a Plan and Enroll•Decide How to Pay Your Premium•Premium Must be Paid Before Coverage Begins•Family member that qualify for Medicaid/CHIP will have a representative assist them

Thank You and Questions•Contact Information

Howard Chapman

BUS 302 Business Communication Class

Telephone: 276-494-1143

Email: hchapmanvic13@gmail.com