LOCAL IN PERSON ASSISTANCE

Transcription

1 The ONLY place to receive tax subsides/credits and cost sharing is the Marketplace (healthcare.gov or cuidadodesalud.gov OR CALL )! Make sure you go to.gov not.com! Get Covered. Stay Covered. The ONLY time you can purchase health insurance without a life changing event is during OPEN Enrollment November 15 th, 2014 February 15 th, Complete your application and find out your options. The only way to know what your tax credit/subsidy is, is to complete an application. Make informed choices. Completing an application does not commit you to Obamacare. FOND DU LAC COUNTY MARKETPLACE PLANS All Savers (United) Common Ground Healthcare Cooperative Compcare Health Services Ins. Corp Dean Health Plan, Inc Molina Healthcare of WI, Inc WPS Health Plan, Inc. (Arise) LOCAL IN PERSON ASSISTANCE AGENT LIST (to the right) Agents on this list have completed the OCI Badgercare training and are certified in the Marketplace. Learn more at about them at NON-AGENTS : Agnesian HealthCare, 430 E. Division St,, Fond du Lac, has Certified Application Counselors (CAC s) available to assist the general public in enrolling. Contact Kathy Donahue at , Monday through Friday, 9:00 a.m. 4:00 p.m. Partners for Community Development Enrollment Navigators, Call for an appointment Waupun Memorial Hospital, 620 W. Brown St., Waupun, is currently available to assist with enrollment into public benefits only. They are working on obtaining marketplace certification. Contact Linda Nickel at Monday through Thursday, 8:00 a.m. 4:30 p.m. Agent Name Phone Arise Common Compcare Dean (WPS) Ground (BCBS) Care Molina BiLingual Language Line OR Intrepreter Alison Johnson X X NA NA X No No Angela Monroe X X NA NA X No Yes Bret Jenkin , x 102 X X NA X NA Yes, Spanish Bilingual Spanish Brette Sterk X X X X X No No Doug Trumbower X X X X X No Interpeter in Office Dustin Schlesner X X X X X No No Kristine Thomas X X X X X No No Larry Feinstein X X X X X No No Loran Marmes X X X X X No Yes Michael Immel X NA NA X X No No Paul Charles X X X X X No Yes Rae Sheedy X X X X X No No Ralph Bultman X X X X X No Yes Robert Baranski X X X X X No No Rocky Baumer X X X X X No No Rodney Brown X X X X X No Yes Susan Speidell X X X X X No No Susan Stevens X X X X X No No Todd Catlin X X X X X No Interpreter in Office

2 Using Your Insurance: Primary Care vs. Emergency Room PRIMARY CARE call ahead and make an appointment You ll pay your primary care copay, if you have one. This may cost you between $0 and $50. You go when you feel sick and when you feel well. You call ahead to make an appointment. You may have a short wait to be called after you arrive but you will generally be seen around your appointment time. You ll usually see the same provider each time. Your provider will usually have access to your health record. The provider who sees you probably won t have access to your health records. Your provider works with you to monitor your chronic conditions and helps you improve your overall health. Your provider will check other areas of your health, not just the problem that brought you in that day. If you need to see other providers or manage your care, your provider can help you make a plan, get your medicines, and schedule your recommended follow-up visits or find specialists. In some areas, you may be able to go to an Urgent Care Center. If Urgent Care is available in your area, call your health plan before you go to find out how much you will have to pay. EMERGENCY ROOM call or go your local emergency room You ll likely pay a copay, co-insurance, and have to meet your deductible before your health plan pays for your costs, especially if it s not an emergency. Your copay may be between $50 and $150. You should only go when you re injured or very sick. You show up when you need to and wait until they can get to you. You may wait for several hours before you re seen if it s not an emergency. You ll see the provider who is working that day. The provider may not know what chronic conditions you have The provider will only check the urgent problem you came in to treat but might not ask about other concerns. When your visit is over you will be discharged with instructions to follow up with your primary care provider and/or specialist. There may not be any follow-up support. Need help understanding insurance terms? CMS has developed the Coverage to Care (C2C) resources and videos to help you. Visit marketplace.cms.gov/c2c. Materials include step-by-step instructions for what to do when you receive your insurance card see the Roadmap Booklet or contact Katherine to receive a printed booklet. **This sheet is created for informational purposes only, please consult your insurance agent regarding your specific situation.** FOND DU LAC COUNTY ENROLLMENT EVENTS : Coming Soon Health & Insurance Fair February 2015 Weekly Assistance - Wednesdays Fond du Lac Library By Appointment Only 32 Sheboygan Street, Fond du Lac, WI To schedule an appointment with a enrollment Navigator call Partners for Community Development Weekly Assistance Thursdays 01/15-02/12 Fond du Lac Library, 2 nd Floor Meeting Room 32 Sheboygan Street, Fond du Lac, WI Bret Jenkin, First Choice Insurance Solutions, LLC The Marketplace (healthcare.gov) is for persons not eligible for Medicare. If you are eligible for Medicare you have different enrollment periods from the Marketplace Re-enrollment Advantage, C & D October 15 December 7; Part B general enrollment January 1 March 31 The website is also different use medicare.gov or call MEDICARE, TTY Aging and Disability Resource Center of Fond du Lac County 50 North Portland Street, Fond du Lac WI Monday-Friday 8:00 am- 4:30 pm Phone: (920) Fax: (920) This sheet compiled by WAFCC. It is the policy of WAFCC not to discriminate on the basis of race, color, sex, religion, national origin, disability, or veteran status. Please make requests for reasonable accommodations to ensure equal access to programs as early as possible preceding the scheduled program by contacting KatherineGaulke@hotmail.com or by calling

3 The ONLY place to receive tax subsides/credits and cost sharing is the Marketplace (healthcare.gov or cuidadodesalud.gov OR CALL )! Make sure you go to.gov not.com! Get Covered. Stay Covered. The ONLY time you can purchase health insurance without a life changing event is during OPEN Enrollment November 15 th, 2014 February 15 th, Complete your application and find out your options. The only way to know what your tax credit/subsidy is, is to complete an application. Make informed choices. Completing an application does not commit you to Obamacare. OZAUKEE COUNTY MARKETPLACE PLANS All Savers (United) Common Ground Healthcare Cooperative Compcare Health Services Ins. Corp Molina Healthcare of WI, Inc WPS Health Plan, Inc. (Arise) LOCAL IN-PERSON ASSISTANCE AGENT LIST (to the right) Agents on this list have completed the OCI Badgercare training and are certified in the Marketplace. Learn more at about them at NON-AGENTS: Partners for Community Development Enrollment Navigators Agent Name Phone Arise Common Compcare Molina BiLingual (WPS) Ground (BCBS) Language Line OR Interpreter Alison Johnson X X NA X No No Angela Monroe X X NA X No Yes Bret Jenkin , x 102 X X NA NA Yes, Spanish Speaks Spanish Debra Howser X X X NA No No Doug Trumbower X X X X No Interpeter in Office Dustin Schlesner X X X X No No Kristine Thomas X X X X No No Larry Feinstein X X X X No No Loran Marmes X X X X No Yes Paul Charles X X X X No Yes Rae Sheedy X X X X No No Ralph Bultman X X X X No Yes Richard Witzlsteiner X X X X No No Robert Baranski X X X X No No Rocky Baumer X X X X No No Rodney Brown X X X X No Yes Susan Speidell X X X X No No Todd Catlin X X X X Interpreter Interpreter in Office in Office

4 Using Your Insurance: Primary Care vs. Emergency Room PRIMARY CARE call ahead and make an appointment You ll pay your primary care copay, if you have one. This may cost you between $0 and $50. You go when you feel sick and when you feel well. You call ahead to make an appointment. You may have a short wait to be called after you arrive but you will generally be seen around your appointment time. You ll usually see the same provider each time. Your provider will usually have access to your health record. The provider who sees you probably won t have access to your health records. Your provider works with you to monitor your chronic conditions and helps you improve your overall health. Your provider will check other areas of your health, not just the problem that brought you in that day. If you need to see other providers or manage your care, your provider can help you make a plan, get your medicines, and schedule your recommended follow-up visits or find specialists. In some areas, you may be able to go to an Urgent Care Center. If Urgent Care is available in your area, call your health plan before you go to find out how much you will have to pay. EMERGENCY ROOM call or go your local emergency room You ll likely pay a copay, co-insurance, and have to meet your deductible before your health plan pays for your costs, especially if it s not an emergency. Your copay may be between $50 and $150. You should only go when you re injured or very sick. You show up when you need to and wait until they can get to you. You may wait for several hours before you re seen if it s not an emergency. You ll see the provider who is working that day. The provider may not know what chronic conditions you have The provider will only check the urgent problem you came in to treat but might not ask about other concerns. When your visit is over you will be discharged with instructions to follow up with your primary care provider and/or specialist. There may not be any follow-up support. Need help understanding insurance terms? CMS has developed the Coverage to Care (C2C) resources and videos to help you. Visit marketplace.cms.gov/c2c. Materials include step-by-step instructions for what to do when you receive your insurance card see the Roadmap Booklet or contact Katherine to receive a printed booklet. **This sheet is created for informational purposes only, please consult your insurance agent regarding your specific situation.** OZAUKEE ENROLLMENT EVENTS: Super Saturday Health & Enrollment Fair Saturday, January 31 st 10am 2pm Washington County Fair Grounds 3000 Pleasant Valley Road, West Bend, WI WEEKLY TUESDAYS Noon 7pm Slinger Public Library Insurance Assistance *1/13/15 & 2/10/15 Noon 3pm only & Friday, February 13 th from 12pm 4:30pm* 220 Slinger Road, Slinger, WI FREE, no obligation insurance assistance. Walk-ins welcome. Call to schedule an appointment/request an interpreter. WEEKLY TUESDAYS & THURSDAYS 10am - 5pm Grafton Public Library Insurance Assistance th Avenue, Grafton, WI No Appointment Needed Assistance with insurance Navigators from Partners for Community Development The Marketplace (healthcare.gov) is for persons not eligible for Medicare. The website is also different use medicare.gov or call MEDICARE, TTY Aging and Disability Resource Center of Ozaukee County 21 W. Main St. Port Washington, WI Phone: Metro: Toll-Free Phone: Fax: Hours: Monday Friday 8:30 a.m. - 5 p.m. This sheet compiled by WAFCC. It is the policy of WAFCC not to discriminate on the basis of race, color, sex, religion, national origin, disability, or veteran status. Please make requests for reasonable accommodations to ensure equal access to programs as early as possible preceding the scheduled program by contacting KatherineGaulke@hotmail.com or by calling

5 Walworth County Affordable Care Act Obamacare Resources The ONLY place to receive tax subsides/credits and cost sharing is the Marketplace (healthcare.gov or cuidadodesalud.gov)! Make sure you go to.gov not.com! The ONLY time you can purchase health insurance without a life changing event is during OPEN Enrollment November 15 th, 2014 February 15 th, Complete your application and find out your options. The only way to know what your tax credit/subsidy is, is to complete an application. Make informed choices. Completing an application does not commit you to Obamacare. Weekly Assistance at Badger High School Room 608, 220 E South St, Lake Geneva, WI Thursdays 5pm 8pm, 11/15/14-2/15/14 No sessions Thanksgiving, or during Winter Break. If there is a snow day or school is canceled for any reason there will be no computer lab sessions Meet with insurance agents or assisters to help you complete your Marketplace (healthcare.gov) application or ask your insurance questions! Call ahead to reserve an appointment or if you need an interpreter Health & Insurance Fair at Elkhorn Middle School 627 East Court Street, Elkhorn, WI Saturday, Febrary 14 th am 2pm Explore your options with insurance agents or volunteer assisters. Complete your Marketplace (healthcare.gov) application or ask your insurance questions! Talk with the Department of Public Health. Have your blood pressure checked by Mercy Health nurses. ACA Information sessions with Dr. Gaulke. Call ahead to reserve an appointment or for an interpreter ACA Obamacare Information Sessions with Dr. Katherine Gaulke: Aram Public Library 404 E Walworth Ave, Delavan, WI Wednesday, January 14 6pm Walworth County Government Building 100 W. Walworth St., Elkhorn, WI, Wednesday, February 11 11am Agent Name Phone All Savers (United) Arise (WPS) Common Ground Compcare (BCBS) DeanCare MercyCare Molina BiLingual Language Line /Interpreter Angela Monroe NA X X X NA NA NA No No Bret Jenkin , x102 NA X X NA X X NA Spanish Bilingual Bruce Blum X X X X X X X No No Chad Harris X X X X X NA X No No Daniel Skidds X X X NA NA X X No No Doug Trumbower X X X X X X X No No Dustin Schlesner X X X X X X X No No Hubert Baumer X X X X X X X No No Jeffrey Lisota X X X X X NA X No No Joanne Harmon X X X X NA NA X No No June Johnson X X X X X X X No No Kevin Truebenbach X X X X X NA X No Yes Kristine Thomas X X X X X X X No No Leanne Cowles X X X X X NA X No No Mary Hesse NA NA NA NA NA X NA No Yes Paul Charles X X X X X X X No No Richard Witzlsteiner X X X X X NA X No No Susan Cyr X X X X X NA X No No Thomas Griesman NA X X X X NA X No Yes Todd Catlin X X X X X NA X No Yes Insurance Companies in the Walworth County Marketplace: All Savers Insurance (United) Arise (WPS Health Plan, Inc.) Common Ground Healthcare Compcare Health Services Insurance (A BCBS plan) Dean Health Plan, Inc. MercyCare HMO, Inc. Molina Healthcare An EEO/AA employer, the University of Wisconsin-Extension provides equal opportunities in employment and programming, including Title IX and ADA requirements. Please make requests for reasonable accommodations to ensure equal access to programs as early as possible preceding the scheduled program.

6 Using Your Insurance: Primary Care vs. Emergency Room PRIMARY CARE call ahead and make an appointment You ll pay your primary care copay, if you have one. This may cost you between $0 and $50. You go when you feel sick and when you feel well. You call ahead to make an appointment. You may have a short wait to be called after you arrive but you will generally be seen around your appointment time. You ll usually see the same provider each time. Your provider will usually have access to your health record. The provider who sees you probably won t have access to your health records. Your provider works with you to monitor your chronic conditions and helps you improve your overall health. Your provider will check other areas of your health, not just the problem that brought you in that day. If you need to see other providers or manage your care, your provider can help you make a plan, get your medicines, and schedule your recommended follow-up visits or find specialists. In some areas, you may be able to go to an Urgent Care Center. If Urgent Care is available in your area, call your health plan before you go to find out how much you will have to pay. EMERGENCY ROOM call or go your local emergency room You ll likely pay a copay, co-insurance, and have to meet your deductible before your health plan pays for your costs, especially if it s not an emergency. Your copay may be between $50 and $150. You should only go when you re injured or very sick. You show up when you need to and wait until they can get to you. You may wait for several hours before you re seen if it s not an emergency. You ll see the provider who is working that day. The provider may not know what chronic conditions you have The provider will only check the urgent problem you came in to treat but might not ask about other concerns. When your visit is over you will be discharged with instructions to follow up with your primary care provider and/or specialist. There may not be any follow-up support. Need help understanding insurance terms? CMS has developed the Coverage to Care (C2C) resources and videos to help you. Visit marketplace.cms.gov/c2c. Materials include step-by-step instructions for what to do when you receive your insurance card see the Roadmap Booklet or visit the Weekly Badger High School Assistance lab to receive a printed booklet. **This sheet is created for informational purposes only, please consult your insurance agent regarding your specific situation. Information Sessions on MercyCare Insurance The MercyCare Building, 580 N Washington St., Janesville WI Mondays from 12pm-3pm from Nov 17, 2014-Feb 9, Mercy Walworth Hospital, Room 308A, N2957 State Rd 67, Lake Geneva, WI on the following Thursdays from 12pm 3pm Nov 20, 2014; Dec 18, 2014; Jan 15, 2015; and Feb 12, 2015 The MercyCare Premium Assistance Program has been canceled. As of 12/23/14 Mercy Foundation is no longer accepting assistance applications. The Marketplace (healthcare.gov) is for persons not eligible for Medicare. If you are eligible for Medicare you have different enrollment periods from the Marketplace Re-enrollment Advantage, C & D October 15 December 7; Part B general enrollment January 1 March 31 The website is also different use medicare.gov or call MEDICARE, TTY The insurance agents at the weekly Thursday evening (5pm 8pm) Badger High School Computer lab can answer Medicare questions too. The Aging & Disability Resource Center of Walworth County Elder Benefit Specialist invites you to: The A, B, C, and Ds of Medicare, what are they? Hosted by Julie Juranek, Elder Benefit Specialist Tuesday, April 14, :00PM to 7:30PM Badger High School Room 615, FREE pre-registration required This sheet compiled by WAFCC. It is the policy of WAFCC not to discriminate on the basis of race, color, sex, religion, national origin, disability, or veteran status.

7 The ONLY place to receive tax subsides/credits and cost sharing is the Marketplace (healthcare.gov or cuidadodesalud.gov OR CALL )! Make sure you go to.gov not.com! Get Covered. Stay Covered. The ONLY time you can purchase health insurance without a life changing event is during OPEN Enrollment November 15 th, 2014 February 15 th, Complete your application and find out your options. The only way to know what your tax credit/subsidy is, is to complete an application. Make informed choices. Completing an application does not commit you to Obamacare. WASHINGTON COUNTY MARKETPLACE PLANS Common Ground Healthcare Cooperative Compcare Health Services Ins. Corp Molina Healthcare of WI, Inc WPS Health Plan, Inc. (Arise) LOCAL IN-PERSON ASSISTANCE AGENT LIST (to the right) Agents on this list have completed the OCI Badgercare training and are certified in the Marketplace. Learn more at about them at NON-AGENTS Dr. James E. Albrecht Free Clinic Certified Application Counselor Ken Maciolek 1110 Oak Street, Suite 1200,West Bend, WI Call for appointment - phone x 104 Froedtert & Medical College of Wisconsin St. Joseph s Hospital, Certified Application Counselor Vicki Weston 3200 Pleasant Valley Rd., West Bend, WI Call for appointment phone Washington County Human Services 333 E Washington Street, Suite 3100, West Bend, WI Self-help stations/computer lab available for Marketplace or Public Benefits or Call for appointment Agent Name Phone Arise Common Compcare Molina BiLingual (WPS) Ground (BCBS) Language Line OR Interpreter Alison Johnson X X NA X No No Angela Monroe X X NA X No Yes Bret Jenkin , x 102 X X NA NA Spanish Bilingual Debra Howser X X X NA No No Doug Trumbower X X X X No Interpeter in Office Dustin Schlesner X X X X No No Kristine Thomas X X X X No No Larry Feinstein X X X X No No Loran Marmes X X X X No Yes Paul Charles X X X X No Yes Rae Sheedy X X X X No No Ralph Bultman X X X X No Yes Richard Witzlsteiner X X X X No No Robert Baranski X X X X No No Rocky Baumer X X X X No No Rodney Brown X X X X No Yes Susan Speidell X X X X No No Todd Catlin X X X X No Interpreter in Office

8 Using Your Insurance: Primary Care vs. Emergency Room PRIMARY CARE call ahead and make an appointment You ll pay your primary care copay, if you have one. This may cost you between $0 and $50. You go when you feel sick and when you feel well. You call ahead to make an appointment. You may have a short wait to be called after you arrive but you will generally be seen around your appointment time. You ll usually see the same provider each time. Your provider will usually have access to your health record. The provider who sees you probably won t have access to your health records. Your provider works with you to monitor your chronic conditions and helps you improve your overall health. Your provider will check other areas of your health, not just the problem that brought you in that day. If you need to see other providers or manage your care, your provider can help you make a plan, get your medicines, and schedule your recommended follow-up visits or find specialists. In some areas, you may be able to go to an Urgent Care Center. If Urgent Care is available in your area, call your health plan before you go to find out how much you will have to pay. EMERGENCY ROOM call or go your local emergency room You ll likely pay a copay, co-insurance, and have to meet your deductible before your health plan pays for your costs, especially if it s not an emergency. Your copay may be between $50 and $150. You should only go when you re injured or very sick. You show up when you need to and wait until they can get to you. You may wait for several hours before you re seen if it s not an emergency. You ll see the provider who is working that day. The provider may not know what chronic conditions you have The provider will only check the urgent problem you came in to treat but might not ask about other concerns. When your visit is over you will be discharged with instructions to follow up with your primary care provider and/or specialist. There may not be any follow-up support. Need help understanding insurance terms? CMS has developed the Coverage to Care (C2C) resources and videos to help you. Visit marketplace.cms.gov/c2c. Materials include step-by-step instructions for what to do when you receive your insurance card see the Roadmap Booklet or contact Katherine to receive a printed booklet. **This sheet is created for informational purposes only, please consult your insurance agent regarding your specific situation.** WASHINGTON COUNTY EVENTS: Super Saturday Health & Enrollment Fair Saturday, January 31 st 10am 2pm Washington County Fair Grounds 3000 Pleasant Valley Road, West Bend, WI WEEKLY TUESDAYS Noon 7pm *1/13/15 & 2/10/15 Noon 3pm only & Friday, February 13 th from 12pm 4:30pm * Slinger Public Library Insurance Assistance 220 Slinger Road, Slinger, WI FREE, no obligation assistance. Walk-ins welcome or call to schedule an appointment or request an interpreter. The Marketplace (healthcare.gov) is for persons not eligible for Medicare. If you are eligible for Medicare you have different enrollment periods from the Marketplace Re-enrollment Advantage, C & D October 15 December 7; Part B general enrollment January 1 March 31 The website is also different use medicare.gov or call MEDICARE, TTY Aging and Disability Resource Center of Washington County 333 East Washington Street Room 1000, West Bend, WI P: F: This sheet compiled by WAFCC. It is the policy of WAFCC not to discriminate on the basis of race, color, sex, religion, national origin, disability, or veteran status. Please make requests for reasonable accommodations to ensure equal access to programs as early as possible preceding the scheduled program by contacting KatherineGaulke@hotmail.com or by calling

9 Agent Name Phone All Savers (United) Arise (WPS) Common Ground Compcare (BCBS) DeanCare Molina BiLingual Language Line OR Intrepreter The ONLY place to receive tax subsides/credits and cost sharing is the Marketplace (healthcare.gov or cuidadodesalud.gov OR CALL )! Make sure you go to.gov not.com! Get Covered. Stay Covered. The ONLY time you can purchase health insurance without a life changing event is during OPEN Enrollment November 15 th, 2014 February 15 th, Complete your application and find out your options. The only way to know what your tax credit/subsidy is, is to complete an application. Make informed choices. Completing an application does not commit you to Obamacare. WAUKESHA COUNTY MARKETPLACE PLANS All Savers (United) Common Ground Healthcare Cooperative Compcare (BCBS-Blue Cross Blue Shield) Dean Health Plan, Inc Molina Healthcare of WI, Inc WPS Health Plan, Inc. (Arise) LOCAL IN-PERSON ASSISTANCE AGENT LIST (to the right) Agents on this list have completed the OCI Badgercare training and are certified in the Marketplace. Learn more at about them at NON-AGENTS Waukesha Community Health Center via Sixteenth Street Community Health Center 309 E. North Ave. Waukesha, WI Call to schedule appointment: Monday, Wednesday 8:30 AM 2:30 PM St. Joseph s Medical Clinic, Inc. 826 N. East Ave., Waukesha, WI Call to schedule appointment: Tuesday and Thursday afternoons by appointment only Wheaton Franciscan HealthCare Elmbrook Memorial Campus W. North Ave. Brookfield, WI Call to schedule appointment: Monday - Friday 8 AM - 4:30 PM Alison Johnson X X X NA NA X No No Angela Monroe NA X X NA NA X No Yes Bret Jenkin , x 102 NA X X NA X NA Yes, Spanish Bruce Blum X X X X X X No No Colleen Gransee NA NA NA NA X NA No No Debra Howser X X X X X NA No No Doug Trumbower X X X X X X No Yes Dustin Schlesner X X X X X X No No Kristine Thomas X X X X X X No No Larry Feinstein X X X X X X No No Loran Marmes X X X X X X No Yes Paul Charles X X X X X X No Yes Rae Sheedy X X X X X X No No Ralph Bultman X X X X X X No Yes Richard Witzlsteiner X X X X X X No No Robert Baranski X X X X X X No No Rocky Baumer X X X X X X No No Rodney Brown X X X X X X No Yes Susan Speidell X X X X X X No No Todd Catlin X X X X X X No Yes NA

10 Using Your Insurance: Primary Care vs. Emergency Room PRIMARY CARE call ahead and make an appointment You ll pay your primary care copay, if you have one. This may cost you between $0 and $50. You go when you feel sick and when you feel well. You call ahead to make an appointment. You may have a short wait to be called after you arrive but you will generally be seen around your appointment time. You ll usually see the same provider each time. Your provider will usually have access to your health record. The provider who sees you probably won t have access to your health records. Your provider works with you to monitor your chronic conditions and helps you improve your overall health. Your provider will check other areas of your health, not just the problem that brought you in that day. If you need to see other providers or manage your care, your provider can help you make a plan, get your medicines, and schedule your recommended follow-up visits or find specialists. In some areas, you may be able to go to an Urgent Care Center. If Urgent Care is available in your area, call your health plan before you go to find out how much you will have to pay. EMERGENCY ROOM call or go your local emergency room You ll likely pay a copay, co-insurance, and have to meet your deductible before your health plan pays for your costs, especially if it s not an emergency. Your copay may be between $50 and $150. You should only go when you re injured or very sick. You show up when you need to and wait until they can get to you. You may wait for several hours before you re seen if it s not an emergency. You ll see the provider who is working that day. The provider may not know what chronic conditions you have The provider will only check the urgent problem you came in to treat but might not ask about other concerns. When your visit is over you will be discharged with instructions to follow up with your primary care provider and/or specialist. There may not be any follow-up support. Need help understanding insurance terms? CMS has developed the Coverage to Care (C2C) resources and videos to help you. Visit marketplace.cms.gov/c2c. Materials include step-by-step instructions for what to do when you receive your insurance card see the Roadmap Booklet or contact Katherine to receive a printed booklet. **This sheet is created for informational purposes only, please consult your insurance agent regarding your specific situation.** WEEKLY INSURANCE ASSISTANCE MONDAYS from NOON 7pm Obamacare & Insurance Assistance Oconomowoc Public Library 200 South St. Oconomowoc, WI Meet with insurance agents or assisters to help you complete your Marketplace (healthcare.gov) application or ask your insurance questions! No obligation assistance. Walk-in or call ahead to make an appointment. Questions? Need an interpreter? Call Katherine ACA Obamacare Information Sessions Presented by Dr. Katherine R. Gaulke, Health Care Advocate Tuesday, Jan. 13 1pm and Thursday, Feb. 12 6pm Waukesha Food Pantry 1301 Sentry Drive, Waukesha, WI Health & Insurance Fair February 7 La Casa de Esperanza 410 Arcadian Avenue, Waukesha, WI HealthCare Reform What it Means to You presented by ProHealth Care & Dean Health Plan Monday, January 19; 5:30 7 p.m Waukesha Community Health Center Bilingual Presentation (Spanish) Tuesday, January 27, 2015; 5-6:30 p.m. Waukesha Memorial Hospital Treiber Auditorium To register, visit ProHealthCare.org/Classes or call en españolal The Marketplace (healthcare.gov) is for persons not eligible for Medicare. If you are eligible for Medicare you have different enrollment periods from the Marketplace. Part B general enrollment January 1 March 31. The website is also different use medicare.gov or call MEDICARE, TTY Aging and Disability Resource Center of Waukesha County (514 Riverview Avenue, Waukesha, WI 53188). Bus service to ADRC use Waukesha Metro Transit. Hours : 8am 4:30pm Mon.-Fri. Phone: Toll Free: ADRC or This sheet compiled by WAFCC. It is the policy of WAFCC not to discriminate on the basis of race, color, sex, religion, national origin, disability, or veteran status. Please make requests for reasonable accommodations to ensure equal access to programs as early as possible preceding the scheduled program by contacting KatherineGaulke@hotmail.com or by calling