Oklahoma Health Care Authority. Online Enrollment. Home View.

Transcription

1 Oklahoma Health Care Authority Online Enrollment Home View 1

2 General General Overview Applying on a home computer Home View 2

3 Online Enrollment Home View Application Application Walkthrough 3

4 Website Options Accessing online application or Maintaining and updating the application after eligibility determination Printing a paper application for the Health Insurance Marketplace Currently Internet Explorer 8 (or higher); and the latest versions of Google Chrome, Mozilla Firefox and Safari are acceptable browsers. Fictitious applicant data used throughout this document for demonstration purposes. 4

5 Home Page Web Application 5

6 Home Page Web Application 6

7 Home Page Web Application (cont.) 7

8 Information Needed Application Requirements Names, DOB, SSN, Contact Information, including a valid address Household Tax Information Gross Income: Earned & Unearned Expenses Health Insurance HP Pay 8

9 Home Page Apply for Benefits 9

10 Apply Now Rights and Responsibilities 10

11 Rights and Responsibilities (cont.) 11

12 Account Creation Creating an Account Creating an account is required to complete an application. 12

13 Account Creation Step 1: People & Contacts 13

14 Health Condition Assessment Step 1: People & Contacts (cont.) Pregnancy fields trigger additional Health Condition Assessment Questions 14

15 Step 1: People & Contacts (cont.) The selection of SoonerCare or help paying for health insurance is made automatically for children and pregnant women. 15

16 Step 1: People & Contacts (cont.) 16

17 Contact Information Step 1: People & Contacts (cont.) 17

18 Step 1: People & Contacts (cont.) Receive English or Spanish notices by letter or . The Authorized Representative section of this page allows a user to identify an authorized representative. 18

19 Authorized Representative Step 1: People & Contacts (cont.) Provide all of the required Authorized Representative information. 19

20 Step 1: People & Contacts (cont.) Address Standardization 20

21 Step 1: People & Contacts (cont.) Create a user ID and password. 21

22 Step 1: People & Contacts (cont.) Choose questions and answers that are not easily known by others. 22

23 Account Creation Step 1: People & Contacts (cont.) When the account is successfully created, the confirmation message displays. 23

24 Account Creation Step 1: Account Logon Log on using your User ID or Address and Password created on the previous page 24

25 Account Registration Step 1: Account Registration Enter the Registration code sent to the Address used to create your account. 25

26 Account Registration Step 1: Account Registration Enter the Registration code sent to the Address used to create your account and click Register. 26

27 Step 1: People and Contacts Click Continue to resume the application. 27

28 Step 1: People and Contacts Entering additional household members. 28

29 Household Step 1: People & Contacts (cont.) Household Members 29

30 Household Step 1: People & Contacts (cont.) Household Members 30

31 Household Questions Step 1: People & Contacts (cont.) Household Questions *There will be an Unemployment Benefits question for Insure Oklahoma applicants between the ages of 19 and 64. *There will be a Foster Care question for members in the household between the ages of 19 and 25. *There will be a full-time college student question for members in the household applying for Insure Oklahoma, between the ages of 19 and

32 Household Questions Step 1: People & Contacts (cont.) When Yes is selected for any of the questions, a household member must be selected. 32

33 Household Questions Step 1: People & Contacts (cont.) When a household member is between ages 19 and 22, applying for Insure Oklahoma and enrolled in an accredited Oklahoma college, you must select their college from the drop-down menu. If their college is not listed, select Other 33

34 Household Relationships Step 1: People & Contacts (cont.) Relationship information is collected by making a selection from the drop-down. 34

35 Spousal Relationships Step 1: People & Contacts (cont.) Relationship information is collected by making a selection from the drop-down. 35

36 Household Relationships Step 1: People & Contacts (cont.) Household Relationships 36

37 Household Relationships Step 1: People & Contacts (cont.) If the child s other parent is in the household, he or she should be selected from the drop-down. 37

38 Household Relationships Step 1: People & Contacts (cont.) 38

39 Sibling Relationships Step 1: People & Contacts (cont.) Add Sibling Relationships for children with no parents in the home 39

40 Sibling Relationships Step 1: People & Contacts (cont.) Select brothers and sisters 40

41 Review Step 1: People & Contacts (cont.) Review 41

42 Review Step 1: People & Contacts (cont.) Review 42

43 Review Step 1: People & Contacts (cont.) Review 43

44 Review Step 1: People & Contacts (cont.) Review 44

45 Review Step 1: People & Contacts (cont.) A pop-up message allows one more opportunity to review and update household members before moving on to Step 2. 45

46 Tax Household Step 2: Tax Household Make selections from the drop-downs. Additional fields may display depending on the Tax Filer Status. 46

47 Tax Household Step 2: Tax Household (cont.) Household members display based on the filing status. Check the individuals that will be claimed. 47

48 Employment Step 3: Household Income Step 3 collects household income and begins by collecting employment information for anyone in the household who is working. 48

49 Employment Step 3: Household Income (cont.) Add the employment details for the individual listed. 49

50 Employment Step 3: Household Income (cont.) If an Insure Oklahoma applicant has an EEN, click on the Yes radio button and click on the Enter EEN button. 50

51 Employment Step 3: Household Income (cont.) Enter Employee Enrollment Number 51

52 Employment Step 3: Household Income (cont.) The Employer s data will automatically populate. 52

53 Employment Step 3: Household Income (cont.) Add Taxable Income *Insure Oklahoma applicants will include number of hours worked per week, and whether or not the employer offers health insurance. 53

54 Employment Step 3: Household Income (cont.) If you don t have an EEN, add the employment details for the individual listed. 54

55 Employment Step 3: Household Income (cont.) Validate Employer Information 55

56 Other Income Step 3: Household Income (cont.) Step 3 also collects income that is not received through employment. 56

57 Other Income Step 3: Household Income (cont.) 57

58 Other Income Step 3: Household Income (cont.) Select the other source of income then enter the amount and how often it is received. 58

59 Other Income Step 3: Household Income (cont.) Additional sources of income continues down the page. 59

60 Expenses Step 4 Expenses Expenses

61 Expenses Step 4: Expenses (cont.) Enter the details for the deductible expense for each person 61

62 Expenses Step 4: Expenses (cont.) Additional Deductible Expenses 62

63 Health Insurance Step 5: Health Insurance Tell us about any commercial health insurance. 63

64 Health Insurance Step 5: Health Insurance (cont.) Selecting Yes on the previous page generates this details page. Enter all of the required information. 64

65 Health Insurance Step 5: Health Insurance (cont.) Details Page Continues 65

66 Medicare Step 5: Health Insurance (cont.) Medicare is another source of health insurance that is asked about. 66

67 Medicare Step 5: Health Insurance (cont.) Selecting Yes to the Medicare question generates a list of household members. Select the member with Medicare coverage No additional information is collected. 67

68 Review Step 6: Review Review information provided: People & Contacts 68

69 Review Step 6: Review (cont.) 69

70 Review Step 6: Review (cont.) Household Questions and Household Relationships 70

71 Review Step 6: Review (cont.) Sibling Relationships and Contacts 71

72 Review Step 6: Review (cont.) Tax Household and Household Income 72

73 Review Step 6: Review (cont.) Other Income and Expenses 73

74 Review Step 6: Review (cont.) Health Insurance and Medicare Coverage 74

75 Processing 75

76 Citizenship & Identity Step 7: Citizenship & Identity Citizenship & Identity 76

77 Citizenship & Identity Step 7: Citizenship & Identity (cont.) Identity for a child under 16 77

78 Submit Application Step 8: Submit Submit Application 78

79 Submit Application Step 8: Submit 79

80 PCP Selection Provider Selection 80

81 Provider Detail Provider Selection (cont.) 81

82 PCP Selection Provider Selection 82

83 Provider Detail Provider Selection (cont.) 83

84 Provider Directions Provider Selection (cont.) Directions 84

85 PCP Selection Provider Selection (cont.) 85

86 PCP Selection Provider Selection (cont.) 86

87 Submit Application My Benefits Application Results My Benefits page displays 87

88 Submit Application My Benefits (cont.) 88

89 Submit Application My Benefits (cont.) 89

90 Pay Premium Convenience Pay 90

91 Pay Premium Convenience Pay 91

92 Pay Premium Convenience Pay 92

93 Pay Premium Convenience Pay 93

94 Pay Premium Convenience Pay 94

95 Pay Premium Convenience Pay 95

96 Pay Premium Convenience Pay 96

97 Benefits Summary My Benefits 97

98 Benefits Summary My Benefits 98

99 Benefits Summary My Benefits 99

100 Submit Application Document Uploading Uploading a Document 100

101 Submit Application Document Uploading (cont.) Uploading a Document 101

102 Submit Application Document Uploading (cont.) Uploading a Document 102

103 Submit Application Document Uploading (cont.) Upload Successful 103

104 Health Condition Assessment My Benefits Page (cont.) Application Results 104

105 Health Condition Assessment Health Condition Assessment Health Condition Assessment Questions 105

106 Health Condition Assessment Health Condition Assessment (cont.) Health Condition Assessment Questions 106

107 Other Programs My Benefits Page (cont.) Application Results 107

108 Manage Account Returning to the Application 108

109 Log On to your Account Returning to the Application (cont.) 109

110 Application Returning to the Application (cont.) 110

111 My Benefits My Benefits Page 111

112 My Benefits My Benefits Page 112

113 Get ID Card My Benefits Page (cont.) 113

114 Get ID Card Print ID Card 114

115 Print ID Card Print ID Card 115

116 End Benefits My Benefits (cont.) 116

117 End Benefits My Benefits (cont.)

118 View Letters My Benefits (cont.) 118

119 View Letters Letters 119

120 View Letters Letters (cont.) 120

121 View Letters Letters (cont.) 121

122 Contact Us 122