The Affordable Care Act (aka Obamacare) and the New Insurance Marketplace: What New Yorkers Need to Know. November 2013
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1 The Affordable Care Act (aka Obamacare) and the New Insurance Marketplace: What New Yorkers Need to Know November 2013
2 Outline Overview: The ACA (ObamaCare) New York State of Health: The Official Health Insurance Marketplace Questions? 2
3 Overview: The Affordable Care Act (ACA), or ObamaCare, was signed into law in March Over the past 3 years, different parts of the law have been phased in. As part of the law, starting January 1, 2014, individuals will be required to have health insurance. People will be able to buy affordable insurance through a new health insurance marketplace, called the New York State of Health, starting October 1 st. This means that now is the time to get informed and prepare for the questions your constituents will have. 3
4 NY STATE OF HEALTH: THE OFFICIAL HEALTH PLAN MARKETPLACE 4
5 NY State of Health, The Official Health Plan Marketplace A new, online health insurance marketplace created under the ACA. Will make comparing health plan costs and benefits easy. Will give New Yorkers access to free insurance coverage or financial help to buy their own. Started October 1, Coverage starts January 1,
6 Consumers and Small Employers Enroll Directly through the Marketplace Enroll in a Qualified Health Plan 1 Create an account 3 2 Fill in Fill in household household information income (members, residency, immigration status) 4 Marketplace eligibility determination - APTC - CSR - Public Insurance 5 Choose a plan and enroll Enroll in Child Health Plus Enroll in Medicaid Choose level of tax credits Enroll in Emergency Medicaid 6
7 Source: NY State of Health 7
8 Where can people go for help enrolling in the NY State of Health? The NY State of Health will have a Consumer Support Center (tollfree call center) to provide real-time help Assistance available in at least six languages English, Spanish, Cantonese, Mandarin, Russian, Haitian Creole Oral interpretation available in 170 languages Local in-person enrollment assistance for individuals or small businesses will be in every county in New York State through a variety of programs: Navigator/In Person Assisters 50 Navigator organizations throughout the State with more than 400 individuals, speaking 48 languages, and site schedules publicly available Certified Application Counselors Hospitals, healthcare providers, health plans, others Brokers and agents can be certified to sell NY State of Health plans 8
9 Marketing Materials Plain Language: Materials will use language that is easily understood Translated Materials: Spanish, Chinese, French, Haitian Creole, Italian, Korean, and Russian 9
10 Data Collection
11 The Community Service Society Navigator Network Serving New York City Asian Americans for Equality Actor s Fund Community Service Society CIDNY Emerald Isle Immigration Center Korean Community Services LaGuardia Community College Manhattan Chamber of Commerce Make the Road New York Nrthn. Manhattan Improvement Corp. NY Women s Chamber of Commerce Restaurant Opportunities Center of NY Retail Action Project SACSS Staten Island Chamber of Commerce United Jewish Organizations of Williamsburg 11
12 Questions 12
13 For Further Information Nora Chaves Director, Community Health Advocates Community Service Society of NY 105 E. 22nd Street, 8th Floor New York, NY
14 Resources New York State of Health: Community Health Advocates: For help enrolling and using insurance or health care, call toll free: Small Business Assistance Program: Health Care For All New York: Check out our website to find out more about the law and to keep posted on what s going on with health reform implementation or call: (212) Find coverage: 14
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