NY State of Health The Official Health Plan Marketplace

Transcription

1 NY State of Health The Official Health Plan Marketplace Open for Business: 2018 nystateofhealth.ny.gov

2 Open for Business Ensure consumers have the facts NY State of Health is open for business Here to help them get the coverage they need QHP consumers who are currently enrolled should know that their 2017 coverage continues through the end of the year Open enrollment is just around the corner nystateofhealth.ny.gov 2

3 Open Enrollment in New York State November 1, January 31, 2018 Because New York operates its own marketplace, the state has flexibility to set its open enrollment period dates New York is exercising this authority to meet the needs of consumers by ensuring that they have: o sufficient time to enroll o adequate access to enrollment assistance from the Customer Service Center o adequate access to enrollment assistance from In-Person Assistors More than 400,000 households to renew coverage during OEP 3

4 Number of New Yorkers with Health Insurance Coverage through NY State of Health 2.8 million 4 million

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6 2017 Enrollment: By the Numbers Child Health Plus, 346,067 (8%) Qualified Health Plan, 227,796 (6%) Essential Plan, 682,800 (17%) Medicaid, 2,837,735 (69%) Total Enrollment: 4,094,398 nystateofhealth.ny.gov 6

7 County Level Enrollment Total Marketplace enrollment increased in every county of the state Increases ranged from 16% in New York County to over 68% in Rockland County Following counties saw highest increases: Rockland, Orange, Cortland, Fulton, Oneida, Sullivan, Herkimer, Montgomery, Oswego, and Seneca Essential Plan showed highest percentage increase in enrollment in every county since close of 2016 OEP nystateofhealth.ny.gov 7

8 Moving Forward Open Enrollment extended through Jan 31, 2018 Funding for navigator program and advertising will continue at past levels for NYSOH As always, our priority is to ensure quality, affordable coverage The ACA remains the law nystateofhealth.ny.gov 8

9 Affordable Coverage Many consumers will qualify for federal tax credits and in many cases, costs will be the same or lower in 2018 Cost may decrease by as much as 5% for those opting for lowest cost silver plans in 2018 Essential Plan remains a popular program for lowincome New Yorkers nystateofhealth.ny.gov 9

10 Premium Decreases for Most Popular Silver Plans- Income $25,000 Monthly Income $160 $120 $80 $40 $0 $136 $81 $81 $48 $49 $48 $30 $6 Albany County Onondaga County Oneida County Broome County nystateofhealth.ny.gov 10

11 Premium Decreases for Most Popular Silver Plans- Income $25,000 Monthly Income $160 $120 $80 $40 $0 $129 $122 $125 $107 $25 $25 Monroe County Erie County Chautauqua nystateofhealth.ny.gov 11

12 Premium Decreases for Most Popular Silver Plans- Income $25,000 Monthly Income $160 $120 $80 $40 $0 $139$133 $134 $142 $85 $80 $53 $53 NYC Dutchess Cty Long Island Orange County nystateofhealth.ny.gov 12

13 Insurer Participation 12 insurers offer QHPs in Individual Market 15 insurers offer Essential Plan 9 insurers participate in all Individual Marketplace programs EP, QHPs, Medicaid, and CHP 5 insurers will offer coverage in the Small Business market 8 insurers will offer stand-alone dental coverage High level of insurer participation across all programs reduces potential gaps in coverage and promotes continuity of care 13

14 2018 QHP Insurers

15 2018 Essential Plan Insurers Offers Essential Plan Plus Vision and Dental

16 2018 Stand Alone Dental Plans

17 2018 Outreach Strategy 17

18 Significant Progress Since 2013 NY s Uninsured rate the lowest in decades Decreased from 10% to 5% between 2013 and 2016 About 900,000 have gained coverage since implementation of the ACA Continuing focused efforts to reach the remaining uninsured nystateofhealth.ny.gov 18

19 Outreach Will Focus on Populations With Higher Uninsured Rates: Young adults (ages 19-25) Hispanics/Latinos Blacks/African Americans Low-to-moderate income: % FPL (above EP) 19

20 Counties With Uninsured Rates Above State Average Queens Bronx Kings Jefferson Westchester Cattaraugus Rockland 20

21 Elements of the 2018 Plan Community Outreach Paid Media Consumer Education Materials Direct to Customer Messaging nystateofhealth.ny.gov 21

22 Outreach efforts continue to get the word out Multiple campaigns across the state with help of assistors Targeted outreach, working with a host of partner organizations, specifically within areas of highest uninsured rates Participation in numerous events (more than 1,600 during last OEP) nystateofhealth.ny.gov 22

23 Outreach Campaigns Include: Cultural heritage outreach provides excellent opportunities to reach racial/ethnic populations w/high uninsured rates Expanding partnerships with faith-based organizations Outreach to colleges and universities helps to reach young adults Continuing pharmacy campaigns statewide CVS, Kinney, Tops, & Shop Rite Continuing partnership with state agencies DOL, DOH, DOS, DMV, and NY Lottery Looking to expand partnership with Child Care centers for families of farm workers Food pantry outreach during holiday season nystateofhealth.ny.gov 23

24 Cultural Heritage Events Government Agencies Faith-Based Organizations Community Outreach Students, Children and Families Seasonal Events *Campaigns are subject to change Community Businesses 24

25 Consumer s Promoting Renewals 25 25

26 Consumer s Pick a Plan 26 26

27 Tools and Resources NY State of Health has many tools and resources to help you to reach those whom you serve nystateofhealth.ny.gov 27

28 Helpful Resources NYS Provider & Health Plan Look-up (new) Events Map (now searchable) Refreshed Materials (27 languages) At a Glance Cards (new Medicaid & CHP) Language ID Tool Postcards Fact Sheets Rack Cards Posters Educational Videos nystateofhealth.ny.gov 28

29 NYS Provider & Health Plan Look-Up nystateofhealth.ny.gov 29

30 Searchable Events Calendar nystateofhealth.ny.gov 30

31 Materials Available in 27 Languages Refreshed Posters and Rack Cards Simple Message for Consumers - Enroll Now for 2018 nystateofhealth.ny.gov 31

32 At a Glance Child Health Plus nystateofhealth.ny.gov 32

33 At a Glance Child Health Plus nystateofhealth.ny.gov 33

34 At a Glance Medicaid nystateofhealth.ny.gov 34

35 At a Glance Medicaid nystateofhealth.ny.gov 35

36 How Can You Help? Share your outreach suggestions with us Submit your events for the NYSOH Events Calendar arevents Offer to help staff NYSOH events nystateofhealth.ny.gov 36

37 Important Dates Date Mid-October, 2017 Action Renewal Notices mailed. These notices are sent to individuals eligible for renewal of their: QHPs (includes Full Pay QHP, APTC, and APTC CSR). Medicaid, Child Health Plus, and Essential Plan coverage ending on 12/31/17. o Annual renewal notices for Medicaid, Child Health Plus, and Essential Plan will be sent on a rolling schedule 11/1/2017 Open Enrollment begins for new applicants 11/16/2017 Open Enrollment begins for individuals renewing coverage Consumers can update their account if needed, and enroll in a plan for coverage starting on 1/1/ /15/2017 Last day to enroll for January 1, 2018 coverage 1/31/2018 Open enrollment closes for QHPs 37

38 Questions? nystateofhealth.ny.gov