Homecare Worker Self Enrollment. Step by Step Guide. (This enrollment process is for Trust Eligible Oregon residents only.)

Transcription

1 Homecare Worker Self Enrollment Step by Step Guide (This enrollment process is for Trust Eligible Oregon residents only.) 1. After completing the Pre Enrollment form on you will be prompted to go to schneider 2. Fill in your Zip Code, Full Name (Legal name as it appears on your driver s license or Social Security Card), Phone Number and Address and select See Plans and Prices. Rev Plan Year 2016 Page 1 of 11

2 3. STEP 1: WHO NEEDS INSURANCE? Select Me and click Continue. PLEASE NOTE: This selfenrollment process is only for those Homecare Workers who need insurance only for themselves. If you need assistance enrolling in coverage for a spouse or your dependents please call. 4. Enter your Age and click Continue. Rev Plan Year 2016 Page 2 of 11

3 5. After entering your age more options will appear. Select all those that apply to you. 6. STEP 2: HOUSEHOLD + SAVINGS Enter the total number of people in your tax filing household even if they re not applying, as well as the total income for your entire family. Use your expected 2016 pre tax income from all jobs and your net income from self employment (after expenses) for all income that is included on your taxes. If you are unsure of how to calculate your taxable income please visit: and household information/income/ for more information. Rev Plan Year 2016 Page 3 of 11

4 On the next page you will see a preliminary determination for tax credits. If you do, the estimated monthly savings will appear (below, left). If you do not qualify for tax credits your screen will look like the image on the right. Both screens will give you the estimated amount of tax penalty you could receive if you do not have insurance during Click Continue. 7. STEP 3: DOCTORS + HOSPITALS This screen allows you to check to see if your doctors, clinics or hospitals are covered under specific plans. We do not recommend using this tool within HealthSherpa to search for doctors. The provider websites will have a more up todate list. Select NO Kaiser Permanente: ourservices/doctors and locations?kp_shortcut_referrer=kp.org/finddoctors Moda Health: Oregon s Health Co Op: my provider/ Rev Plan Year 2016 Page 4 of 11

5 8. PLAN CHOICES. Next you will see a list of plan choices. If you qualify for and would like to receive supplemental trust benefits, you must select 1 of the 2 insurance plans available to you, as determined by your zip code. In the example below, the zip code is OUTSIDE the Kaiser Permanente service area. So the 2 carriers available are Moda Health and Oregon s Health Co Op. If Kaiser Permanente appears in the list you are within the Kaiser service area, so your options for Trust Premium Assistance are Kaiser Permanente and Oregon s Health Co Op. 9. To ensure you are looking at the correct plans, scroll down the page and select the Metal Level Silver. This will narrow your search options.* * Please Note: If you are within the Kaiser Permanente service area you will see all 3 carrier choices, however for premium assistance from the Trust, your options are only Kaiser Permanente and Oregon s Health Co Op. Rev Plan Year 2016 Page 5 of 11

6 10. YOUR OPTIONS. The plan names are very similar within each Insurance Carrier. Please make sure you are selecting the correct one. For Oregon s Health Co Op the plan name is: SiMPLEsilver HSA Broad Network PPO. (Make sure you select the plan with the HSA in the name and the Broad Network instead of the Select Network.) For Moda Health the plan name is: Moda Health Beacon Be Prepared PPO For Kaiser Permanente the plan name is: KP OR Silver 1500/30 EPO. When you are ready, click Choose Plan to move to the next portion of the enrollment process. $TBD $TBD If you would like to compare the plans, click the COMPARE button. This feature will allow you look at some of the plan features side by side to see what might best suit your insurance needs. $TBD Rev Plan Year 2016 Page 6 of 11

7 11. APPLICATION. Fill in your information in the application. Please make sure you use your LEGAL name as it appears on your social security card. This will help prevent your application from being delayed and/or the Marketplace requesting additional identity verification documents. Click YES for answering additional questions to check for a lower price* and click Continue. If you have a separate mailing address, please check this box and enter in your mailing address. This will ensure the information from the Marketplace reaches you. * To receive Trust Benefits, you must apply for tax credits, even if you do not qualify due to income. Please make sure this box is checked YES. Rev Plan Year 2016 Page 7 of 11

8 12. APPLICATION CONTINUED ALL HOUSEHOLD MEMBERS On the first screen, your name will appear; select YES to the question if you are applying for health coverage. After selecting yes, more of the application appears, please complete all of the information about you. Then click Add Spouse or Add Dependent for all household members that are part of your tax filing household even if they are not applying for coverage, and complete the same information for them. When you are finished with all household members, click Continue. Your Name Rev Plan Year 2016 Page 8 of 11

9 Make sure to fill out all information. For your Homecare work, please use Consumer Client for the Employer Name and for the phone number. Do not use your client s name or phone number. If you have any other income from any of the sources listed above, click the Add Other Income button and add that information. This is very important as this info is not only used to determine your tax credits, but will also be matched to your tax t Rev Plan Year 2016 Page 9 of 11

10 13. CONFIRM & SUBMIT Make sure your name and age are correct and that the plan you have chosen is listed in the blue box. Attest to the information below and click Confirm & Submit. Your Name & Age Make sure you read and agree to all statements and then check the box attesting you agree. Rev Plan Year 2016 Page 10 of 11

11 14. CONGRATULATIONS! You ve completed the self enrollment process! Keep an eye out for any mail you receive from Valley Insurance Professionals, your Homecare Worker s Supplemental & Benefits Trust and the Health Insurance Marketplace. 15. NEXT STEPS: a. If you are Trust eligible and your information was entered correctly, your application and plan selection will be processed through the Health Insurance Marketplace. Valley Insurance Professionals will submit your enrollment data to the Supplemental Trust. The Trust will send you a check in the amount you owe for your first month s premium. It is critical you cash this check and use the funds to pay the premium to your insurance carrier before December 31 st. If your carrier does not receive the full first month s premium payment on time you could lose your coverage. b. After you get your second month s premium bill you will need to set up auto payments with your insurance carrier using your Trust issued Benefits Convenience Card. If you have questions regarding setting up your auto pay, each carrier can be reached by phone or online at: Kaiser (844) or MODA (888) or Oregon s Health Co Op (844) or Rev Plan Year 2016 Page 11 of 11