HEALTH COVERAGE ENROLLMENT REPORT

Transcription

1 HEALTH COVERAGE ENROLLMENT REPORT FEBRUARY 2014

2 Table of Contents Website Statistics...1 Status of All Applications...2 by County...3 by Age...4 by Metal Level...6 by Gender...7 Family Size on Applications...8 s by Federal Poverty Level...9 Qualified Health Plans by Carrier...11 Call Center Data...12 *This report represents data taken from Oct. 1, 2013 through Feb. 28, 2014.

3 Website Statistics Web Visits 10,632,997 Page Views 62,837,788 Unique Page Views 38,869,324 Accounts Created 460,035 Unique Visitors 1,540,102 = 1 Million 1

4 Status of Applications s Completed Enrolled in QHP (Tax Credit) 84,982 QHP (No Tax Credit) 20,422 Medicaid Newly Eligible Adults 214,688 Medicaid Redeterminations (Previously Covered) Previously Eligible But Not Enrolled 339, , ,027 PREVIOUSLY ELIGIBLE BUT NOT ENROLLED 108,799 MEDICAID REDETERMINATIONS (PREVIOUSLY COVERED) 339,136 MEDICAID NEWLY ELIGIBLE ADULTS 214,688 QHP (NO TAX CREDIT) 20,422 QHP (TAX CREDIT) 84, , , , ,000 QHP Tax Credit: Includes individuals who have purchased a qualified health plan (private health plan) that qualified for a tax credit to lower their monthly insurance premiums. QHP No Tax Credit: Includes individuals who purchased a qualified health plan that either did not qualify for a tax credit or did not apply for financial help. Medicaid Newly Eligible Adults: Includes newly eligible individuals who have qualified and enrolled in a Medicaid plan under the Medicaid expansion and does not include those who have transitioned from other Medicaid programs. Medicaid Previously Eligible but not Enrolled: Includes individuals (children, pregnant women, low-income families) who are newly enrolling but were eligible under old Medicaid eligibility rules. Medicaid Redeterminations: Includes individuals who were already enrolled in a Medicaid program and have had their eligibility status converted, re-determined or renewed through Washington Healthplanfinder as opposed to newly determined. In Process Applications Application Status QHP (Need To Pay) 80,841 QHP (Need to Pay): Includes individuals who have completed an application for a Qualified Health Plan that is awaiting payment. 2

5 by County COUNTY QHP Medicaid Redeterminations Medicaid Newly Covered % of Enrolled ADAMS 294 3,169 1, % ASOTIN , % BENTON 2,058 11,502 8, % CHELAN 1,611 5,552 4, % CLALLAM 1,623 3,735 3, % CLARK 5,832 21,655 20, % COLUMBIA % COWLITZ 1,048 6,243 5, % DOUGLAS 608 2,932 2, % FERRY % FRANKLIN 821 9,233 4, % GARFIELD % GRANT 979 8,878 4, % GRAYS HARBOR 1,008 4,811 4, % ISLAND 1,578 2,073 3, % JEFFERSON 1,059 1,193 1, % KING 35,422 73,777 85, % KITSAP 3,574 8,352 10, % KITTITAS 662 1,663 2, % KLICKITAT 535 1,180 1, % LEWIS 1,091 4,837 4, % LINCOLN % MASON 766 3,072 2, % OKANOGAN 800 3,294 2, % PACIFIC 554 1,157 1, % PEND OREILLE % PIERCE 8,468 37,175 35, % SAN JUAN 1, , % SKAGIT 2,092 7,127 5, % SKAMANIA % SNOHOMISH 10,312 28,296 28, % SPOKANE 7,112 28,551 27, % STEVENS 638 2,702 2, % THURSTON 3,544 10,383 11, % WAHKIAKUM % WALLA WALLA 825 3,544 2, % WHATCOM 5,021 9,642 11, % WHITMAN 400 1,175 1, % YAKIMA 2,651 27,564 17, % *QHP enrollment includes 236 additional enrollees in Unknown County. *Medicaid Previously Eligible enrollment includes 296 that did not map to Washington counties. *Medicaid Redeterminations enrollment includes 210 that did not map to Washington counties. 3

6 Medicaid by Age Medicaid Newly Covered AGE <19 63,504 19% ,484 15% ,731 25% ,317 23% ,322 18% > % 323, % Medicaid Redeterminations AGE <19 250,427 74% ,479 5% ,085 7% ,507 8% ,601 6% > % 339, % Medicaid Newly Covered: Includes Medicaid Newly Eligible Adults who have qualified and enrolled in a Medicaid plan under the Medicaid expansion and does not include those who have transitioned from other Medicaid programs. This number also includes Medicaid Previously Eligible but not Enrolled adults (children, pregnant women, low-income families) who are newly enrolling but were eligible under old Medicaid eligibility rules. Medicaid Redeterminations: Includes individuals who were already enrolled in a Medicaid program and have had their eligibility status converted, re-determined or renewed through Washington Healthplanfinder as opposed to newly determined. 4

7 Qualified Health Plan by Age AGE < 18 4,483 4% ,195 9% ,326 14% ,574 16% ,745 22% ,488 35% 65 and older 593 0% 105, % 65 AND OLDER , , , , ,195 < 18 4, ,000 10,000 15,000 20,000 25,000 30,000 35,000 40,000 Note: Individuals who are eligible for Medicare are not eligible to enroll in health insurance coverage through Washington Healthplanfinder. Some individuals over the age of 65 may enroll through Washington Healthplanfinder if they are not eligible for Medicare. 5

8 by Metal Level Metal Level Bronze 38,320 36% Catastrophic 76 0% Gold 10,327 10% Silver 56,681 54% 105, % Gold Plans: Cover 80 percent of the cost of essential health benefits, while the patient pays 20 percent. Silver Plans: Cover 70 percent of the cost of essential health benefits, while the patient pays 30 percent. Bronze Plans: Cover 60 percent of the cost of essential health benefits, while the patient pay 40 percent. SILVER 56,681 GOLD 10,327 CATASTROPHIC 76 BRONZE 38, ,000 20,000 30,000 40,000 50,000 60,000 Note: Health insurance carriers in Washington did not submit any Platinum plans for regulatory approval to be offered in Washington Healthplanfinder. 6

9 by Gender Medicaid s (Newly Covered) by Gender Gender Male 146,157 Female 177, ,494 45% 55% Medicaid s (Redeterminations) by Gender Gender Male 158,749 Female 180, ,151 47% 53% Qualified Health Plan s by Gender Gender Male 47,515 Female 57, ,404 45% 55% 7

10 Family Size on Applications QHP Family Size Household Members Applications 1 49, , , , All s Family Size Household Members Applications 1 16, , , , , , The total applications on this chart includes applications for individuals who are fully enrolled. 8

11 s by Federal Poverty Level FPL <100% 2,044 2% >=100-<=138% 2,058 2% >138-<=150% 9,014 9% >150-<=200% 29,545 28% >200-<=251% 17,691 17% >250-<=300% 11,903 11% >300-<=400% 14,039 13% No Tax Credit 19,110 18% 105, % NO TAX CREDIT 19,110 >300- <=400% >250- <=300% 11,903 14,039 >200- <=251% 17,691 >150- <=200% 29,545 >138- <=150% 9,014 >=100- <=138% <100% 2,058 2, ,000 10,000 15,000 20,000 25,000 30,000 35,000 9

12 QHP s by Federal Poverty Level - Metal Levels FPL Bronze Level Greater than 250 % 13,921 36% Less than 250 % 14,595 38% No Tax Credit 9,804 26% 38, % Silver Level FPL Greater than 250 % 8,842 16% Less than 250 % 42,048 74% No Tax Credit 5,791 10% 56, % Gold Level FPL Greater than 250 % 3,154 30% Less than 250 % 3,695 36% No Tax Credit 3,478 36% 10, % 10

13 Qualified Health Plans By Carrier Gender % BridgeSpan 1,907 2% CHPW 2,031 2% Coordinated Care 11,736 11% Group Health 15,549 15% Kaiser Northwest 1,589 2% LifeWise 14,794 14% Molina 1,288 1% Premera 23,628 22% Premera MSP 32,882 34% 105, % Please note that not all health insurance plans are available in all counties. Please see health insurance plans by county below Pediatric Dental Enrollees 4,167 Health Insurance Companies by County BridgeSpan King, Kitsap, Pierce, Skagit, Snohomish, Thurston, and Spokane Community Health Plan of Washington Adams, Benton, Chelan, Clark, Cowlitz, Douglas, Ferry, Franklin, Grant, Grays Harbor, King, Kitsap, Lewis, Okanogan, Pacific, Pend Oreille, Pierce, Skagit, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Yakima Coordinated Care Adams, Benton, Chelan, Douglas, Franklin, Grant, Grays Harbor, King, Skagit, Snohomish, Spokane, Thurston, Walla Walla, Yakima Group Health Cooperative Benton, Columbia, Franklin, Island, King, Kitsap, Kittitas, Lewis, Mason, Pierce, San Juan, Skagit, Snohomish, Spokane, Thurston, Walla Walla, Whatcom, Whitman, and Yakima LifeWise Health Plan of Washington All 39 counties Molina Health Care of Washington King, Pierce and Spokane Premera Blue Cross All counties except Clark Kaiser Foundation Health Plan of the Northwest Clark and Cowlitz (Small Business and Individual Market) Delta Dental of Washington, Kaiser Foundation Health Plan of the Northwest, LifeWise, Premera Blue Cross All 39 counties (Pediatric Dental Only) Dental Health Services Benton, Chelan, Clark, Cowlitz, Douglas, Franklin, GraysHarbor, Island, Jefferson, King, Kitsap, Kittitas, Lewis, Mason, Pierce, SanJuan, Skagit, Snohomish, Spokane, Thurston, Wahkiakum,Whatcom, Yakima 11

14 Call Center Data Call Center Call Volume 152,144 Handled Calls 143,289 Deferred Calls 38,147 Average Wait Time Spanish Language Calls Calls for other Languages other than Spanish and English Initial and internal wait queues: 1:15 minutes; internal wait queues: 49 minutes 15,529 offered 10,970 handled 2,794 offered 480 handled Note: Data for enrollments through the toll-free Customer Support Center are not yet available. 12