Hispanics and NY State of Health
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Hispanics and NY State of Health

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Presentation by Rebecca Jackson at the Association of Hispanic Healthcare Executives' event regarding enrolling uninsured Latinos through Digital Media.

Presentation by Rebecca Jackson at the Association of Hispanic Healthcare Executives' event regarding enrolling uninsured Latinos through Digital Media.

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Hispanics and NY State of Health Hispanics and NY State of Health Presentation Transcript

  • NY State of Health the Official Health Plan Marketplace Hispanics and the NY State of Health Rebecca Jackson External Affairs Outreach & Marketing rkj01@health.state.ny.us
  • NY STATE OF HEALTH OPENED ON OCTOBER 1ST nystateofhealth.ny.gov 2
  • What is NY State of Health? • Organized marketplace – One-stop shopping for subsidized and unsubsidized coverage – Easily compare health plan options – The only place to check eligibility and apply for financial assistance – Enroll in qualified health plans • Two programs – Individual Marketplace – Small Business Marketplace nystateofhealth.ny.gov 3 View slide
  • New York’s Uninsured • Today nearly 2.7 million New Yorkers under age 65, about 16 percent, do not have health insurance coverage • Primarily workers and their families • Uninsured people forego necessary care due to costs • Taxpayers and the insured shoulder the burden of paying for the care of the uninsured nystateofhealth.ny.gov 4 View slide
  • Who Will Enroll In NY State Of Health? Health Plan Marketplace enrollment is estimated to be 1.1 million New Yorkers Individual Marketplace (58%) 450,000 615,000 Small Business Marketplace (42%) nystateofhealth.ny.gov 5
  • NY State of Health Enrollee Characteristics, by Race/Ethnicity Small Business Marketplace Individual Marketplace 2% White/ Non-Hispanic Black/ Non-Hispanic Hispanic 10% 19% 58% 11% Asian/Pacific Islander Other 13% 21% 56% 10% Note: The results in this report assume small employer size is set to 100 employees, non-group and small group markets remain separate, and that Basic Health Plan is not implemented, consistent with modeling assumptions for “Alternative 1” in the March 2012 Urban Institute report. Source: Urban Institute, “Characteristics of Nonelderly New Yorkers Likely to Enroll in the Health Insurance Exchanges Under the Affordable Care Act,” February 2013, updated May 2013. 6
  • NY State of Health Enrollee Characteristics, by Language Individual Marketplace English Spanish Chinese Hindi and related French/Haitian Korean 2% 2% 1% 3% 1% 9% 18% 64% Russian Note: The results in this report assume small employer size is set to 100 employees, non-group and small group markets remain separate, and that Basic Health Plan is not implemented, consistent with modeling assumptions for “Alternative 1” in the March 2012 Urban Institute report. Source: Urban Institute, “Characteristics of Nonelderly New Yorkers Likely to Enroll in the Health Insurance Exchanges Under the Affordable Care Act,” February 2013, updated May 2013. 7
  • Uninsured New Yorkers Expected to Gain Private Coverage, By Race/Ethnicity and Region NYC, Westchester , Rockland Central NY, Finger Lakes 6% 18% 4% 3% Mid-Hudson, Capital, North Country 7% 23% 15% 6% 18% 41% 87% Western NY 6% 72% Long Island 5% White, Non-Hispanic 11% 11% 43% Black, Non-Hispanic Hispanic 38% Other 78% 9% Source: Urban Institute, Characteristics of Nonelderly New Yorkers Likely to enroll in the Health Insurance Exchanges Under the Affordable Care Act, February, 2013 8
  • Uninsured New Yorkers Expected to Gain Private Coverage, By Language and Region NYC, Westchester , Rockland Central NY, Finger Lakes Mid-Hudson, Capital, North Country 8% 4% 9% 26% 39% 35% 13% Western NY 88% Long Island 78% 7% 6% 16% 49% 35% 87% English Spanish Other/NA Source: Urban Institute, Characteristics of Nonelderly New Yorkers Likely to enroll in the Health Insurance Exchanges Under the Affordable Care Act, February, 2013 9
  • Uninsured New York City Residents Expected to Gain Private Coverage, By Race/Ethnicity Queens County Kings County 16% 18% 30% 4% Bronx County Richmond County 10% 25% 16% 46% 24% 12% 29% 30% 62% 40% 29% 9% New York County White, Non-Hispanic Black, Non-Hispanic 15% 34% Hispanic Other 38% 12% Source: Urban Institute, Characteristics of Nonelderly New Yorkers Likely to enroll in the Health Insurance Exchanges Under the Affordable Care Act, February, 2013 10
  • Uninsured New York City Residents Expected to Gain Private Coverage, By Language Queens County Bronx County Kings County Richmond County 14% 35% 27% 28% 28% 30% 43% 38% 59% 50% 22% 27% New York County 19% English Spanish 46% Other/NA 35% Source: Urban Institute, Characteristics of Nonelderly New Yorkers Likely to enroll in the Health Insurance Exchanges Under the Affordable Care Act, February, 2013 11
  • NY State of Health Enrollment • Open Enrollment began on October 1 • Individuals may enroll in health plans during open enrollment (October 1, 2013 - March 31, 2014) or with a qualifying event • Individuals who qualify for Medicaid/CHP may enroll any month of the year • Small employers may choose open enrollment dates for their employees any month of the year nystateofhealth.ny.gov 12
  • A STATE OF THE ART WEBPORTAL MAKES IT EASY TO SHOP, COMPARE AND ENROLL nystateofhealth.ny.gov 13
  • Online Enrollment • One portal will process applications for: – Medicaid – Child Health Plus – Individual Marketplace – Small Business Marketplace nystateofhealth.ny.gov 14
  • A FIRST CLASS CUSTOMER SERVICE CENTER IS READY TO ANSWER QUESTIONS AND ENROLL PEOPLE nystateofhealth.ny.gov 15
  • Customer Service Call Center 1-855-355-5777 • • • • Call Center accepting applications. Can refer to in-person assistors Hours: 8am-8pm (M-F) and 9am-1pm (Sat) Assistance available in over 170 languages – Many staff will be bilingual and oral interpretation available for remaining languages. nystateofhealth.ny.gov 16
  • CERTIFIED ENROLLMENT EXPERTS PROVIDE IN-PERSON ASSISTANCE IN THE COMMUNITY AT COVENIENT LOCATIONS nystateofhealth.ny.gov 17
  • 3 Types of In-Person Assistors IPA/Navigators • Complete Applications • Compensation from DOH grant program • Training and certification required • Serve Individuals and Small Business Marketplace Insurance Brokers/Agents • Complete Applications • Commission-based compensation • Training and certification required • Choose to certify in Small Business Marketplace, Individual, or both Certified Application Counselors • Complete Applications • No compensation from Marketplace • Training and certification required nystateofhealth.ny.gov 18
  • INDIVIDUALS AND SMALL BUSINESSES HAVE A CHOICE OF HIGH QUALITY, LOW COST PRIVATE HEALTH PLANS nystateofhealth.ny.gov 19
  • Health Plan Highlights • Choice of plans in all areas of the State • Increased competition gives consumers new health plan options • Premiums for people who buy coverage for themselves and their families decreases by an average of 53% compared to today’s premiums • You will not be denied health insurance on the basis of a preexisting condition • All plans are required to have adequate networks nystateofhealth.ny.gov 20
  • Qualified Health Plans nystateofhealth.ny.gov 21
  • Qualified Dental Plans nystateofhealth.ny.gov 22
  • All Plans Cover 10 Essential Health Benefits – – – – – – – – – – Outpatient Services Preventive, Wellness, & Chronic Disease Management Mental Health & Substance Abuse Disorder Services Hospitalization Emergency Services Pediatric Vision and Dental Maternity and Newborn Care Prescription Drugs Laboratory and Imaging Services Rehabilitative & Habilitative Services nystateofhealth.ny.gov 23
  • Financial Assistance • Many individuals and families will be eligible for financial assistance to reduce the cost of coverage • Financial assistance is available in 2 forms: – Tax credits will reduce the cost of premiums for most single adults earning less than $45,960 and for families of 4 earning less than $94,200 – Cost-sharing reductions will lower co-payments and deductibles for single adults earning less than $28,725 and for families of 4 earning less than $58,875 • Tax credits and cost sharing reductions are estimated at the time of application and applied immediately nystateofhealth.ny.gov 24
  • A STATEWIDE AWARENESS CAMPAIGN HAS BEGUN. A MULTI-MEDIA ADVERTISING CAMPAIGN IS NOW GOING ON nystateofhealth.ny.gov 25
  • Media • New name, logo and website unveiled • Creative campaign for TV, radio, print and “out-ofhome” • Public relations campaign under way • Social media includes Twitter, Facebook, YouTube and Google Plus nystateofhealth.ny.gov 26
  • Available Web Resources • On our website (nystateofhealth.ny.gov) – Fact Sheets, Rack Cards, and Posters in English, Spanish, Haitian Creole, French, Korean, Russian, Italian, and Chinese – Newsletter templates in English and Spanish – County-specific list of Navigator grantees – County-specific list of Health Plans – Tax Credit and Premium Estimator nystateofhealth.ny.gov 27
  • nystateofhealth.ny.gov 1-855-355-5777 nystateofhealth.ny.gov 28