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Nevada Health Link Non-Profit Partner Presentation

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Nevada Health Link Non-Profit Partner Presentation

  1. 1. Nevada Health Link
  2. 2. Agenda 1. The ACA and Nevada Health Link 2. Your Role 3. Online Marketplace Overview 4. Key Points to Convey 5. Questions You May Hear 6. Resources 7. Q&A
  3. 3. The ACA and Nevada Health Link
  4. 4. The Affordable Care Act (ACA) • A law passed by the U.S. government in 2010 • Aims to lower cost of health care • Requires all Americans to have insurance by 2014 • Applies a tax penalty (a fine) for those without coverage 4
  5. 5. Nevada Health Link • Nevada’s official Health Insurance Exchange • Help residents of Nevada find affordable health insurance • Online marketplace to shop for and compare plans • Enroll residents of Nevada in quality, income- based plans 5
  6. 6. Your Role
  7. 7. Talk to About Nevada Health Link • Spread the word • A new and easier way to buy health insurance • Talk to the uninsured and underinsured residents of Nevada • People over 65 are not eligible for subsidies to lower the cost of health insurance. 7
  8. 8. Our Message • Under- and uninsured now have a new way to shop for and buy affordable insurance • Won’t be denied for a pre-existing condition • Visit NevadaHealthLink.com to learn more 8
  9. 9. Partner Tools and Collateral • Nevada Health Link materials and website • Helpful tools from government and other organizations • Contact us if there’s a tool you’d like to use that we haven’t provided you • 1-877-572-7263 or HealthLinkPartner@kps3.com 9
  10. 10. Navigators, Enrollment Assisters & CACs • Navigators: community education and enrollment • Enrollment Assisters: can enroll individuals one-on- one • Certified Application Counselors: can enroll individuals • To find in-person help in your area, visit NevadaHealthLink.com 10
  11. 11. Online Marketplace Overview
  12. 12. How It Works 1. Fill out an application at NevadaHealthLink.com 2. Find out if you qualify for financial help 3. See a list of different plan options from different insurance carriers 4. Compare your options 5. Choose the plan that’s right for you 12
  13. 13. Online Marketplace Sample View
  14. 14. Plan Categories 14 Tier Cost Platinum Most Expensive Gold More Expensive Silver Base Bronze Less Expensive Catastrophic Least Expensive • With bronze plan, pay lower monthly premium and more when you receive care • With gold plan, pay higher monthly premium and less when you receive care
  15. 15. Income-Based Health Insurance Annual Income at 100% of the Federal Poverty Level and Other Levels (Calendar Year 2013) 15 Family Size 138% FPL 200% FPL 300% FPL 400% FPL 1 $15,856 $22,980 $34,470 $45,960 2 $21,404 $31,020 $46,530 $62,040 3 $26,951 $39,060 $58,590 $78,120 4 $32,499 $47,100 $70,650 $94,200 5 $38,047 $55,140 $82,710 $110,280 For each additional person add $5,548 $8,040 $12,060 $16,080
  16. 16. Help Covering Costs Monthly Premiums Under the Second Least Expensive Silver Level Plan (Calendar Year 2013) 16 Family Size 138% FPL 200% FPL 300% FPL 400% FPL Percent of Income 3.29% 6.3% 9.5% 9.5% 1 $43.53 $120.65 $272.89 $363.85 2 $58.76 $162.86 $368.36 $491.15 3 $73.98 $205.07 $463.84 $618.45 4 $89.21 $247.28 $559.31 $745.75 5 $104.44 $289.49 $654.79 $873.05 For each additional person add $15.23 $42.21 $95.48 $127.30
  17. 17. Same Application, Different Results 17 Ben applied and bought insurance from the Marketplace. Alice applied and got Medicaid coverage for herself and her daughter. James applied and bought insurance from the Marketplace and qualified for the new tax credit that lowers his monthly premium right away.
  18. 18. What’s Covered 18 Essential Health Benefits Ambulance Services and Care Mental Health and Substance Abuse Disorder Treatment Preventive and Wellness Services Emergency Service Prescription Drugs Chronic Disease Support Hospitalization Rehabilitation and Habilitation Services and Devices Pediatric Services Including Dental and Vision Care Maternity and Newborn Care Lab Services
  19. 19. Key Points to Convey to Your Community
  20. 20. Important Dates • Can sign up on NevadaHealthLink.com starting in October 2013 • Sign up by December 15to have insurance coverage on January 1, 2014 • Sign up before open enrollment closes on March 31, 2014 20
  21. 21. October 2013 • Visit NevadaHealthLink.com anytime to find more information about what to expect when you enroll beginning October 2013 21
  22. 22. Health Insurance Plans • Variety of plans for you to compare • Choose a plan that fits your needs • Financial help and subsidies • All information in clear language, so there’s no guesswork 22
  23. 23. Who Nevada Health Link Covers • Any resident of Nevada looking for health insurance • Can’t be turned away for pre-existing conditions • Only requirement is that you’re legally present • Your application won’t trigger INS investigation 23
  24. 24. Help is Available • Live online chat • Toll-free call center – 855-7-NVLINK (855-768- 5465) • Navigators and Enrollment Assisters • Search for in-person help on NevadaHealthLink.com • Local Insurance Agents 24
  25. 25. Questions You May Hear
  26. 26. What is Insurance? • You pay each month for insurance (a premium) • Covers medical bills, including preventive and emergency care • Allows you to get the care you need when you need it for you and your family • Helps you to avoid big medical bills and debt 26
  27. 27. Why Do I Need Insurance? Protect Yourself and Your Loved Ones 27
  28. 28. Why Nevada Health Link? • Income-based plans • Can’t be turned away for pre-existing conditions • Essential health benefits 28
  29. 29. Full list of FAQs, for individuals/families and partners is available at NevadaHealthLink.com 29
  30. 30. Resources
  31. 31. Tools and Resources • Non-profit and Community Partner Guide • NevadaHealthLink.com • Call 1-877-572-7263 • Email HealthLinkPartner@kps3.com 31
  32. 32. Questions?

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