ACA Covered California, Planned Parenthood - Jessica Oney presentation at ICC Milpitas


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Townhall meeting about the implications of ACA/Obamacare Milpitas, October 24, 2013
How the Affordable Care Act Affects You
Jessica Oney, Certified Educator, Covered California
Jessica Olney currently works as a Covered California Certified Educator. She has been working in the field of health outreach for the past four years with organizations such as Planned Parenthood, West County Health Centers, AmeriCorps, and the Center for Prevention and Outreach. Her work with these organizations has shaped her interest and research in health care reform and she especially enjoys being speaking one-on-one with individuals in the community about their questions and concerns about Covered California.

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ACA Covered California, Planned Parenthood - Jessica Oney presentation at ICC Milpitas

  1. 1. Covered California Planned Parenthood Mar Monte
  2. 2. VISION Improve the Health of All Californians Access Affordable Care Provide High Quality Care MISSION Increase Insured Californians Improve Healthcare Quality Lower Costs Reduce Health Disparities Choice & Value
  3. 3. Affordable Care Act Improvements • Guaranteed coverage • Standardized benefits • No annual limits, no denial for pre-existing conditions • Rates are not based on your health status
  4. 4. Penalties • Under the ACA, if you don’t have health insurance by March 2014: – You will be assessed a tax penalty – 2014: 1% of family income or $95 per adult, $47.50 per child – 2015: 2% of family income or $325 per adult, $162.50 per child – 2016 +: 2.5% of family income or $695 per adult, $347.50 per child.
  5. 5. Plans Available Through Covered California • • • • 4 Plans Available: Bronze, Silver, Gold, Platinum Catastrophic Plan Available to Few Participants Enhanced Silver Plan for those Eligible for “Cost Sharing” Premium Assistance Available Up to 400% of the Poverty Line
  6. 6. Plan Benefits
  7. 7. Enhanced Silver Benefits
  8. 8. Essential Health Benefits 1. Ambulatory patient services 2. Emergency Services 3. Hospitalization 4. Maternity and newborn care 5. Mental health and substance use disorder services, including behavioral health treatment 6. Prescription drugs 7. Rehabilitative services and devices 8. Laboratory services 9. Preventative and wellness services and chronic disease management 10. Pediatric services
  9. 9. Health Insurance That’s Affordable • • • • • Assistance based on income More affordable co-pay options Zero deductible for many plans Free preventive care Lower out-of-pocket maximums
  10. 10. June Health Insurance Plans Announced March 31st Open Enrollment Ends October First Open Enrollment 2014 2013 July Public Education Campaign Launched January Coverage Begins 2015+
  11. 11. Health Insurance Companies • Alameda Alliance for Health • Anthem Blue Cross of California • Blue Shield of California • Chinese Community Health Plan • Contra Costa Health Plan • Health Net • • • • • • Kaiser Permanente L.A. Care Health Plan Molina Healthcare Sharp Health Plan Valley Health Plan Ventura County Health Care Plan • Western Health Advantage
  12. 12. Health Coverage for Small Businesses • Small Businesses Health Options Program (SHOP) • Less than 50 employees • Tax Credits • Plan choice
  13. 13. THANK YOU For more information you can: • Submit an Enrollment Referral Form with a Certified Educator • Visit • Call 1-888-975-1142