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

1. 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

2. NY STATE OF HEALTH OPENED ON
OCTOBER 1ST
nystateofhealth.ny.gov
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3. 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
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4. 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
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5. 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
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6. 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.
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7. 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.
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8. 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
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9. 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
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10. 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
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11. 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
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12. 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
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13. A STATE OF THE ART WEBPORTAL
MAKES IT EASY TO SHOP,
COMPARE AND ENROLL
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14. Online Enrollment
• One portal will process applications for:
– Medicaid
– Child Health Plus
– Individual Marketplace
– Small Business Marketplace
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15. A FIRST CLASS CUSTOMER SERVICE CENTER
IS READY TO ANSWER QUESTIONS AND
ENROLL PEOPLE
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16. 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
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17. CERTIFIED ENROLLMENT EXPERTS PROVIDE
IN-PERSON ASSISTANCE IN THE COMMUNITY
AT COVENIENT LOCATIONS
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18. 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
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19. INDIVIDUALS AND SMALL BUSINESSES HAVE A
CHOICE OF HIGH QUALITY, LOW COST PRIVATE
HEALTH PLANS
nystateofhealth.ny.gov
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20. 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
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21. Qualified Health Plans
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22. Qualified Dental Plans
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23. 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
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24. 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
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25. A STATEWIDE AWARENESS CAMPAIGN HAS
BEGUN. A MULTI-MEDIA ADVERTISING
CAMPAIGN IS NOW GOING ON
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26. 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
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27. 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
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28. nystateofhealth.ny.gov
1-855-355-5777
nystateofhealth.ny.gov
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