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Georgia Enrollment Assistance
Resource (GEAR) Network:
GEARing up for OE3!
Whitney Griggs & Pranay Rana
October 19, 2015
Overview
• GEAR and its purpose
• An overview of the site
• Tools for direct consumer use
• Resources for enrollment assisters
• Feedback and questions
Georgians for a Healthy Future
What is GEAR?
A central hub of resources for
Georgia’s enrollment assisters
and community-based
organizations to use in their
work to educate health care
consumers
A one-stop shop for
handouts, interactive
consumer tools, important
assister updates, and other
materials, most of which are
Georgia-specific
With the goal to help enrollment assisters and community-based
organizations better educate Georgians on health insurance
enrollment, how to use their insurance, and more.
Why did we create GEAR?
• GHF’s “Getting Georgia Covered” report
– Highlighted the successful strategies of enrollment assisters and the challenges
and barriers to enrollment that still remain for consumers
• Limited health insurance literacy among consumers
• Help consumers get enrolled and stay enrolled
• Georgia-specific info
• Build a community for Georgia’s enrollment assisters to get and share
information
• One-stop shop for all of your enrollment needs
“For the most part, people are understanding
that they need to sign up. However the
disconnect comes when they have to use the
insurance. They may not understand that a
cheap plan may mean more costs out of
pocket.”
—Atlanta-based enrollment assister, “Getting Georgia Covered”
GEAR Overview: What will it
look like?
Consumer Tools
• Enrollment Toolkit
• Consumer Workbook
• EA ‘s Get Covered Connector
• EA’s Subsidy Calculator
• CMS Coverage to Care
Enrollment Toolkit: “Get Insured, Stay Insured”
• A comprehensive, Georgia-specific
toolkit to walk consumers through each
step of the enrollment process, from how
to get health insurance (enrollment) to
how to use health insurance once they
have it (post enrollment)
Toolkit: What’s Inside?
• Application Guide
• Medicaid in Georgia
• How much will health
insurance cost you?
• Special Enrollment Periods
(SEP)
• Common Scams & Concerns:
Affordable Health Care
• Penalties & Exemptions
• Enrollment Assistance Exit
Form
ENROLLMENT TOOLS POSTENROLLMENT TOOLS
• You’re Covered, Now What?
• Finding a Primary Care
Provider
• Preventive Services
• Appeals & Complaints
• Health Insurance & Taxes
• Employer Coverage & Tax
Credits Worksheet
For questions about the ACA and tax filing – reach out to Elise Blasingame at
Georgia Watch: eblasingame@georgiawatch.org.
Post Enrollment Workbook
• A take-home, interactive booklet for
consumers after enrollment
• Allows consumers to learn important
information that may not get covered
during the enrollment appointment
• Consumers can fill in their own personal
information, such as plan info, doctor’s
names, and medications
Enroll America’s Get Covered Connector
• Find and schedule appointments
with local assistance
• Appointment reminders
• Search for help by ZIP code,
review their options, and schedule
an appointment
• Ability to contact local assisters
directly if they have questions or
problems
Enroll America’s Calculator
• Consumers can easily see how
much of a subsidy they may qualify
for.
• Encourages enrollment
• Allows for a better understanding of
prices
CMS Coverage to Care
• Free materials from CMS
• Another resource to help
consumers understand their
benefits and coverage
Resources for Assisters
• Consumers Union
• SBC explanation tool
• Tax Credit tool
• Consumer Health Choices Materials
• Families USA Enrollment Assister Resource Center
• RWJF Navigator Resource Guide
• Center on Budget and Policy Priorities—Beyond the Basics
• Putting Patients First Cost Calculator
• In the Loop
Consumers Union Tools
SBC Calculator
http://www.consumerreports.org/health/resources/pdf/SBCinfo.pdf
Consumers Union Tools
Tax Credit Tool--healthtaxcredittool.org
Consumers Union Tools
Consumer Health Choices materials-consumerhealthchoices.org
Families USA
Enrollment Assister Resource Center
familiesusa.org/initiatives/enrollment-assister-resource-center
Robert Wood Johnson Foundation
Navigator Resource Guide
Center on Budget and Policy Priorities
Beyond the Basics SEP Guide
In The Loop
Resources for Assisters
• Consumers Union
– SBC explanation tool: consumerreports.org/health/resources/pdf/SBCinfo.pdf
– Tax Credit Tool: https://www.healthtaxcredittool.org/
– Consumer Health Choices Materials:
consumerhealthchoices.org/campaigns/health-insurance-literacy/#materials
• Families USA EA Resource Center
familiesusa.org/initiatives/enrollment-assister-resource-center
• RWJF - Navigator Resource Guide
rwjf.org/content/dam/farm/reports/reports/2014/rwjf408970
• CBPP Beyond the Basics - SEP Reference Chart
healthreformbeyondthebasics.org/wp-content/uploads/2015/06/SEP-Reference-Chart.pdf
• In the Loop
http://enrollmentloop.org/search/site/georgia
More to Come with GEAR!
Visit GEAR at www.healthyfuturega.org/gear to
view resources and stay up to date!
Weekly emails with a
round of up relevant
enrollment related
information from various
sources
!
What to expect from GEAR in the future
GHF’s new
website!
Launching by the
end of the year
Timely webinars
on enrollment and
post-enrollment
topics
We want to hear from you!
Questions & feedback
What resources do you use
that we haven’t included?
What would you
like to see?
How can we make
it work for you?
Thank you!
Contact us!
For questions about GEAR:
Whitney Griggs: wgriggs@healthyfuturega.org
For questions about enrollment, post
enrollment, or post-enrollment issues:
Pranay Rana: prana@healthyfuturega.org
404-567-5016
100 Edgewood Avenue, Suite 1015
Atlanta, GA 30303
Phone: 404-567-5016
Fax: 404-935-9885
info@healthyfuturega.org
healthyfuturega.org
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Introducing GEAR--the Georgia Enrollment Assistance Resource Network

  • 1. Georgia Enrollment Assistance Resource (GEAR) Network: GEARing up for OE3! Whitney Griggs & Pranay Rana October 19, 2015
  • 2. Overview • GEAR and its purpose • An overview of the site • Tools for direct consumer use • Resources for enrollment assisters • Feedback and questions
  • 3. Georgians for a Healthy Future
  • 4. What is GEAR? A central hub of resources for Georgia’s enrollment assisters and community-based organizations to use in their work to educate health care consumers A one-stop shop for handouts, interactive consumer tools, important assister updates, and other materials, most of which are Georgia-specific With the goal to help enrollment assisters and community-based organizations better educate Georgians on health insurance enrollment, how to use their insurance, and more.
  • 5. Why did we create GEAR? • GHF’s “Getting Georgia Covered” report – Highlighted the successful strategies of enrollment assisters and the challenges and barriers to enrollment that still remain for consumers • Limited health insurance literacy among consumers • Help consumers get enrolled and stay enrolled • Georgia-specific info • Build a community for Georgia’s enrollment assisters to get and share information • One-stop shop for all of your enrollment needs
  • 6. “For the most part, people are understanding that they need to sign up. However the disconnect comes when they have to use the insurance. They may not understand that a cheap plan may mean more costs out of pocket.” —Atlanta-based enrollment assister, “Getting Georgia Covered”
  • 7. GEAR Overview: What will it look like?
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  • 11. Consumer Tools • Enrollment Toolkit • Consumer Workbook • EA ‘s Get Covered Connector • EA’s Subsidy Calculator • CMS Coverage to Care
  • 12. Enrollment Toolkit: “Get Insured, Stay Insured” • A comprehensive, Georgia-specific toolkit to walk consumers through each step of the enrollment process, from how to get health insurance (enrollment) to how to use health insurance once they have it (post enrollment)
  • 13. Toolkit: What’s Inside? • Application Guide • Medicaid in Georgia • How much will health insurance cost you? • Special Enrollment Periods (SEP) • Common Scams & Concerns: Affordable Health Care • Penalties & Exemptions • Enrollment Assistance Exit Form ENROLLMENT TOOLS POSTENROLLMENT TOOLS • You’re Covered, Now What? • Finding a Primary Care Provider • Preventive Services • Appeals & Complaints • Health Insurance & Taxes • Employer Coverage & Tax Credits Worksheet
  • 14.
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  • 16. For questions about the ACA and tax filing – reach out to Elise Blasingame at Georgia Watch: eblasingame@georgiawatch.org.
  • 17.
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  • 21. Post Enrollment Workbook • A take-home, interactive booklet for consumers after enrollment • Allows consumers to learn important information that may not get covered during the enrollment appointment • Consumers can fill in their own personal information, such as plan info, doctor’s names, and medications
  • 22. Enroll America’s Get Covered Connector • Find and schedule appointments with local assistance • Appointment reminders • Search for help by ZIP code, review their options, and schedule an appointment • Ability to contact local assisters directly if they have questions or problems
  • 23. Enroll America’s Calculator • Consumers can easily see how much of a subsidy they may qualify for. • Encourages enrollment • Allows for a better understanding of prices
  • 24. CMS Coverage to Care • Free materials from CMS • Another resource to help consumers understand their benefits and coverage
  • 25. Resources for Assisters • Consumers Union • SBC explanation tool • Tax Credit tool • Consumer Health Choices Materials • Families USA Enrollment Assister Resource Center • RWJF Navigator Resource Guide • Center on Budget and Policy Priorities—Beyond the Basics • Putting Patients First Cost Calculator • In the Loop
  • 26. Consumers Union Tools SBC Calculator http://www.consumerreports.org/health/resources/pdf/SBCinfo.pdf
  • 27. Consumers Union Tools Tax Credit Tool--healthtaxcredittool.org
  • 28. Consumers Union Tools Consumer Health Choices materials-consumerhealthchoices.org
  • 29. Families USA Enrollment Assister Resource Center familiesusa.org/initiatives/enrollment-assister-resource-center
  • 30. Robert Wood Johnson Foundation Navigator Resource Guide
  • 31. Center on Budget and Policy Priorities Beyond the Basics SEP Guide
  • 33. Resources for Assisters • Consumers Union – SBC explanation tool: consumerreports.org/health/resources/pdf/SBCinfo.pdf – Tax Credit Tool: https://www.healthtaxcredittool.org/ – Consumer Health Choices Materials: consumerhealthchoices.org/campaigns/health-insurance-literacy/#materials • Families USA EA Resource Center familiesusa.org/initiatives/enrollment-assister-resource-center • RWJF - Navigator Resource Guide rwjf.org/content/dam/farm/reports/reports/2014/rwjf408970 • CBPP Beyond the Basics - SEP Reference Chart healthreformbeyondthebasics.org/wp-content/uploads/2015/06/SEP-Reference-Chart.pdf • In the Loop http://enrollmentloop.org/search/site/georgia
  • 34. More to Come with GEAR! Visit GEAR at www.healthyfuturega.org/gear to view resources and stay up to date!
  • 35. Weekly emails with a round of up relevant enrollment related information from various sources ! What to expect from GEAR in the future GHF’s new website! Launching by the end of the year Timely webinars on enrollment and post-enrollment topics
  • 36. We want to hear from you! Questions & feedback What resources do you use that we haven’t included? What would you like to see? How can we make it work for you?
  • 37. Thank you! Contact us! For questions about GEAR: Whitney Griggs: wgriggs@healthyfuturega.org For questions about enrollment, post enrollment, or post-enrollment issues: Pranay Rana: prana@healthyfuturega.org 404-567-5016 100 Edgewood Avenue, Suite 1015 Atlanta, GA 30303 Phone: 404-567-5016 Fax: 404-935-9885 info@healthyfuturega.org healthyfuturega.org FOLLOW & SHARE

Editor's Notes

  1. Our mission is to build and mobilize a unified voice, vision, and leadership to achieve a healthy future for all Georgians. Our vision is of a day in which all Georgians have access to the quality, affordable health care they need to live healthy lives and contribute to the health of their communities. Each year, we develop public policy priorities to move Georgia closer to this vision. Our three-pronged approach includes: 1) outreach, education & engagement with consumers and communities; 2) building and mobilizing coalitions; and 3) public policy advocacy
  2. The assisters that we interviewed said that many consumers had never had insurance before, so they did not know how to choose a primary care provider or pay their monthly premium. Another that we created GEAR, was to provide a community for Georgia’s enrollment assisters to get and share information in a way that has never existed before.
  3. We want to especially thank Georgia Watch for their help developing these materials. They are have become experts on the ACA and tax filing.