Marketplace: Benefit Tiers, Individuals and SHOPs

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Greenway Health

Learn how the Health Insurance Exchange (HIX) will operate within each state and the core requirements that follow.

Education Economy & Finance Business

Marketplace: Benefit Tiers, Individuals and SHOPs

Exploring coverage options through the Marketplace a/k/a Health Insurance Exchange (HIX) is among a growing lexicon of terms for governmental and insurance stakeholders. Intended to provide the consumer with an intuitive way to shop coverage with built-in protections, HIX open enrollment launches Oct. 1, 2013 and offers assistance with coverage choices and comparisons, calculation of costs, and education on public program options. Some HIXs will be run by state governments while others will be administered wholly or in partnership with the federal government. Explore the four exchange tiers, what constitutes "essential benefits" and "essential community providers," the role consumer assistants such as navigators in facilitating coverage for each American, and what providers and practices should be doing today to prepare. Review the basic functions of the HIX and the available subsidies for individuals and families. Regulations on Medicaid eligibility expansion will also be covered, as well as the impact on adult coverage and the future HIX milestones. Source: Webinar presented August 28, 2013 by Adele Allison, National Director of Government Affairs for SuccessEHS

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