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How the Health Insurance
Marketplace Works
How To Apply for Health Insurance Through
the Health Insurance Marketplace
By Howard Chapman, Jr.
November 26, 2013
Affordable Care Act (Continued)
Reason for the Affordable Care Act
•Health Care Cost – 18% of U.S. GNP is Spent on
Healthcare (Sweden next at 11%)
•Uninsured
● Over 50 million people in the U.S. (NACHC 2012)
● 1 million people in Virginia (2012 County Health
Rankings at 14% - Families USA The Lewin
Group noted 29.2% in 2004 over 2 million)
Affordable Care Act (Continued)
Three Goals
1.Access To Healthcare
● Health Insurance Marketplace
2.New Consumer Protections
● Pre-existing Conditions
● Consumer Assistance
Affordable Care Act (Continued)
Goals continued
3. Improving Quality and Lowering
Healthcare Cost
●
●
●
●

Free Preventative Care
RX Discounts for Seniors
Protection Against Health Care Fraud
Small Business Tax Credits
Online Enrollment
•Most effective method
•We will focus on the Online Enrollment
•Plagued with problems since Day 1
•Improved, but still not fully functional
Online Enrollment (Continued)
Step 1: Set up an account
•Visit Marketplace(/marketplace/individual)
•Provide some basic information
•Select user name, password, & security question
*Note: Must have an established email account
Online Enrollment (Continued)
Step 2: Fill out online application
●
●
●
●
●

Provide family information that includes:
Income
Household members
Current health coverage information
More

* Note: Households with more than one tax filing must call the
Marketplace Call Center at 1-800-318-2596 (TTY: 1-855-889-4325)
Online Enrollment (Continued)
Step 3: Compare your options
●
●
●
●
●

See all the options you qualify for including:
Private insurance plans
Free/low cost Medicaid and CHIP coverage
Compare the premiums and out-of-pocket cost
Provide details on cost/benefits to choose a plan
Online Enrollment (Continued)
Step 4: Enroll
•Choose a Plan and Enroll
•Decide How to Pay Your Premium
•Premium Must be Paid Before Coverage Begins
•Family member that qualify for Medicaid/CHIP will have a
representative assist them
Thank You and Questions
•Contact Information
Howard Chapman
BUS 302 Business Communication Class
Telephone: 276-494-1143
Email: hchapmanvic13@gmail.com

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How to apply

  • 1. How the Health Insurance Marketplace Works How To Apply for Health Insurance Through the Health Insurance Marketplace By Howard Chapman, Jr. November 26, 2013
  • 2. Affordable Care Act (Continued) Reason for the Affordable Care Act •Health Care Cost – 18% of U.S. GNP is Spent on Healthcare (Sweden next at 11%) •Uninsured ● Over 50 million people in the U.S. (NACHC 2012) ● 1 million people in Virginia (2012 County Health Rankings at 14% - Families USA The Lewin Group noted 29.2% in 2004 over 2 million)
  • 3. Affordable Care Act (Continued) Three Goals 1.Access To Healthcare ● Health Insurance Marketplace 2.New Consumer Protections ● Pre-existing Conditions ● Consumer Assistance
  • 4. Affordable Care Act (Continued) Goals continued 3. Improving Quality and Lowering Healthcare Cost ● ● ● ● Free Preventative Care RX Discounts for Seniors Protection Against Health Care Fraud Small Business Tax Credits
  • 5.
  • 6. Online Enrollment •Most effective method •We will focus on the Online Enrollment •Plagued with problems since Day 1 •Improved, but still not fully functional
  • 7. Online Enrollment (Continued) Step 1: Set up an account •Visit Marketplace(/marketplace/individual) •Provide some basic information •Select user name, password, & security question *Note: Must have an established email account
  • 8. Online Enrollment (Continued) Step 2: Fill out online application ● ● ● ● ● Provide family information that includes: Income Household members Current health coverage information More * Note: Households with more than one tax filing must call the Marketplace Call Center at 1-800-318-2596 (TTY: 1-855-889-4325)
  • 9. Online Enrollment (Continued) Step 3: Compare your options ● ● ● ● ● See all the options you qualify for including: Private insurance plans Free/low cost Medicaid and CHIP coverage Compare the premiums and out-of-pocket cost Provide details on cost/benefits to choose a plan
  • 10. Online Enrollment (Continued) Step 4: Enroll •Choose a Plan and Enroll •Decide How to Pay Your Premium •Premium Must be Paid Before Coverage Begins •Family member that qualify for Medicaid/CHIP will have a representative assist them
  • 11. Thank You and Questions •Contact Information Howard Chapman BUS 302 Business Communication Class Telephone: 276-494-1143 Email: hchapmanvic13@gmail.com