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Cover oregon & Oregon’s Libraries ARIANE HOLM, COVER OREGON ROB SASSOR, METROPOLITAN GROUP

Cover oregon & Oregon’s Libraries ARIANE HOLM, COVER OREGON ROB SASSOR, METROPOLITAN GROUP NOVEMBER 13, 2013.

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Cover oregon & Oregon’s Libraries ARIANE HOLM, COVER OREGON ROB SASSOR, METROPOLITAN GROUP

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  1. Cover oregon & Oregon’s Libraries ARIANE HOLM, COVER OREGON ROB SASSOR, METROPOLITAN GROUP NOVEMBER 13, 2013

  2. Cover Oregon is a new health insurance marketplace where Oregonians can choose from different health insurance carriers and plans that fit their needs and budget, and access financial help to pay for coverage. • Cover oregon

  3. BACKGROUND • Created in 2011 by Oregon Legislature • Formed as public corporation • Key piece of Affordable Care Act • Custom-built for Oregonians

  4. Dec. 15: Deadline to enroll in coverage for plan to start Jan. 1, 2014 • Jan. 1, 2014: Coverage for individual plans begins • March 31, 2014: Open enrollment ends for private plans. • timeline

  5. ACA changes • Can’t be denied for pre-existing condition • Essential health benefits • Financial help • Medicaid expansion • Requirement to have insurance • Health insurance marketplaces (exchanges) • Carriers must spend 80% of premiums on care

  6. ESSENTIAL HEALTH BENEFITS • Pediatric vision care • Hospitalizations • Ambulatory services • Laboratory services • Prescription drugs • Emergency services Rehabilitative/habilitative services & devices • Prevention/wellness • Maternity/newborn care Mental/behavioral health

  7. Plans through cover oregon

  8. Plan choice Number of plans in individual market: 102 Number of plans in small group market: 73 Number of HSA-qualified plans: 24

  9. Individual private plan insurers formerly ODS

  10. Public MEDICAL programs

  11. small EMPLOYER private plan insurers formerly ODS

  12. Dental insurers

  13. Individuals and families

  14. Individuals AND FAMILIES • Financial help • Clear information and price transparency • Side-by-side comparisons • One-stop shopping • Quality coverage and grades • Help enrolling • HSA-eligible plans

  15. ELIGIBILITY FOR Financial help

  16. If you qualify for a tax credit, you can choose to receive it monthly or annually • Monthly: Choose to take the maximum tax credit each month, or just take part of it • Advantage: Lower your health care premium each month • Annually: Choose the minimum monthly tax credit ($0) • Advantage: Lower the amount you pay--or increase your refund--at tax time • How TO TAKE THE TAX CREDIT

  17. informed decisions about premiums vs. copays

  18. How to apply

  19. Visit home page of CoverOregon.com • Call 1-855-CoverOR to request an application • Find a community partner or agent on CoverOregon.com to help you fill out an application • Go to any Department of Human Services office in the state • Where to find application

  20. How to apply

  21. “Fast track” enrollment • For families pre-screened as newly eligible for OHP based on SNAP applications or kids enrolled in Healthy Kids • More than 260,000 Oregonians received letter from OHP/Healthy Kids letting them know they’re eligible • If you received a notice, you just need to fill out and sign the form and send back • Once they send back the form, they’ll get coverage starting Jan. 1, 2014! • More than 70,000 Oregonians have already signed up! • More info at: http://www.oregon.gov/oha/healthplan/pages/fast-track.aspx

  22. How to CHOOSE A PLAN • Search by: • Geography • Price • Provider • Quality rating (12 metrics first year) • Carrier • Plan type (e.g., HMO, PPO) • Deductible • Out-of-pocket maximum • Metal tier (bronze, silver, gold, platinum)

  23. Home page

  24. Finding agents/community partners

  25. Browse plans

  26. Small businesses

  27. Small businesses • Choice • Clear information • Set contribution • Quality coverage • Streamlined administration • Access to tax credits • Premium only Plan Section 125 documents

  28. Providing information for your community

  29. Brochures • Fact sheets • Posters • Print materials available in: • English • Simplified and Traditional Chinese • Japanese • Korean • Russian • Spanish • Vietnamese • A custom version for tribal members • Text for social media posts and newsletter articles • AVAILABLE TOOLS

  30. Order print materials at CoverOregonStore.com • Download fact sheets and other resources: resources.coveroregon.com/fact-sheets.html • Download Cover Oregon’s “Toolkit for Community Partners” for social media posts and newsletter: coveroregon.groupsite.com (see “Cover Oregon Branded Materials” in the “File Cabinet”) • HOW TO ACCESS OUR TOOLS

  31. Download and order materials, and display them at your library • Organize a book display to promote health literacy • Include content about Cover Oregon in your e-newsletters, website, social media sites and other communications • Set CoverOregon.com as the home screen on public computers • Start today and continue sharing information through March 31, 2014 when open enrollment ends • HOW YOU CAN HELP

  32. Connect with us Facebook.com/CoverOregon Sign up for email alerts at CoverOregon.com @CoverOregon www.Plus.Google.com (search “Cover Oregon”) www.LinkedIn.com (search “Cover Oregon”) www.YouTube.com/CoverOregonVideo CoverOregon.com

  33. CoverOregon.com

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