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P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | NEW JERSEY PRIMARY CARE ASSOCIATION How to enroll & Where to go to do it Michelle E. Michel, MA, MPH Manager of Outreach and Enrollment, NJPCA P: 609-689-9930 F: 609-689-9941 3836 Quakerbridge Rd, Ste 201 Hamilton, NJ 08619 www.njpca.org | Wednesday, November 20, 2013 MIDDLESEX COUNTY NJ HEALTH INSURANCE MARKETPLACE AWARENESS EVENT Slide 2 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | Todays Presentation Outline 1 How to apply for coverage 2 Where YOU can go for help / your local health center 3 How YOU can prepare and save time 4 Wrap-up Slide 3 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | P: 609-689-9930 F: 609-689-9941 3836 Quakerbridge Rd, Ste 201 Hamilton, NJ 08619 www.njpca.org | The Marketplace is NOT the same as Medicaid! Marketplace Private insurance companies State Medicaid (NJ FamilyCare) How are they related: Eligibility and how much you save are INCOME-BASED The Marketplace online application will send your information to NJFC if you qualify for Medicaid Marketplace vs. Medicaid (NJ FamilyCare) www.healthcare.gov www.njfamilycare.org Slide 4 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | P: 609-689-9930 F: 609-689-9941 3836 Quakerbridge Rd, Ste 201 Hamilton, NJ 08619 www.njpca.org | Four Ways to Apply for Marketplace Coverage By phone, 1-800-318-2596 Online @ www.healthcare.gov On paper In person Slide 5 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | P: 609-689-9930 F: 609-689-9941 3836 Quakerbridge Rd, Ste 201 Hamilton, NJ 08619 www.njpca.org | In-Person Assistance Navigators Application assisters Certified application counselors (CAC) Local Department of Social Services Insurance agents and brokers can also help you with your application and choices Slide 6 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | P: 609-689-9930 F: 609-689-9941 3836 Quakerbridge Rd, Ste 201 Hamilton, NJ 08619 www.njpca.org | Get Help LOCALLY Local Help Get help applying in person There are 20 federally qualified health centers throughout the state of New Jersey, with a total of 113 sites All 20 are functioning as CACs Two (2) are in Middlesex County Jewish Renaissance Medical Center, Perth Amboy, NJ Eric B. Chandler Health Center, New Brunswick, NJ Slide 7 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | P: 609-689-9930 F: 609-689-9941 3836 Quakerbridge Rd, Ste 201 Hamilton, NJ 08619 www.njpca.org | Outreach and Enrollment Our FQHCs are focusing on In-reach and Outreach In-reach: Enrollment of existing patients who are currently uninsured and are eligible for enrollment in Medicaid expansion or the Marketplace. Outreach: Identify and enroll new patients and community members who reside in the communities in which our centers and satellites are located. Slide 8 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | P: 609-689-9930 F: 609-689-9941 3836 Quakerbridge Rd, Ste 201 Hamilton, NJ 08619 www.njpca.org | Requirements for Assisting people to Enroll MUST BE CERTIFIED by Centers for Medicare and Medicaid Services (CMS) They must complete and pass a web-based training course with a passing score of 80 You can be confident that youre getting the best service at our states federally qualified health centers Health Center staff must be certified to be CACs Slide 9 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | P: 609-689-9930 F: 609-689-9941 3836 Quakerbridge Rd, Ste 201 Hamilton, NJ 08619 www.njpca.org | Marketplace Application Checklist HAVE THIS INFORMATION HANDY!! Slide 10 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | P: 609-689-9930 F: 609-689-9941 3836 Quakerbridge Rd, Ste 201 Hamilton, NJ 08619 www.njpca.org | Marketplace Application Checklist To speed up the process and save some time HAVE THIS INFORMATION HANDY!! For every person in your household: Social Security numbers (or document numbers) Employer and income info Policy numbers for current health plans Job-based health insurance info Slide 11 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | P: 609-689-9930 F: 609-689-9941 3836 Quakerbridge Rd, Ste 201 Hamilton, NJ 08619 www.njpca.org | Job Health Insurance Employer Coverage Tool Only if employed, and/or are eligible for health insurance from your or another persons job Complete one tool for each employer that offers health coverage that youre eligible for Slide 12 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | P: 609-689-9930 F: 609-689-9941 3836 Quakerbridge Rd, Ste 201 Hamilton, NJ 08619 www.njpca.org | 1.Come preparedsave time!! a.SSN, income, employment, health insurance policy numbers (if any) 2.Go to your local health center for help a.Jewish Renaissance Medical Center Perth Amboy area b.Eric B. Chandler Health Center New Brunswick area