Affordable Care Act (ACA) now in open enrollment!

King County "Coverage is Here" logoWashington state is currently in the open enrollment period to renew or sign up for low-cost private insurance. Enrollment for qualified health plans began November 15, 2014 and will end on February 15, 2015, so time is of the essence to sign up! There are very informative resources available about affordable health care on the Washington healthplanfinder website as well as social media sites such as Facebook and Twitter.

But remember, for those who qualify for Washington Apple Health (formerly called Medicaid), enrollment is open all year – so people can sign up any time! If you are not sure of your eligibility, this very helpful chart from Health Care Authority includes the income limits for the various Apple Health programs.

Other resources that might be helpful in comparing, purchasing and enrolling for health insurance include Washington LawHelp self-help materials, which outline some basic legal information regarding the current state policies in a clear and organized format. Also, the Washington Health Benefit Exchange website offers individuals and families materials to find and pay for quality health insurance. In addition, The Northwest Health Law Advocates recently created a very informative self-help publication for anyone in need of further details about the various insurance options for health care in Washington.

If you have any additional questions, please do not hesitate to contact Solid Ground’s Family Assistance  program’s Intake Line: 206.694.6742 or WAFINDER: 855.923.4633. Here’s to a healthy (and fully-insured) 2015!

Special enrollment & the Affordable Care Act

For a large segment of the US general public, open enrollment for health care coverage through the Affordable Care Act (ACA) in 2014 was October 1, 2013 through March 31, 2014. Most who missed that window will have to wait until the next open enrollment period for coverage in 2015, which is November 15, 2014 through February 15, 2015. However, exceptions for certain life events qualify some people for special enrollment, which is year round. Exceptions include those who qualify for or are renewing Washington Apple Health (formerly known as Medicaid in Washington state), marriage, divorce, birth or adoption of a child, foster care, or death of a dependent. There are many other qualifying factors, but all of the explanatory jargon can be confusing at times.Health Care 1985

Thankfully, our Family Assistance Program has been hard at work providing trainings and legal advice on the ACA. The purpose of these trainings is to assist people with education on and enrollment in the newly available medical insurance through the Health Benefit Exchange and Apple Health. For example, one of the major changes from the expansion of the Medicaid program affects those making up to 138% of the Federal Poverty Level. Specifically, if a single household earns under $1,274 per month (or $15,290 per year), then they can access Apple Health and apply for it at any time. Folks who make more than that are potentially eligible to purchase a Qualified Health Plan through the Health Benefit Exchange during the next open enrollment.

Solid Ground holds an ongoing commitment to educate and enroll the uninsured in free or affordable health care. From October 1, 2013 to May 29, 2014, 178,659 residents were enrolled for health care coverage in King County. Amazingly, 40,021 of them were previously eligible for Medicaid but not enrolled, 48,344 are receiving coverage through a Qualified Health Plan, and 90,294 newly eligible people signed up for Apple Health. Our President and CEO, Gordon McHenry Jr., couldn’t be more thrilled. “These impressive results were the work of a great partnership involving King County Public Health, our medical providers and many nonprofits, including Solid Ground,” he said in a letter to Solid Ground staff. “Equitable access to quality, free or affordable health care is essential to a community that is healthy and thriving.”

Reminder: Open enrollment for Apple Health is year-round, and applications can be accessed through Washington Healthplanfinder. If you have questions regarding special enrollment or anything else regarding coverage under the ACA, please contact the Family Assistance Program at 206.694.6742.

Affordable Care Act: Help us continue to get the word out!

Image from U.S. Dept. of Health and Human Services study - HealthCare.gov

U.S. Dept. of Health and Human Services study – HealthCare.gov

King County is a national leader in obtaining health care coverage through expanded Medicaid and Qualified Health Plans. In 2013, King County set a goal of enrolling at least 180,000 residents (80,000 in Medicaid and 100,000 in subsidized Exchange coverage) by 31 March 2014, the end of the initial enrollment period.

On Friday, we convened the Executive Committee of the King County Enrollment Leadership Circle to review our progress. I’m pleased to report that by early this month, over 75,000 King County residents have been enrolled since October! Our challenge is that of those 75,000 new enrollees, only around 20,000 are enrolled in a Qualified (subsidized) Health Plan. Also, those enrolled between the ages of 19 and 34 are significantly low.

While King County is on-plan to achieve its goal of enrolling 80,000 persons in (expanding) Washington Apple Health (Medicaid), we need significant renewed effort to reach our goal of ensuring 100,000 eligible residents obtain affordable care through a Qualified Health Plan.

Solid Ground will remain a leader as a part of King County’s collective effort to leverage this historic opportunity (see The Affordable Care Act: A potential ‘life-changer’ for people living on low incomes). As we know well, education, employment and health care are essential to ending poverty.

That is whywe are encouraging everyone to talk with family, friends, colleagues and clients, especially those who are ages 19 – 34. Please initiate conversations regarding health care and encourage those who do not have coverage to enroll prior to 31 March 2014. Thank you!

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