April 2014 1 A free, unbiased service, sponsored by the: Statewide Health Insurance Benefits Advisors (SHIBA)

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Presentation transcript:

April A free, unbiased service, sponsored by the: Statewide Health Insurance Benefits Advisors (SHIBA)

2 SHIBA mission statement SHIBA provides free, unbiased information about health care coverage and access to help improve the lives of all Washington state residents. We cultivate community commitment through partnership, service, and volunteering.

3 With a Medicare emphasis, provide free, unbiased information about health care coverage & access We train volunteers to confidentially counsel consumers in their own communities about: Government programs Prescription plan review Accessing the Exchange Private insurance 20 Sponsoring agencies serving all counties Manage 400 volunteers statewide What we do

4 Federal grant – Medicare outreach & counseling Proud network of 54 SHIPs nationwide – 14,500 counselors (57% volunteer) Grass root partner Three main objectives: Personalized counseling help Community outreach Provide trained & supported counselors (volunteer & paid)  Performance measures – statewide and county Includes: number of contacts, events, low-income, disabled, quick contacts & substantial counseling, counseling hours

5 Total client contacts 12-month period

6 We serve everyone, but target People of all ages and backgrounds People with disabilities & specific diseases Seniors and pre-retirees Dual eligibles with Medicaid People with mental health needs Ethnic & multilingual populations Uninsured people Rural populations People with low income

7 Ways we help consumers Assess health coverage needs Determine general eligibility for programs Evaluate and compare policies/programs Make referrals to other agencies and programs Collect and report possible fraud complaints

We can’t recommend a health insurance plan, company or agent We don’t help with solving medical billing issues We are not case workers, but we: Do provide enrollment help Speak with Medicare on clients’ behalf Enter Medicare complaints on clients’ behalf 8 Our resource limits

9 SHIBA facts During 2013, we:  Helped 54,252 consumers  Had 570 volunteers  Logged 81,863 volunteer hours

10 Community Outreach Happy birthday events for folks turning age 65 Statewide Medicare enrollment clinics & events Community college classes on Medicare

11 Consumer testimonials “Excellent service. Had all my questions answered AND they back to me almost immediately.” “Really appreciated the expert advice I received!” “Roses and rah rahs to SHIBA. What a relief to have someone actually in my corner.”

12 Our volunteer training  We cover Medicare & options for people under age 65  We provide training 8 months/year  We provide volunteers with access to:  Professional staff support  Volunteer-only website  Training materials  Public presentations  Publications  Outreach materials  Implementing online certification exam volunteers must take before working with clients

13 Types of counseling we offer  Medicare Open Enrollment (Part D & MA)  Medicare Supplement plans  How Medicare works with other programs  How to get help paying for Medicare  Social Security’s role in Medicare  Options for people under age 65

14 Our volunteers Diana, Senior Services of King County She always goes the extra mile for clients who need help. Treats her clients with genuine concern and respect, and is a good, patient listener. Jean, South Sound Outreach, Pierce County With the SHIBA program for 8 years, she not only cares about the consumers she helps, but also her fellow volunteers. Jean brings compassion, experience and diligence to the program. Laird, Whatcom Alliance for Health Advancement Laird works incredibly hard on behalf of his clients to make sure he leaves no stone unturned.

15 Our sponsors Note: Star does not represent actual location

16 Our roles Program manager Regional training consultant supervisor Regional training consultants Curriculum writer Contracts & grants coordinator Statewide outreach & volunteer coordinator mentor Communications coordinator Administrative support and Management Analyst Volunteer coordinators Volunteers

17 Want to join our team? Public speaking Outreach Counseling Topic specialties Administrative Research Internet/computing Volunteer opportunities:

18 How to contact us TDD: TDD Relay:

19 Need help with other insurance questions? The Office of the Insurance Commissioner can also help you with questions, information and complaints about all types of insurance, such as: Homeowner Auto Life Annuities Health And more! Call our Insurance Consumer Hotline