Washington Health Benefit Exchange NORTH PUGET SOUND REGION Whatcom Alliance for Health Advancement Lead Organization, North Puget Sound Region In-Person.

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Presentation transcript:

Washington Health Benefit Exchange NORTH PUGET SOUND REGION Whatcom Alliance for Health Advancement Lead Organization, North Puget Sound Region In-Person Assister (IPA) Program

PURPOSE AND OBJECTIVES Purpose This section gives an overview of the WA Health Benefit Exchange (HBE) and the In-Person Assister (IPA) Program Objectives Upon completion of this presentation you will: ▪ Understand the structure of the HBE in WA State ▪ See where the role of the IPA fits ▪ Know the IPA regions 2

TOPICS ▪ WA Health Benefit Exchange ▪ Customer Support Options ▪ Lead Organizations ▪ North Sound Networks ▪ Uninsured populations 3

WA HEALTH BENEFIT EXCHANGE ▪ Part of the Affordable Care Act ▪ Separate State agency ▪ On-line “marketplace” for enrolling in/purchasing health insurance ▪ Washington’s Exchange: WAhealthplanfinder.org 4

5

WASHINGTON HEALTHPLANFINDER 6 QHP Logo

Website Agent Broker In-person Assister ( Navigator) Self- Directed Partner Customer Support Center CUSTOMER SUPPORT OPTIONS

oufdff Website Agent Broker In-Person Assister ( Navigator) Self- Directed Partner Customer Support Center Statewide Marketing and Outreach HBE (Advertising/Media)Outreach Partners

IPA PROGRAM State Regions Lead Orgs (10) Networks IPA Orgs/Partners 9 Exchange Lead Org

LEAD ORGANIZATION RESPONSIBILITIES ▪ Build local network of community-based organizations ▪ Lead outreach and education activities for network area ▪ Train IPAs within the networks ▪ Financial agent for network partners ▪ Performance monitoring ▪ Reporting 10

*Urban Institute 12

NORTH SOUND REGION UNINSURED 13 County Population Total Uninsured (< 65 y.o.)* Total qualify for Medicaid expansion* Total qualify for subsidies* Total Eligible* Whatcom County207,20025,1007,50011,90019,400 Skagit County120,40019,6005,3008,60013,900 Island County80,9009,6003,5003,9007,400 San Juan County16,2002, ,2001,900 Snohomish County734,900112,40025,60049,60075,200 TOTAL North Puget Sound 5-County Region 1,159,600169,40042,60075,200117,800 Data is from Washington State Insurance Commissioner Report, May 2012 * WAHA enrollment targets set to 50% eligible population for Whatcom, San Juan, Island and Skagit; 15% for Snohomish

Who Needs to Connect to the Exchange? 14 Self-Employed *Small Business *Small Business Others Underinsured Self-payers People in Transition People in Transition Invincibles Cobra Enrollees Cobra Enrollees Unemployed Functioning Disabled Functioning Disabled Early Retirees Waiting for 65 Early Retirees Waiting for 65 Creatives and Independents Creatives and Independents Homeless

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