1. Introduction to kynect Date

2. Objectives Understand the importance of health coverage Understand basic components of kynect Describe new coverage options Describe insurance affordability programs Know how to become a Certified Application Counselor Organization

3. Importance of Coverage An unexpected illness or injury can happen to anyone Drains financial resources Personal bankruptcy in the U.S. Peace of mind

4. Importance of coverage Health insurance = better access to care People who DON’T HAVE health coverage are more likely to: Skip getting medical care that they need Postpone getting care due to cost Not fill a prescription due to cost Have trouble paying medical bills

5. Importance of coverage Health insurance = better access to care People who DO have health coverage are more likely to: Get preventive care that prevents illness Get earlier treatment for illness or disease Have better outcomes for health problems, because of early treatment

6. Importance of coverage Approximately 694,000 uninsured in Kentucky Drain on economy Drain on provider resources

7. What is kynect? Kentucky’s response to the ACA State-Based Marketplace One-stop-shop for insurance Medicaid KCHIP Private Health Plans

8. kynect.ky.gov

15. Enrolling in kynect One streamlined application for: Qualified Health Plans – Insurance Affordability Programs Medicaid KCHIP Apply: online, by phone, by mail or in-person Open Enrollment through March 31, 2014

16. Expanded Medicaid Kentucky expanded Medicaid eligibility 133% FPL 5% disregard New populations covered

17. Qualified Health Plan Is licensed and in good standing with the State of Kentucky Meets other standards of the ACA Covers Essential Health Benefits Doctor Visits Hospitalization Emergency Care Prescriptions Medical Tests Wellness Visits Maternity and Newborn Care Pediatric Care (including dental and vision) Mental Health Care and Substance Abuse Treatment Physical, Speech and Occupational Therapy

18. Insurance Affordability Programs Two programs to help make insurance more affordable Advanced Premium Tax Credits Cost Sharing Reductions

19. Insurance Affordability Programs New Federal program that uses tax credits to reduce the premium cost for Qualified Health Plans (QHPs) Can be applied directly to the premium IRS reconciles over/under payment when people file taxes. New Federal program Helps reduce out-of- pocket costs for enrollees in Silver QHPs. Payments are made to issuers to reduce deductible and co- insurance (out-of- pocket) costs. Advanced Premium Tax Credits (APTC) Cost Sharing Reductions (CSR)

20. Qualifying for Insurance Affordability Programs

21. Where to get help Kynect.ky.gov Call Center: 1-855-4kynect In person Assistance Insurance Agents Kynectors State-funded workers Federally Qualified Health Centers Other care providers

23. Questions?