1. Health Insurance Annual Open Enrollment Periods Medicare* – Oct 15 th to Dec 7 th Obamacare*# - Nov 15 th to Feb 15 th Medicaid Expansion # – starts Dec 1st *Special enrollments periods exist #Based on income and household size

2. Last year, 150,000 Obamacare health policies Almost 100,000 newly eligible individuals for health insurance

3. Examples of the uninsured?  Daycare workers  Food service workers  Barbers  Beauticians  Taxi drivers  Part time workers  Young adults  Unemployed individuals  Small business owners/employees

4. Household Size Medicaid Expansion 1< $619$619$1,007$1,795> $1,795 2< $835$835$1,512$2,420> $2,420 3< $1,043$1,043$1,903$3,044> $3,044 4< $1,266$1,266$2,293$3,669> $3,669 Obamacare Marketplace Situation? Bi-Weekly Gross Pay

5. Household Size Medicaid Expansion 1< $16,105$16,105$29,175$46,680> $46,680 2< $21,707$21,707$39,325$62,920> $62,920 3< $27,310$27,310$49,475$79,160> $79,160 4< $32, 913$32,913$59,625$95,400> $95,400 Obamacare Marketplace Situation? Annual Income

6. 6 Health Plan Categories Highest Premiums Lowest Out-of-Pocket Costs Lowest Premiums Highest Out-of-Pocket Costs Covered Percent of Total Cost of Care Covered 60%70%80%90%

7. 7 Health Insurance Marketplace 101 6/20/13 Ambulatory patient servicesPrescription drugs Emergency servicesRehabilitative and habilitative services and devices HospitalizationLaboratory services Maternity and newborn carePreventive and wellness services and chronic disease management Mental health and substance use disorder services, including behavioral health treatment Pediatric services, including oral and vision care (pediatric oral services may be provided by stand-alone plan) Qualified Health Plans cover Essential Health Benefits which include at least these 10 categories Essential Health Benefits

8. “Obamacare” Marketplace (some will get a federal “coupons”) (State approval + Federal dollars =) Medicaid Expansion Options for the Uninsured

9. Enrollment options

10. Health Insurance Sign up Options Medicaid Expansion – www.compass.state.pa.us orwww.compass.state.pa.us 1-866-550-4355 (Starts December 1 st ) Special enrollments periods exist* Obamacare Marketplace – www.healthcare.gov or 1-800-318-2596

11. Enrollment options Stay tuned for more in-person assistance enrollment options Visit www.bhnphilly.org for more infowww.bhnphilly.org

12. Key points  New health insurance options for EVERYONE.  Most people DO NOT know.  People MUST ACT  To get coverage  To potentially get a better deal or save money  Help is available