ACA Covered California, Planned Parenthood - Jessica Oney presentation at ICC Milpitas

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Covered California Planned Parenthood Mar Monte

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Townhall meeting about the implications of ACA/Obamacare Milpitas, October 24, 2013 How the Affordable Care Act Affects You Jessica Oney, Certified Educator, Covered California Jessica Olney currently works as a Covered California Certified Educator. She has been working in the field of health outreach for the past four years with organizations such as Planned Parenthood, West County Health Centers, AmeriCorps, and the Center for Prevention and Outreach. Her work with these organizations has shaped her interest and research in health care reform and she especially enjoys being speaking one-on-one with individuals in the community about their questions and concerns about Covered California.

Transcript of ACA Covered California, Planned Parenthood - Jessica Oney presentation at ICC Milpitas

Page 1: ACA Covered California, Planned Parenthood - Jessica Oney presentation at ICC Milpitas

Covered California

Planned Parenthood Mar Monte

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VISIONImprove the Health of All Californians Access Affordable CareProvide High Quality Care

MISSIONIncrease Insured CaliforniansImprove Healthcare QualityLower CostsReduce Health DisparitiesChoice & Value

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Affordable Care Act Improvements

• Guaranteed coverage• Standardized benefits• No annual limits, no denial for pre-existing

conditions• Rates are not based on your health status

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Penalties• Under the ACA, if you don’t have health

insurance by March 2014:– You will be assessed a tax penalty– 2014: 1% of family income or $95 per adult,

$47.50 per child– 2015: 2% of family income or $325 per adult,

$162.50 per child– 2016 +: 2.5% of family income or $695 per adult,

$347.50 per child.

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Plans Available Through Covered California

• 4 Plans Available: Bronze, Silver, Gold, Platinum• Catastrophic Plan Available to Few Participants• Enhanced Silver Plan for those Eligible for “Cost Sharing”• Premium Assistance Available Up to 400% of the Poverty

Line

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Plan Benefits

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Enhanced Silver Benefits

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Essential Health Benefits

1. Ambulatory patient services

2. Emergency Services3. Hospitalization4. Maternity and newborn

care5. Mental health and

substance use disorder services, including behavioral health treatment

6. Prescription drugs 7. Rehabilitative services

and devices8. Laboratory services9. Preventative and

wellness services and chronic disease management

10. Pediatric services

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Health Insurance That’s Affordable

• Assistance based on income• More affordable co-pay options• Zero deductible for many plans• Free preventive care• Lower out-of-pocket maximums

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June Health Insurance Plans

Announced October First

Open Enrollment

March 31st Open Enrollment

Ends 2014

2013

2015+

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Health Insurance Companies • Alameda Alliance

for Health• Anthem Blue Cross

of California• Blue Shield of California• Chinese Community

Health Plan• Contra Costa Health Plan• Health Net

• Kaiser Permanente• L.A. Care Health Plan• Molina Healthcare• Sharp Health Plan• Valley Health Plan• Ventura County Health

Care Plan• Western Health

Advantage

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Health Coverage for Small Businesses

• Small Businesses Health Options Program (SHOP)

• Less than 50 employees• Tax Credits• Plan choice

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THANK YOU

For more information you can:

• Submit an Enrollment Referral Form with a Certified Educator

• Visit www.CoveredCA.com• Call 1-888-975-1142