Transcript The New Health Care Law - New Hampshire Alcohol & Drug

The New Health Care Law
And NAADAC, The Association for Addiction Professionals
What does it mean for NAADAC State
Affiliates?
Enrollment Period:
October 1, 2013- March 30, 2014
Coverage Begins:
January 1, 2014
 The new health care law includes treatment for
substance use disorders services, including
behavioral health and mental health treatment.
*Regardless of Pre Existing Health Conditions*
What does the new health care law
mean?
 Everyone Can:
 Access insurance by
mail, phone, in person,
and online
 Compare plans and
choose the one which
best fits their needs
 Get discounts based on
family size and income
Health Insurance Marketplace
Dept. of Health and Human Services
465 Industrial Blvd.
London, KY 40750-0001
1 (800) 318- 2596
www.healthcare.gov
Visit https://localhelp.healthcare.gov/
to find an Assistor to enroll you in
person
Affordable Care Act Benefits





FREE rehabilitation services/devices
FREE prescriptions
FREE preventative and wellness services
FREE chronic disease management
NO extra charges or denial due to pre-existing
conditions, age, occupation, credit history, or sex
 NO more dollar amount limits on coverage in case of
illness
The Essential Health Benefit Package
The Essential Health Benefit package (EHB) provides
essential coverage for the following services:
1. Ambulatory patient services
6.
Prescription drugs
2. Emergency services
7.
Rehabilitative and habilitative
services and devices
3. Hospitalization
8.
Laboratory services
4. Maternity and newborn care
9.
Preventive and wellness services
and chronic disease management
5. Mental health and substance
use disorder services, including
behavioral health treatment
10.
Pediatric services, including oral
and vision care
Members need to tell clients to check
out HealthCare.gov to…
 Read FAQs about their demographic (Gen X/Baby
Boomers, Seniors, LGBT, Hispanic, Families with Children
 Engage with video testimonials from real people
 Enroll in a plan even in the case of a language barrier
(there are Spanish, Korean, various Native American
language options and more)
 Access the new HealthCare.gov Marketplace and pay
for treatment over the phone or online
Levels of Coverage
Levels of
Coverage
Enrollees
Plan Pays
Pay on
on Average Average
Bronze
60%
40%
Silver
70%
30%
Gold
80%
20%
Platinum
90%
10%
 The Health Care Law requires
that plans meet certain levels of
coverage, called “metal tiers”
 The percentages are associated
with values based on a standard
population.
 Catastrophic Coverage:
additional coverage for young
adults under 30 years of age
which includes high deductibles
and lower premiums, coverage
for three primary care visits and
preventative services with no
out of pocket costs.
The Health Insurance Marketplace
 Contains:
 User-Friendly introductory PowerPoint for the general
population and specific communities
 Glossary of healthcare terms to understand their new
plans
 Posters, postcards to inform clients of the most vital
details of coverage
 HealthCare.gov social media resources (Facebook, Twitter,
and a blog)
Next Steps!
1. Explore HealthCare.gov and find information most
pertinent to your members
 Who are they?
 Where do they work?
 What would they want to know?
Next Steps!
2. Communicate to your members
 Add a segment like: “The New Health Care Law and You”
to a regular email or newsletter with tips or facts
 i.e. “Under the Affordable Care Act, you’ll have access to
FREE TREATMENT for substance use disorders services,
including behavioral health and mental health treatment!”
 Share on all social media
 Be sure to include links to NAADAC.org and
HealthCare.gov
Next Steps!
3. Keep in touch with NAADAC in order to ensure you’re
providing the latest updates. For the latest information
on the Health Insurance Marketplace visit
www.naadac.org
Find Out More…
 Find your local CMS regional office and contact information
 www.cms.gov/about-CMS/AgencyInformation/RegionalOffices/ReginalMap.html
 Check out the Health Insurance Marketplace blog for new
updates:
 http://www.hhs.gov/healthcare/facts/blog/index.html
 Learn more about by attending a National Webinar:
 www.hhs.gov/partnerships/resources/aca_101-invite.html
Get Involved
 Educate your community about Faith based outreach
activities
 www.hhs.gov/partnerships/aca_act_and_community/inde
x.html
 Specific Questions? Contact [email protected]
 Find other Health Centers already participating in
community outreach:
 www.hrsa.gov/about/news/2013tables/outreachandenrollm
ent/
Thank you for viewing NAADAC’s
presentation of The New Health
Care Law.
For more information, please contact NAADAC’s Executive
Director, Cynthia Moreno Tuohy
[email protected]