Transcript NJ Primary Care – Michelle Michel

Wednesday, November 20, 2013
MIDDLESEX COUNTY
NJ HEALTH INSURANCE
MARKETPLACE
AWARENESS EVENT
NEW JERSEY PRIMARY CARE ASSOCIATION
How to enroll & Where to go to do it
Michelle E. Michel, MA, MPH
Manager of Outreach and Enrollment, NJPCA
P: 609-689-9930
F: 609-689-9941
3836 Quakerbridge Rd, Ste 201
Hamilton, NJ 08619
|
www.njpca.org
P: 555.123.4568 F: 555.123.4567
123 West Main Street, New York,
NY 10001
|
www.rightcare.com
Today’s Presentation
Outline
1
How to apply for coverage
2
Where YOU can go for help / your local
health center
3
How YOU can prepare and save time
4
Wrap-up
P: 555.123.4568 F: 555.123.4567
123 West Main Street, New York,
NY 10001
|
www.rightcare.com
The Marketplace is NOT
the same as Medicaid!
 Marketplace  Private insurance
companies
 State Medicaid (NJ FamilyCare)
 How are they related:
 Eligibility and how much you
save are INCOME-BASED
 The Marketplace online
application will send your
information to NJFC if you
qualify for Medicaid
Marketplace vs.
Medicaid
(NJ FamilyCare)
www.healthcare.gov
www.njfamilycare.org
P: 609-689-9930
P: 555.123.4568
F: 555.123.4567
F: 609-689-9941
123 West
Main Street, New York,
3836 Quakerbridge Rd, Ste 201
NY 10001
Hamilton, NJ 08619
|
www.njpca.org
www.rightcare.com
Four Ways to Apply for
Marketplace Coverage




By phone, 1-800-318-2596
Online @ www.healthcare.gov
On paper
In person
P: 609-689-9930
P: 555.123.4568
F: 555.123.4567
F: 609-689-9941
123 West
Main Street, New York,
3836 Quakerbridge Rd, Ste 201
NY 10001
Hamilton, NJ 08619
|
www.njpca.org
www.rightcare.com
In-Person Assistance
 Navigators
 Application assisters
 Certified application
counselors (CAC)
 Local Department of Social
Services
 Insurance agents and brokers
can also help you with your
application and choices
P: 609-689-9930
P: 555.123.4568
F: 555.123.4567
F: 609-689-9941
123 West
Main Street, New York,
3836 Quakerbridge Rd, Ste 201
NY 10001
Hamilton, NJ 08619
|
www.njpca.org
www.rightcare.com
Get Help LOCALLY
There are 20 federally qualified health
centers throughout the state of New
Jersey, with a total of 113 sites
 All 20 are functioning as CACs
 Two (2) are in Middlesex County
 Jewish Renaissance Medical
Center, Perth Amboy, NJ
 Eric B. Chandler Health Center,
New Brunswick, NJ
Local Help
Get help applying
in person
P: 609-689-9930
P: 555.123.4568
F: 555.123.4567
F: 609-689-9941
123 West
Main Street, New York,
3836 Quakerbridge Rd, Ste 201
NY 10001
Hamilton, NJ 08619
|
www.njpca.org
www.rightcare.com
Outreach and Enrollment
 In-reach: Enrollment of existing
patients who are currently
uninsured and are eligible for
enrollment in Medicaid expansion
or the Marketplace.
 Outreach: Identify and enroll new
patients and community members
who reside in the communities in
which our centers and satellites are
located.
Our FQHCs
are focusing
on In-reach
and Outreach
P: 609-689-9930
P: 555.123.4568
F: 555.123.4567
F: 609-689-9941
123 West
Main Street, New York,
3836 Quakerbridge Rd, Ste 201
NY 10001
Hamilton, NJ 08619
|
www.njpca.org
www.rightcare.com
Requirements for
Assisting people to Enroll
 MUST BE CERTIFIED by Centers
for Medicare and Medicaid Services
(CMS)
 They must complete and pass a
web-based training course with
a passing score of 80
 You can be confident that you’re
getting the best service at our state’s
federally qualified health centers
Health Center
staff must be
certified to be
CACs
P: 609-689-9930
P: 555.123.4568
F: 555.123.4567
F: 609-689-9941
123 West
Main Street, New York,
3836 Quakerbridge Rd, Ste 201
NY 10001
Hamilton, NJ 08619
|
www.njpca.org
www.rightcare.com
Marketplace Application
Checklist
HAVE THIS INFORMATION
HANDY!!
P: 609-689-9930
P: 555.123.4568
F: 555.123.4567
F: 609-689-9941
123 West
Main Street, New York,
3836 Quakerbridge Rd, Ste 201
NY 10001
Hamilton, NJ 08619
|
www.njpca.org
www.rightcare.com
Marketplace Application
Checklist
For every person in your
household:
 Social Security numbers (or
document numbers)
 Employer and income info
 Policy numbers for current
health plans
 Job-based health insurance
info
To speed up the
process and save
some time…
HAVE THIS
INFORMATION
HANDY!!
P: 609-689-9930
P: 555.123.4568
F: 555.123.4567
F: 609-689-9941
123 West
Main Street, New York,
3836 Quakerbridge Rd, Ste 201
NY 10001
Hamilton, NJ 08619
|
www.njpca.org
www.rightcare.com
Job Health Insurance
Employer Coverage Tool
 Only if employed, and/or are
eligible for health insurance
from your or another
person’s job
 Complete one tool for each
employer that offers health
coverage that you’re eligible
for
P: 609-689-9930
P: 555.123.4568
F: 555.123.4567
F: 609-689-9941
123 West
Main Street, New York,
3836 Quakerbridge Rd, Ste 201
NY 10001
Hamilton, NJ 08619
|
www.njpca.org
www.rightcare.com
1. Come prepared…save time!!
a. SSN, income, employment,
health insurance policy
numbers (if any)
2. Go to your local health center for help
a. Jewish Renaissance Medical Center
Perth Amboy area
b. Eric B. Chandler Health Center
New Brunswick area
P: 555.123.4568 F: 555.123.4567
P: 609-689-9930
123 West Main Street, New York,
F: 609-689-9941
NY 10001
3836 Quakerbridge Rd, Ste 201
Hamilton, NJ 08619
| |
www.rightcare.com
www.njpca.org