Tag: affordable care act
Understanding Special Enrollment Periods, Part 1: A Look at Some Who Will be Out of Luck
Navigators have been fielding a range of questions. One that comes up repeatedly is whether an individual who falls into the so-called Medicaid coverage gap and later gets a job with income that would qualify them for premium tax credits can get a special enrollment period. JoAnn Volk takes a look at the options for these individuals.
A Limited Extension for Insurance Enrollment: Precedents from Part D
Recently, the Obama administration extended the enrollment period for people who’ve faced roadblocks in their attempts to sign up for a health plan by March 31. Some observers have compared this action to the flexibility exercised by the Bush administration in the roll out of Medicare Part D. Others say it was quite different. Our Georgetown Health Policy Institute colleague and Medicare expert Jack Hoadley cuts through the rhetoric and points us to the precedents to pay attention to.
New Tools to Help Consumers Compare Health Plans
One of the most difficult elements of enrolling in the new health insurance Marketplaces is plan selection. Consumers are often overwhelmed and confused about their options. In this guest post, former CHIR colleague and ACA expert Christine Monahan discusses a new tool that can help consumers make better plan choices.
People Who Have Tried to Enroll through HealthCare.Gov Get Extension Beyond March 31st
Consumer Services ACA Toolkit
CHIR faculty Sally McCarty, David Cusano, and Max Farris serve as technical assistance professionals (TAPS) in the Robert Wood Johnson Foundation State Health Reform Assistance Network. In that capacity, they have developed the Consumer Services Toolkit to help assure that consumer service representatives in state insurance departments have critical information about the Affordable Care Act at their fingertips. Sally McCarty introduces the toolkit and its components.
HHS Proposes to Preempt Some State Navigator Laws; Lays Out Federal Enforcement Framework
In a proposed regulation released Friday, March 14, the U.S. Department of Health and Human Services drew a line in the sand for states with laws restricting the ability of Navigators and consumer assisters to perform the jobs required of them under the ACA. Sabrina Corlette has an overview of the proposed rules and what they mean for Navigators and for states.
Shifting into Post-Enrollment Issues: Fielding New Questions from Consumers
As we approach the end of open enrollment into new coverage options under the Affordable Care Act, many consumers have questions about their new health plans – what benefits are covered, what doctors are included in their networks, and what to do if there’s a problem. JoAnn Volk has them covered, with a series of frequently asked questions about post-enrollment issues, excerpted from our Navigator Resource Guide.
Time for a Dental Check Up
One challenging question for families as they enroll in health insurance coverage on the new Marketplaces is what to do about kids’ dental coverage. Our colleague at Georgetown’s Center for Children and Families, Joe Touschner, has the skinny and links to some helpful resources to better understand this complex policy area – and how things might change for 2015.
New Medical Loss Ratio Policy Means Consumers Will Receive Less in Rebates – But That’s OK
The Obama administration is proposing to provide insurers with temporary relief from an Affordable Care Act requirement that they maintain a minimum medical loss ratio (MLR). This could mean that consumers will receive lower rebates than they otherwise would. Sabrina Corlette examines the thinking behind the decision.