Outreach & Enrollment

Tips on Direct to Consumer Outreach

Outreach and education are key parts of your role as an assister and are crucial to helping consumers learn about and gain access to affordable, quality health coverage.  Make use of the direct to consumer outreach best practices and resources below to evaluate and improve your organizations outreach. Direct to Consumers Outreach and Enrollment Options Door-to-door outreach and direct phone calls can encourage in-depth conversations about consumers’

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NEW CMS Issues Proposed Rule to Increase Patients’ Health Insurance Choices for 2018

On February 15, 2017, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule for 2018, which puts forward new reforms to stabilize the individual and small group health insurance markets. This proposed rule would make changes to special enrollment periods, the annual open enrollment period, guaranteed availability, network adequacy rules, essential community providers, and actuarial value requirements; and announces upcoming

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Dangerous W-2 Phishing Scam Evolving; Targeting Schools, Restaurants, Hospitals, Tribal Groups and Others

The Internal Revenue Service, state tax agencies and the tax industry have renewed their warning about an email scam that uses a corporate officer’s name to request employee Forms W-2 from company payroll or human resources departments. The IRS already has received new notifications that the email scam is making its way across the nation for a second time. The IRS urges company payroll officials to double check any executive-level or unusual requests

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Getting Ready for Tax Season

Like last year, assisters can help consumers who enrolled in coverage through the Health Insurance Marketplaces and received advance payments of the premium tax credit (APTC) understand the Form 1095-A that they receive from the Marketplace. Consumers must use the Form 1095-A to complete Form 8962 when they file their taxes. These forms  allow consumers to reconcile the total APTC they received during 2016 with the amount of premium tax credit (PTC)

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Biweekly Enrollment Snapshot

On January 31, 2017, Open Enrollment for 2017 coverage ended with more than 9.2 million plan selections in states that use the HealthCare.gov eligibility and enrollment platform. Of the more than 9.2 million consumers who selected a plan through the HealthCare.gov platform, about 3 million are new consumers, which means 33 percent of all plan selections were from new consumers. In addition to the approximately 3 million new HealthCare.gov consumers,

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New Marketplace Functionality Allows Consumers to Terminate Dental Plans

Effective Sunday, January 8th, consumers will be able to go online and navigate to the “My Account-My Plans and Programs” page to successfully cancel or terminate any active Qualified Dental Plans through their application on HealthCare.gov without the risk of cancelling or terminating their medical policies. This new enhancement will allow consumers and call center representatives to cancel or terminate individual dental plans, or all dental

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8.8 Million Americans Have Signed up for Marketplace Coverage So Far!

8.8 million Americans have signed up for coverage through HealthCare.gov since Open Enrollment began on November 1st. This compares to about 8.6 million plan selections last year at this time, demonstrating Americans’ strong and growing demand for affordable, quality coverage. Total plan selections as of December 31st, which include auto reenrollments, consist of 2.2 million new consumers and 6.6 million returning consumers. Among returning consumers,

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Resources for Assisters to Help Connect Consumers to Care

Coverage to Care is an initiative to help people with health coverage understand their benefits and use them appropriately.  The initiative helps to connect consumers to primary care and the preventive services that are right for them, so they can live a long and healthy life. Assisters are encouraged to share these resources with consumers, and help them on their journey from coverage to care. On the From Coverage to Care (C2C) website, Assisters

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Open Enrollment Snapshot: November 1 through December Deadline for January 1 Coverage

Through the extended deadline for January 1, 2017 coverage, Americans are demonstrating clear demand for quality, affordable coverage as 6.4 million consumers have signed up for Health Insurance Marketplace plans through HealthCare.gov, an increase of 400,000 plan selections compared to last year at this time.  Total plan selections from November 1 through the extended deadline of December 19 include 2.05 million new consumers and 4.31 million returning

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Penalty for Going Uninsured: Talking Points

In your outreach, education and enrollment efforts this week let consumers know that if they can afford health insurance but choose not to buy it, they must pay a fee called the individual shared responsibility payment. (The fee is sometimes called the "penalty," "fine," or "individual mandate.") Talking Points ‘If you go without coverage, you’ll owe the fee for any month you, your spouse, or your tax dependents don’t have qualifying health

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