Open Enrollment is slated for
November 1, 2017 – December 15, 2017.
Changes in next Open Enrollment Period
In April 2017, CMS released the final rule “to increase choices and encourage stability in health insurance market for 2018”. The final rule makes several policy changes, including highlights below:
- 2018 Annual Open Enrollment period shortened to 45 days
- Requiring individuals to submit documentation for SEPs
- Allows issuers to require individuals to pay back past due premiums before enrolling into a plan with the same issuer the following year
- Allows issuers additional actuarial value flexibility
- Returns oversight of network adequacy to states
The enrollment process has been constantly evolving; through the resources here, as well as webinars, calls, and updates, you can stay on top of the information to make sure you are providing the best and most complete assistance possible.
The Role of Health Centers
Ohio is a Federally Facilitated Marketplace (FFM) with two types of assisters that can help consumers enroll into health coverage; Navigators and Certified Application Counselors.
Ohio’s Community Health Centers conduct in-reach, outreach and enrollment assistance throughout the year. In-person assistors complete all required federal training annually.
The official application to become a Certified Application Counselor (CAC) organization can be accessed online through CMS.
Ways to Enroll
Healthcare.gov is the place to go to enroll in Marketplace coverage. Be sure to also check out these great resources to prepare for the 2017 Open Enrollment Period.
Benefits to enrolling online include:
Efficiency (a more instant process), a data hub for answers to complicated income questions, eligible consumers can be linked to the Medicaid enrollment site and much shorter wait times for eligibility determination and enrollment.
Marketplace Application Checklist
The Call Line is 1-800-318-2596. This allows for the personal interaction, and access to the hub, but access can be limited, it can also create limits to the understanding of the information when there is not a visual aspect to the enrollment. The phone line is open 24/7. They are closed Memorial Day, July 4th, Labor Day, Thanksgiving and Christmas.
This method is easy to complete, however it can be problematic for complex scenarios (due to no interaction with the Datahub) or for applicants that have a limited amount of time to obtain coverage (due to the 4+ week turnaround time on applications).
This option allows for enrollment through a provider’s website and with the ability to access qualifying Marketplace plans. Perks include a lower volume of visitors than Healthcare.gov while still accessing the tax credits and cost sharing options offered through the Marketplace. The downside is that coverage options with be limited to one provider.
Do you have questions?
Contact the BPHC at BPHC-OE@HRSA.gov
or Teresa at email@example.com