Presentation by Rebecca Jackson at the Association of Hispanic Healthcare Executives' event regarding enrolling uninsured Latinos through Digital Media.
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Hispanics and NY State of Health
1. NY State of Health
the Official Health Plan Marketplace
Hispanics and the NY State of Health
Rebecca Jackson
External Affairs Outreach & Marketing
rkj01@health.state.ny.us
2. NY STATE OF HEALTH OPENED ON
OCTOBER 1ST
nystateofhealth.ny.gov
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3. What is NY State of Health?
• Organized marketplace
– One-stop shopping for subsidized and unsubsidized coverage
– Easily compare health plan options
– The only place to check eligibility and apply for financial
assistance
– Enroll in qualified health plans
• Two programs
– Individual Marketplace
– Small Business Marketplace
nystateofhealth.ny.gov
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4. New York’s Uninsured
• Today nearly 2.7 million New Yorkers under age 65, about
16 percent, do not have health insurance coverage
• Primarily workers and their families
• Uninsured people forego necessary care due to costs
• Taxpayers and the insured shoulder the burden of paying
for the care of the uninsured
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5. Who Will Enroll In NY State Of Health?
Health Plan Marketplace enrollment is estimated to be
1.1 million New Yorkers
Individual Marketplace
(58%)
450,000
615,000
Small Business
Marketplace (42%)
nystateofhealth.ny.gov
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6. NY State of Health Enrollee Characteristics,
by Race/Ethnicity
Small Business Marketplace
Individual Marketplace
2%
White/
Non-Hispanic
Black/
Non-Hispanic
Hispanic
10%
19%
58%
11%
Asian/Pacific
Islander
Other
13%
21%
56%
10%
Note: The results in this report assume small employer size is set to 100 employees, non-group and small group markets
remain separate, and that Basic Health Plan is not implemented, consistent with modeling assumptions for “Alternative 1”
in the March 2012 Urban Institute report.
Source: Urban Institute, “Characteristics of Nonelderly New Yorkers Likely to Enroll in the Health Insurance Exchanges Under
the Affordable Care Act,” February 2013, updated May 2013.
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7. NY State of Health Enrollee Characteristics, by Language
Individual Marketplace
English
Spanish
Chinese
Hindi and
related
French/Haitian
Korean
2%
2% 1%
3%
1%
9%
18%
64%
Russian
Note: The results in this report assume small employer size is set to 100 employees, non-group and small group markets
remain separate, and that Basic Health Plan is not implemented, consistent with modeling assumptions for “Alternative 1”
in the March 2012 Urban Institute report.
Source: Urban Institute, “Characteristics of Nonelderly New Yorkers Likely to Enroll in the Health Insurance Exchanges Under
the Affordable Care Act,” February 2013, updated May 2013.
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8. Uninsured New Yorkers Expected to Gain
Private Coverage, By Race/Ethnicity and Region
NYC, Westchester ,
Rockland
Central NY,
Finger Lakes
6%
18%
4% 3%
Mid-Hudson, Capital,
North Country
7%
23%
15%
6%
18%
41%
87%
Western NY
6%
72%
Long Island
5%
White, Non-Hispanic
11%
11%
43%
Black, Non-Hispanic
Hispanic
38%
Other
78%
9%
Source: Urban Institute, Characteristics of Nonelderly New Yorkers Likely to enroll
in the Health Insurance Exchanges Under the Affordable Care Act, February, 2013
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9. Uninsured New Yorkers Expected to Gain
Private Coverage, By Language and Region
NYC, Westchester ,
Rockland
Central NY,
Finger Lakes
Mid-Hudson, Capital,
North Country
8%
4%
9%
26%
39%
35%
13%
Western NY
88%
Long Island
78%
7%
6%
16%
49%
35%
87%
English
Spanish
Other/NA
Source: Urban Institute, Characteristics of Nonelderly New Yorkers Likely to enroll
in the Health Insurance Exchanges Under the Affordable Care Act, February, 2013
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10. Uninsured New York City Residents Expected to
Gain Private Coverage, By Race/Ethnicity
Queens County
Kings County
16%
18%
30%
4%
Bronx County
Richmond County
10%
25%
16%
46%
24%
12%
29%
30%
62%
40%
29%
9%
New York County
White, Non-Hispanic
Black, Non-Hispanic
15%
34%
Hispanic
Other
38%
12%
Source: Urban Institute, Characteristics of Nonelderly New Yorkers Likely to enroll
in the Health Insurance Exchanges Under the Affordable Care Act, February, 2013
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11. Uninsured New York City Residents Expected to
Gain Private Coverage, By Language
Queens County
Bronx County
Kings County
Richmond County
14%
35%
27%
28%
28%
30%
43%
38%
59%
50%
22%
27%
New York County
19%
English
Spanish
46%
Other/NA
35%
Source: Urban Institute, Characteristics of Nonelderly New Yorkers Likely to enroll
in the Health Insurance Exchanges Under the Affordable Care Act, February, 2013
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12. NY State of Health Enrollment
• Open Enrollment began on October 1
• Individuals may enroll in health plans during open
enrollment (October 1, 2013 - March 31, 2014) or
with a qualifying event
• Individuals who qualify for Medicaid/CHP may enroll
any month of the year
• Small employers may choose open enrollment dates
for their employees any month of the year
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13. A STATE OF THE ART WEBPORTAL
MAKES IT EASY TO SHOP,
COMPARE AND ENROLL
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14. Online Enrollment
• One portal will process applications for:
– Medicaid
– Child Health Plus
– Individual Marketplace
– Small Business Marketplace
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15. A FIRST CLASS CUSTOMER SERVICE CENTER
IS READY TO ANSWER QUESTIONS AND
ENROLL PEOPLE
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16. Customer Service Call Center
1-855-355-5777
•
•
•
•
Call Center accepting applications.
Can refer to in-person assistors
Hours: 8am-8pm (M-F) and 9am-1pm (Sat)
Assistance available in over 170 languages
– Many staff will be bilingual and oral
interpretation available for remaining languages.
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17. CERTIFIED ENROLLMENT EXPERTS PROVIDE
IN-PERSON ASSISTANCE IN THE COMMUNITY
AT COVENIENT LOCATIONS
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18. 3 Types of In-Person Assistors
IPA/Navigators
• Complete Applications
• Compensation from DOH grant program
• Training and certification required
• Serve Individuals and Small Business Marketplace
Insurance
Brokers/Agents
• Complete Applications
• Commission-based compensation
• Training and certification required
• Choose to certify in Small Business Marketplace, Individual, or
both
Certified
Application
Counselors
• Complete Applications
• No compensation from Marketplace
• Training and certification required
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19. INDIVIDUALS AND SMALL BUSINESSES HAVE A
CHOICE OF HIGH QUALITY, LOW COST PRIVATE
HEALTH PLANS
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20. Health Plan Highlights
• Choice of plans in all areas of the State
• Increased competition gives consumers new health plan
options
• Premiums for people who buy coverage for themselves and
their families decreases by an average of 53% compared to
today’s premiums
• You will not be denied health insurance on the basis of a preexisting condition
• All plans are required to have adequate networks
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23. All Plans Cover 10 Essential Health Benefits
–
–
–
–
–
–
–
–
–
–
Outpatient Services
Preventive, Wellness, & Chronic Disease Management
Mental Health & Substance Abuse Disorder Services
Hospitalization
Emergency Services
Pediatric Vision and Dental
Maternity and Newborn Care
Prescription Drugs
Laboratory and Imaging Services
Rehabilitative & Habilitative Services
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24. Financial Assistance
• Many individuals and families will be eligible for financial
assistance to reduce the cost of coverage
• Financial assistance is available in 2 forms:
– Tax credits will reduce the cost of premiums for most single adults
earning less than $45,960 and for families of 4 earning less than
$94,200
– Cost-sharing reductions will lower co-payments and deductibles for
single adults earning less than $28,725 and for families of 4 earning
less than $58,875
• Tax credits and cost sharing reductions are estimated at the
time of application and applied immediately
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25. A STATEWIDE AWARENESS CAMPAIGN HAS
BEGUN. A MULTI-MEDIA ADVERTISING
CAMPAIGN IS NOW GOING ON
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26. Media
• New name, logo and website unveiled
• Creative campaign for TV, radio, print and “out-ofhome”
• Public relations campaign under way
• Social media includes Twitter, Facebook, YouTube
and Google Plus
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27. Available Web Resources
• On our website (nystateofhealth.ny.gov)
– Fact Sheets, Rack Cards, and Posters in English, Spanish,
Haitian Creole, French, Korean, Russian, Italian, and
Chinese
– Newsletter templates in English and Spanish
– County-specific list of Navigator grantees
– County-specific list of Health Plans
– Tax Credit and Premium Estimator
nystateofhealth.ny.gov
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