2016 open enrollment update - California`s Health Benefit Exchange

2016 OPEN ENROLLMENT UPDATE
Gil Duran | Outreach and Sales Distribution Services Manager
Bianca Vargas | Policy, Research and Evaluation Specialist
November 24, 2016
OutreachandSales@covered.ca.gov
OVERVIEW
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Californians’ Awareness of the Affordable Care Act
Open Enrollment Launch: Spotlight on Coverage
Marketing Update
Open Enrollment Update
Covered California for Small Business Update
Service Center
Storefront Program
Shop and Compare Personal Proposal
Subsidy-Eligible Maps Toolkit
Sales Tools
White House Challenge
Website, Application, and Program Updates
Medi-Cal Updates – Former Foster Youth, Medi-Cal Access and Pregnancy
Programs
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CALIFORNIANS’ AWARENESS OF THE
AFFORDABLE CARE ACT
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AWARENESS OF THE AFFORDABLE CARE ACT
AND COVERED CALIFORNIA IS VERY HIGH
Source: NORC at the University of Chicago. 2015. “Covered California Overview of Findings from the Third California Affordable Care Act Consumer Tracking Survey.” Oct. 22.
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CALIFORNIANS LEARN ABOUT COVERED CALIFORNIA
THROUGH NEWS MEDIA AND ADVERTISING
Measured awareness of news coverage and television advertising among Californians surveyed.
Source: NORC at the University of Chicago. 2015. “Covered California Overview of Findings from the Third California Affordable Care Act Consumer Tracking Survey.” Oct. 22.
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BOTH NEWS COVERAGE AND ADVERTISING ARE
PROMPTING FURTHER ACTION BY CONSUMERS
Source: NORC at the University of Chicago. 2015. “Covered California Overview of Findings from the Third California Affordable Care Act Consumer Tracking Survey.” Oct. 22.
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WHILE AWARENESS IS GROWING, MORE THAN ONE-THIRD OF THE UNINSURED
ARE UNAWARE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE
Source: NORC at the University of Chicago. 2015. “Covered California Overview of Findings from the Third California Affordable Care Act Consumer Tracking Survey.” Oct. 22.
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OPEN ENROLLMENT LAUNCH: SPOTLIGHT
ON COVERAGE
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SPOTLIGHT ON COVERAGE TOUR
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SPOTLIGHT ON COVERAGE TOUR
• Hospitals and Community Clinics
are lit up with big “Enroll Now”
spotlights throughout the state.
• Enrollers are lighting up their
storefronts at locations across
California where people can enroll.
#spotlightoncoverage #CoveredCA
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SPOTLIGHT ON COVERAGE TOUR
• Iconic buildings were lit up
across California.
• The bus traveled more
than 2,000 miles and visited
42 communities from Oct. 30
through Nov. 12.
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SPOTLIGHT ON COVERAGE TOUR
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SPOTLIGHT ON COVERAGE TOUR
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MARKETING
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OE3 MARKETING CAMPAIGN
Launched Nov. 2, 2015
• The holistic, multicultural marketing campaign for OE3
will:
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Help Californians understand the value of health insurance and
being covered.
Promote enrollment among uninsured Californians.
Continue to build brand awareness and position Covered
California as the trusted health insurance comparison resource
for Californians seeking health coverage.
Support renewal and retention of existing Covered California
members.
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COVERED CALIFORNIA: “IT’S LIFE CARE” CAMPAIGN
Launched Nov. 2, 2015
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“New Family”
Brand TV Ad: Mandarin, Cantonese, Korean, Vietnamese
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PROMOTING NEW SERVICE: ADULT DENTAL
TV (“Candy” spot), Radio
Digital and Social
Posted
Sunday, Oct
25 –
50,500+
impressions
243 shares
Over 730
“likes”
And this is
all organic!
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EXAMPLES OF MEDIA OUTLETS
Multi-Segment
African American
Latino Segment
Asian Segment
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EARLY OPEN ENROLLMENT STATISTICS
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2016 OPEN ENROLLMENT AND RENEWAL: KEY
DATES
Key Dates:
Key Activities:
November 1st
Open Enrollment began
December 15th
Last day for open enrollment and renewal plan selection for
January 1, 2015 coverage
January 31st
Last day of open enrollment
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2016 OPEN ENROLLMENT:
EARLY PROGRESS FOR NEW SIGN-UPS
34,000+
Individuals have selected health care plans
as of November 17, 2015
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2016 OPEN ENROLLMENT and RENEWAL:
FAMILY DENTAL
33,000+
Individuals have selected family dental plans as of
November 17, 2015
Dental plans selected by renewing consumers:
Dental plans selected by open enrollment consumers:
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27,000 +
6,000 +
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COVERED CALIFORNIA FOR SMALL
BUSINESS UPDATE
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COVERED CALIFORNIA FOR SMALL BUSINESS
Exciting News
• 33% Increase in quotes for Q4*
• 30% Increase responses from Advertising*
• 80% Increase in new lead*
Operations
Current Enrollment through October 2015
• Groups: 2,925
• Members: 19,973
• Average Group Size: 6.8
Agent Commissions
• Agents now paid on regular basis
• September Commission are paid
• October commissions are in process
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COVERED CALIFORNIA FOR SMALL BUSINESS
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Online Agent Enrollment Portal
Portal Tutorial
Outreach Toolkit
101 presentation now available
New SHOPWorks Promotion
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SERVICE CENTER
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SERVICE CENTERS
• Staffing ramp-up efforts
continue
• Short-term strategies
• Delegation Change Policy
(including Agent of Record)
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STOREFRONTS
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STOREFRONT PROGRAM
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STOREFRONT PROGRAM
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Storefront Toolkit
Storefront Finder User Manual
Streamlined Eligibility and Criteria
Clean-Up Effort
Reporting Changes
New email: Storefront@covered.ca.gov
Consumers have access to almost 600 storefronts
statewide.
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STOREFRONT PROGRAM
Consumers have access to almost 600 storefronts
statewide.
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SHOP AND COMPARE
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SHOP AND COMPARE
• Updated October 12, 2015
• Includes enhancement on November 1,
2015 for Dental Plans
• Personal Proposal – Upcoming Release
• Download PDF
• Mail a copy to consumers with
your contact information (phone
app and tablet editions)
• Toolkit
Shop and Compare Tool clearly shows bottom-line
payment information.
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SHOP AND COMPARE
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SHOP AND COMPARE
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SHOP AND COMPARE
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SHOP AND COMPARE
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SUBSIDY-ELIGIBLE MAPS
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SUBSIDY-ELIGIBLE MAPS
• Identify high density subsidy-eligible populations at a census
track level
• Organized by 8 sales areas and 19 pricing regions
• Provides the location of existing Storefronts and Certified
Partners (including Agents and CECs)
• Understand where the remaining uninsured subsidy-eligible
consumers are located in your region.
• Help you plan and strategize your outreach, education, and
enrollment efforts.
• Support the communities that need your in-person assistance the
most.
• Collaborate with other partners to make a big difference by
enrolling uninsured consumers in your community.
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SUBSIDY-ELIGIBLE MAPS
• UCLA/UC Berkeley California Simulation of Insurance Markets
(CalSIM)
• U.S. Census Bureau Publix Use Microdata Areas (PUMAs) 138400% FPL and 18-64 age range
• Subtracts current Covered California enrollees at the tract level to
produce “remaining subsidy-eligible” estimates
• Methodology and limitation information guide in Toolkit
Questions?
OutreachandSales@covered.ca.gov
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SUBSIDY-ELIGIBLE MAPS
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SALES TOOLS
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SPOTLIGHT ON COVERAGE
• To “spotlight” the enrollment efforts of
our certified partners.
• Get your "Spotlight in a Box" kit that
can be used to project the Covered
California "Enroll Now" logo indoors
or outdoors.
• Use it at your storefronts, offices, and
enrollment events.
• Contact your local regional field
representative to purchase one.
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POSTERS - FREE
• Let consumers know that open
enrollment is here.
• Provide your contact information
at the bottom of the poster.
• Post them at your storefronts,
offices, and enrollment events.
• Hand them out in the
communities to post up.
• Contact your local regional field
representative to get them.
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LAWN SIGNS - FREE
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Let consumers know that
you can help enroll them to
Covered California.
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Post them at your
storefronts, offices, and
enrollment events.
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Add arrows to the signs and
use them as directional
signs to your office or
enrollment event.
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Contact your local regional
field representative to get
them.
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PRINT STORE
https://360.kpcorp.com/coveredca/Login.aspx
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WEBSITE UPDATES
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COVEREDCA.COM
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COVEREDCA.COM
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OPEN ENROLLMENT TOOLKIT
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WHITE HOUSE
HEALTHY COMMUNITIES
CHALLENGE
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WHITE HOUSE “Healthy Communities Challenge”
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To engage key communities with large numbers or high percentages of
uninsured in states across the country where strong federal, state and
community collaboration can have a meaningful impact on reaching the
uninsured.
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Calls community leadership to build outreach efforts to reach these
remaining uninsured and help them gain coverage.
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Enrollment figures will be compared to the federal estimates of the number
of eligible uninsured people at the start of open enrollment to see which
communities made the most progress during the challenge.
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The victorious community gets bragging rights, a healthier community, and a
visit from President Obama to celebrate their success in helping ensure
every American has health coverage.
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WHITE HOUSE “Healthy Communities Challenge”
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White House called on 20 cities/communities nationwide.
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In California, we have two cities – Long Beach and Oakland.
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Covered California is working with federal, state, and local community
partners to provide strategies and best practices to certified enrollment
representatives in the Los Angeles and Alameda Counties to support them
during this challenge in Long Beach and Oakland.
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Certified enrollment representatives in Los Angeles and Alameda Counties will
be working with their local communities to outreach, educate, and enroll
consumers.
RESOURCES:
FACT SHEET: Healthy Communities Challenge for Long Beach
FACT SHEET: Healthy Communities Challenge for Oakland
Outreach and Sales Field Representative Contacts
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UPDATES
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RELEASE 15.9 – NEW FEATURES
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User Interface Improvements – Renewal
(DHCS) MEC table, FFY, MCAP, MAGI MC 90-day cure language
Renewal Notice, New Carriers
Fair Share Percentage
Open Enrollment Dates
Online Help Pages – Income
Tutorial Videos
Email and Address validation update
Terminate Participation available for prior year
Day/Hours fields required for daily/hourly rate
Collect Employer contact information
1095-A Updates
Consumer out-of-state mailing addresses, DOBs
Other system transaction enhancements
OutreachandSales@covered.ca.gov
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RELEASE 15.9 – KEY FIXES
• Mixed Status families and APTC eligibility
• Fixes to Job Access with Speech (JAWS) and Web Accessible Toolbar (WAT)
tools
• Primary Contact Home Phone Number only accepts numeric values
• Spanish translations Individual Homepage display issues
• Household Summary display issues
• Live Chat access fixes
• Choose Health Plan display fixes
• “We apologize” errors
• Manage Verification display fixes
• Notice format fixes
• Molina Pay Now
• Statewide Automated Welfares System transaction fixes
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UPDATES
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Consent, Income, and Attestation Notice – 1st week of December
2015 SEP applications and Auto-Renewal
CECs must contact Help Line to complete 2015 SEP applications
Upcoming Toolkit Updates:
• Shop and Compare Personal Proposal
• Consent, Income, and Attestation Notice and Talking Points
• Medi-Cal Consumer Handout and Locations
• Medi-Cal Agent and CEC FAQs
• Agent Agreement Amendment – Final cutoff date 12/15
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MEDI-CAL UPDATES:
FORMER FOSTER YOUTH AND
PREGNANCY PROGRAMS
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FORMER FOSTER YOUTH (FFY)
ELIGIBILITY REQUIREMENTS
• Provides no-cost full scope benefits
• In foster care at age 18 or older in any state
• Living in California now
• Eligibility up to age 26
• No income or assets test
• Qualify regardless of placement type while in foster care
• Qualify regardless of immigration status
• Enroll any time
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FFY ENROLLMENT
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No open enrollment period – FFY can apply at any time
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Apply through CoveredCA/CalHEERS
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Apply directly through the county using the one-page MC250A
streamlined application
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To find out the best way for former foster youth to apply in each
county, visit:
http://www.childrennow.org/files/4514/2861/8455/Coveredtil26_Cou
ntyContactList.pdf
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FFY ADDITIONAL INFORMATION
Visit the FFY website at
http://www.dhcs.ca.gov/services/medi-cal/eligibility/Pages/FFY.aspx
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Call FFY at 916-552-9200 for questions about the program
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Contact your local county at
http://www.childrennow.org/files/4514/2861/8455/Coveredtil26_Coun
tyContactList.pdf
Get more information at
http://coveredtil26.childrennow.org/
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PREGNANCY COVERAGE
Medi-Cal and Covered California Program Overlap
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MEDI-CAL ACCESS PROGRAM (MCAP)
OVERVIEW
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Provides full-scope low-cost health coverage for pregnant
women, regardless of immigration status
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Targeted for middle-income families with no health insurance
whose income is too high for no-cost Medi-Cal
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Eligibility based on income and family size
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Total cost (subscriber’s contribution) is 1.5% of subscriber’s
Modified Adjusted Gross Income (MAGI)
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MCAP ELIGIBILITY
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MCAP is for uninsured women
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MCAP subscriber must be a resident of California
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Monthly household income must be above 213% of the Federal
Poverty Level (FPL) but not exceed 322% FPL
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Must agree to pay the complete subscriber contribution
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Enroll anytime
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MCAP APPLICATION
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Complete an application at www.CoveredCA.com
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MCAP eligibility results mean that the enrollee’s information will be automatically
sent to the MCAP program and she will be contacted to complete enrollment
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Current Covered California enrollees may choose to switch to MCAP instead
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Consumers contact MCAP to ensure MCAP eligibility and enrollment before
terminating a Covered California Health Plan
Previously uninsured pregnant women will first be eligible for MCAP, with the
option to switch to Covered California during open enrollment, or after the birth
of the baby, or other qualifying life event
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MCAP ADDITIONAL INFORMATION
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Visit the MCAP website at www.mcap.dhcs.ca.gov
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Call MCAP at 1-800-433-2611 for:
o Questions about the program
o To make an address change
o To check status of an application or appeal
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MEDI-CAL PREGNANCY
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Income eligibility between 138% - 213% FPL
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Current Covered California enrollees may choose to switch to
Medi-Cal Pregnancy Coverage instead
 Consumers contact the local county social services office to ensure
Medi-Cal Pregnancy eligibility and enrollment before terminating a
Covered California Health Plan
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Previously uninsured pregnant women will first be eligible for
Medi-Cal Pregnancy Coverage, with the option to switch to
Covered California during open enrollment, or after the birth of
the baby, or other qualifying life event
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