Pennsylvania Association of

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Supporting Pennsylvania's health centers in increasing access to quality primary health care for all

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Nov. 30, 2018 Outreach and Enrollment News

Author: Amanda Tekely/Friday, November 30, 2018/Categories: Outreach News

Marketplace Open Enrollment Numbers - Week 4

Since Open Enrollment began on Nov. 1, more than 2.4 million consumers signed up for health coverage through the HealthCare.gov platform or had their coverage automatically renewed, including 92,775 Pennsylvanians compared to 124,091 for the same time period in 2017 for 2018 enrollment. This 25% reduction in Marketplace enrollment was anticipated due to the removal of the individual mandate to have health insurance for 2019 and the deluge of short term limited duration plans being offered. With just two weeks left to enroll, it's not too late for some consumers to get coverage with a 0% premium. Questions?  Contact Tia Whitaker, PACHC statewide director, outreach & enrollment.

 

HealthCare.gov Platform Snapshot

Week 4: Nov 18 - 24

Cumulative:  Nov 1-24

Plan Selections

500,437

2,424,913

New Consumers

131,224

588,131

Consumers Renewing Coverage

369,213

1,836,782

Consumers on Applications Submitted

716,629

4,055,111

Call Center Volume

406,105

1,975,535

Calls with Spanish Speaking Representative

27,312

135,918

HealthCare.gov Users

1,731,525

7,200,000

CuidadoDeSalud.gov Users

67,245

271,007

Window Shopping HealthCare.gov Users

139,099

750,421

Window Shopping CuidadoDeSalud.gov Users

5,461

22,003

 

Same Day Termination

A change in the 2019 Payment Notice provides the option for Marketplace consumers to elect same-day policy terminations, replacing the 14-day "reasonable notice" period.  This policy began on July 27, 2018. To view the policy click here.

  • In 'MyAccount', when terminating coverage for all enrollees on an application, there will no longer be 14 days "grayed out" and unable to be changed on the date picker. Rather, consumers will be able to select the present date or another date in the future as their termination date.
  • Functionality for policies where coverage is ending for some but not all enrollees has always permitted coverage to end the day the consumers requests the change; the new policy and functionality permits same-day terminations for entire policies

Buyers of Short-Term Health Plans: Wise Or Shortsighted?
Kaiser Health News reports supporters of the nation's health law condemn short-term health plans. A few states, including California and New York, have banned them. Other states limit them. But to some insurance brokers and consumers, short-term insurance plans are an enticing, low-cost alternative for healthy people. Read more.

 

Assisters, We Are Not Alone

The Centers for Medicare & Medicaid Services (CMS) developed a new direct enrollment pathway for consumers to enroll in health insurance coverage. CMS partnered with private companies to provide a "seamless" enrollment experience for consumers by allowing them to apply for and enroll in an Exchange plan directly through an approved issuer or web-broker without the need to be redirected to HealthCare.gov or contact the Exchange Call Center. Issuers, agents and brokers, and other third parties certified to sell health insurance (known as web brokers) are permitted to assist consumers applying for and enrolling in a marketplace plan. The enrollment partner's website will connect to HealthCare.gov on the back end and through a fully integrated platform allow consumers to go directly to the approved enrollment partner's website to complete the entire application and enrollment experience without being redirected to HealthCare.gov.  Similar to the marketplace, consumers will be able download Exchange notices, get status updates, or follow up on actions they need to take directly through the partner's website.  Some partners start consumers on their websites and then connect them to Healthcare.gov to complete the Marketplace application, but still allow them to shop for plans and enroll on their website. There are 5 web insurers for the state of Pennsylvania:

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