HealthSource RI Enrollment and Renewal

HealthSource RI
Open Enrollment & Renewals
December 9, 2014
Objectives

Application changes

Open enrollment dates

QHP open enrollment and renewals

Calculator and 2015 eligibility

Assisting customers
APPLICATION CHANGES
2014 FPL
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Account Home Screen
New Income Screen
5
New Deductions Screen
6
New Annual Income Question
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Additional Application Changes

Rollover help text

Provider directory

PCP selection

Parent/Caretaker premium assistance
– Automated eligibility determination in application (142-179 fpl)
– Pop up message after eligibility listing eligible person and the amount
eligible for
– Notice that it is only applied to silver plans
– Automatic enrollment for eligible individuals
– Notice will be generated
– Customer must pay premiums on time in order to receive payment
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OPEN ENROLLMENT DATES
9
Open Enrollment Dates
November 15, 2014
Open Enrollment begins
December 23, 2014*
Customers need to have completed their renewal
applications, picked a plan, and paid in order for for
coverage to begin on January 1, 2015
February 15, 2015
Last day of open enrollment – customer’s need to have
completed their application and selected a plan in
order to be covered in 2015 (unless they experience a
qualifying event for a special enrollment
February 23, 2015
Payment due date for March 1st coverage to begin
*To make sure that you have health insurance coverage that begins on January 1, 2015, and that you receive your insurance cards
in the mail before the year starts, you must renew through HealthSource RI, pick a plan and pay for it by December 23, 2014. If
you do not take these steps by December 23rd, you will still have time to renew and pick a plan through December 31st, but you
may not receive your insurance card(s) until mid-January.
QHP OPEN ENROLLMENT AND RENEWALS
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Why Active Renewals

Active Renewals for all QHP
–
–
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20 vs. 12 plans with 3 carriers across the entire market
Changes to plan prices
Change in APTC
Help customers ensure they chose well in 2014 and provide education for
choosing a best fit for 2015
Sample Renewal Notice - Page 1
Sample Renewal Notice - Page 2
CALCULATOR AND 2015 ELIGIBILITY
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Redesigned Website
New Cost Savings Calculator
Family scenario

Family of three

1 adult

2 children

Annual income of $29,600
Cost Savings Calculator
Cost Savings Calculator
Cost Savings Calculator
Cost Savings Calculator
Cost Savings Calculator
Cost Savings Calculator
Cost Savings Calculator
Individual & Family Menu
Plan Rate Sheets
QHP Renewal Screens
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QHP Renewal Screen
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QHP Renewal Screen - Household
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QHP Renewal Screen - Income
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QHP Renewal Screen - Consents
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Eligibility Determination
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Eligibility Determination
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ASSISTING CUSTOMERS
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Enrollment Options

Online

Calling the contact center

In Person
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Providence
Warwick
Navigators – online search, call contact center or call 2-1-1
CAC program being launched this month

Numerous community events – find specifics on the HealthSource RI
website

Enrollment event on Friday December 12, 2014
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11am -7pm Sheraton Providence Airport Hotel
2014 FPL
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