The Affordable Care Act and Your Community
Open enrollment in the Health Insurance Marketplace is now closed for 2014. The next open enrollment period starts on November 15 with coverage beginning on January 1, 2015.
Only people who qualify for the special enrollment period can enroll from April to November 15 in the Marketplace. People generally qualify for the special enrollment period due to a qualifying life event or due to complex cases. It is important to contact the Marketplace call center at 1-800-318-2596 (TTY: 1-855-889-4325) within 60 days of the qualifying event.
Here are some examples of qualifying life events:
- Marriage, having a baby, adopting a child or placing a child for adoption or foster care, moving your residence, gaining citizenship, leaving incarceration.
- Losing other health coverage—due to losing job-based coverage, divorce, the end of an individual policy plan year in 2014, COBRA expiration, aging off a parent’s plan, losing eligibility for Medicaid or CHIP, and similar circumstances. Important: Voluntarily ending coverage doesn’t qualify you for a special enrollment period. Neither does losing coverage that doesn’t qualify as minimum essential coverage.
- For people already enrolled in Marketplace coverage: Having a change in income or household status that affects eligibility for premium tax credits or cost-sharing reductions.
- Gaining status as member of an Indian tribe. Members of federally recognized Indian tribes can sign up for or change plans once per month throughout the year.
There are also special enrollment periods for people with complex cases. More information on this issue can be found here: https://www.healthcare.gov/sep-list/.
The Medicaid program, which assists people with low incomes, and the Children’s Health Insurance Program are open for enrollment year round.
Health Care Law Toolkit for Faith and Community-Based Organizations
This toolkit will help faith and community leaders learn and educate others about the health care law. These materials can be used as bulletin inserts, at enrollment events and for other education and outreach efforts.
- ACA Fact Sheet for Faith and Community Leaders (also available in Spanish)
- Four-Step Guide to Planning a Health Care Enrollment Event
- ACA Talking Points for Faith and Community-Based Organizations
- Call to Action
- What You Can Do To Help People Who Are Uninsured
- The Affordable Care Act Made Simple
- Quality, Affordable Health Care for our Neighbors
- How to Access Health Insurance and Services in your Community
- How the New Health Care Law reflects our Shared Values and Common Beliefs
Download a condensed version of this health care law toolkit to use during the final weeks of open enrollment.
For more ACA outreach and educational materials, go to: http://marketplace.cms.gov/
To order posters, applications and other materials on the health care law, go to: http://productordering.cms.hhs.gov
For ACA outreach and educational materials in Spanish, go to: http://marketplace.cms.gov/getofficialresources/spanish-materials/spanish-materials.html
Materiales Educativos En Español: http://marketplace.cms.gov/getofficialresources/spanish-materials/spanish-materials.html
The Health Care Law 101 Webinar Schedule
The HHS Partnership Center hosts a series of interactive webinars for you to learn more about the main provisions of the health care law.
The Small Business Administration hosts webinars on the health care law and how it helps nonprofit organizations and small businesses.
Links for More Information
www.HealthCare.gov - Information on the Health Insurance Marketplace; the website to enroll in health insurance starting October 1.
www.CuidadoDeSalud.gov - Spanish language website providing information on the Health Insurance Marketplace; the website to enroll in health insurance starting October 1.
http://marketplace.cms.gov - Resources on the Health Insurance Marketplace.
www.hhs.gov/healthcare - Consumer information on the health care law.
www.cciio.cms.gov - Public policy and program information on the health care law.
www.cms.gov - Public policy and program information on the health care law.
www.SAMHSA.gov - Information on Mental Health and Substance Abuse and the health care law.
www.HRSA.gov - Information on how to locate a community health center.
www.Medicaid.gov - Information on the Medicaid program that assists people with low incomes.
www.Medicare.gov - Information on the Medicare program that assists seniors and people with disabilities.
Educational presentations on the health care law, including an online video explaining the main parts of the law, can be found at Marketplace.cms.gov. Fact sheets, brochures, videos, widgets and badges, articles, talking points and other resources can be found there as well.
Information on the Navigators, Certified Assistance Counselors, In-Person Assisters, Educator Programs
Learn more on Navigators, Certified Assistance Counselors, In-Person Assisters, Insurance Agents and Brokers
- To access the funding opportunity announcement, visit: http://www.grants.gov, and search for CFDA # 93.332.
- View the Navigator FOA Pre-Application Webinar Power Point Slides
- Read the finalized regulations that update the requirements applicable to Navigators.
- Learn more about Navigators
Certified Application Counselor (CAC) Program
- Introduction to the CAC Program:
- Application to become a CAC
- Final Regulations
- Guidance on the CAC Program
Frequently Asked Questions on the Affordable Care Act:
News and Information
The Affordable Care Act is being implemented incrementally, in sections over time. Read the most recent news releases, blog posts and MyCare videos summarize major provisions of the law.