Insurance for CSU Students and their Families What is Covered CA? - - PowerPoint PPT Presentation

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Insurance for CSU Students and their Families What is Covered CA? - - PowerPoint PPT Presentation

Affordable Health Insurance for CSU Students and their Families What is Covered CA? www.CoveredCA.com A new online marketplace to find afford ordable ble health insurance options under the Affordable Care Act (ACA). New Options for


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Affordable Health Insurance for CSU Students and their Families

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A new online marketplace to find afford

  • rdable

ble health insurance

  • ptions under

the Affordable Care Act (ACA).

What is Covered CA?

www.CoveredCA.com

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Op Option ion 1: 1: Medi-Cal al Program gram

New Options for Getting Health Insurance

State-run program for low-income individuals and families FREE coverage for those who qualify!

FREE

Note: Eligibility is based on income relative to the Federal Poverty Level (FPL). Individuals and families making up to 138% FPL may be eligible for Medi-Cal. According to 2013 Federal Poverty Guidelines, FPL is $11,490 for an individual and $23,550 for a family of 4 (http://www.familiesusa.org/resources/tools-for-advocates/guides/federal-poverty-guidelines.html).

Now open to families and adults without children

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Op Option ion 2: 2: C Cove vere red d CA

New Options for Getting Health Insurance

Online marketplace to purchase private insurance Financial assistance, also known as a subsidy, is available to many middle and lower income individuals The lower the income, the more the subsidy

Note: Eligibility is based on income relative to the Federal Poverty Level (FPL). Individuals and families making up to 138% FPL may be eligible for Medi-Cal. According to 2013 Federal Poverty Guidelines, FPL is $11,490 for an individual and $23,550 for a family of 4 (http://www.familiesusa.org/resources/tools-for-advocates/guides/federal-poverty-guidelines.html).
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 No denial for preexisting conditions  No questions about health history  Free preventive services  Stay on or be added to parents’ plan until age 26

New Consumer Protection

HEALTH CARE REFORM

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You’re Young & Healthy… Why Do You Need Insurance?

Photo from Flickr: http://www.flickr.com/photos/91325507@N02/8291733691/
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Things Happen… Ac Active ive live ves include clude the ri risk of f injur jury: y:

» 1 day in a hospital in Los Angeles County averages $4 $4,50 500* » An emergency room visit can cost $3 $3,00 000 or r more re** » You may need reproductive or specialty care

* Helfand, D. Los Angeles Times. March 6, 2011. Retrieved from: http://articles.latimes.com/2011/mar/06/ business/la-fi- hospital-cost-20110306 ** Kliff, S. The Washington Post. March 2, 2013. Retrieved from: http://www.washingtonpost.com/blogs/wonkblog/wp/2013/03/ 02/an-average-er-visit-costs-more-than-an-average-months-rent/
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Things Happen…

He Healt lth h in insu sura ranc nce wil e will l pr prote tect ct you a u and nd your ur fami mily ly fro rom m hi high gh me medi dica cal bil l bills ls and nd de debt bt

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What Will Health Insurance Cover? » Primary and specialty care » Free preventive care » Hospital care » Prescription drugs » And much more

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What Will Health Insurance Cover?

In Insur suranc nce e hel helps ps ke keep ep yo you u he healt lthy hy and nd pr protec ects you u aga gains inst t th the un e unex expe pect cted ed!

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Probably less than you think! Depending on your income, monthly premiums can be as low as $2 $26 6 per month nth – less than many common expenses:

How Much Will Health Insurance Cost Through Covered California?

Monthly cell bill 1 tank

  • f gas

2 movie tickets & popcorn

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Cost per month: $166* Student pays: $26 Exampl mple 1: 21-year-old CSU student Income: $18,000/year

How Much Will Health Insurance Cost Through Covered California?

*Costs are estimates, Los Angeles zip code 90032.

Government pays:

  • $140
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Exampl mple 2: Family of 4, ages 46, 44, 22, and 19 Income: $45,000/year

How Much Will Health Insurance Cost Through Covered California?

*Costs are estimates, Los Angeles zip code 90032.

Cost per month: $750* Family pays: $47 for all 4 family members Government pays:

  • $703
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The Affordable Care Act requires that nearly rly all l U.S. . citize tizens ns have health insurance coverage.

New Requirement to Have Insurance Coverage

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A CSU No-Brainer: Why Pay the Fine?

» Most Americans will have to be insured or pay y a fine » For many CSU students and families the fine may cost more than insurance

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Penalties* for Individuals 18 & Over

$325 $325

  • r

2% 2% of

annual income

In 20 2015 15

$695 $695

  • r

2.5 .5% of

annual income

20 2016 16 and Beyond nd

*Penalty is greater of fixed dollar amount or percent of income. Source: Covered California, https://www.coveredca.com/faqs/Tax-Penalty/#105
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Take Home Messages

 He Health alth insu nsurance ance can help you and your family stay healthy and avoid health care costs.  It may be much less ss expensi pensive ve than you think,

  • r even free

ee!  Be sure ure to t

  • talk

lk to yo

  • your

ur family mily about health insurance and getting affordable coverage.

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About 250,000 0,000 CSU students and family members have already signed up for Medi-Cal or Covered CA.

Join the Club

Jo Join n the hem! m!

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Get More Information

Please email us if you have any questions about Covered California and the options available to you.

in info@csuhi fo@csuhiep ep.com .com

Emailing is NOT OT a commitment to enroll. Op Open enrollment llment for Cove vered red California

  • rnia:

No November vember 15th

th through

rough Fe Februar bruary y 15th

th

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CSU Health Insurance Education Project: www.calstate.edu/coveredca Or visit: www.CoveredCA.com Or follow us on Twitter: @CSU_HIEP

Learn More

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Tha Thank y nk you!

  • u!

We hope to talk with you again.