Transcript
GOOGLE HANGOUT
AMY FAUVER, CHIEF COMMUNICATIONS OFFICER
SEPTEMBER 20, 2013
Cover Oregon is a new
online marketplace
where Oregonians can
compare and enroll in
health coverage that
fits their needs and
budget, and also
access financial help.
WHAT IS COVER OREGON?
Improving the health of all Oregonians
by providing health coverage options,
increasing access to information, and
fostering quality and value in the health
care system
MISSION
BACKGROUND
• Created in 2011 by
Oregon Legislature
• Formed as public
corporation
• Key piece of
Affordable Care Act
• Custom-built for
Oregonians
• October 2013:
Open enrollment
• January 2014:
Coverage begins
• January 2016:
Groups to 100
Employees
TIMELINE
CHANGES
• Can’t be denied for pre-existing condition
• Essential health benefits
• Financial help
• Medicaid expansion
• Requirement to have insurance
• Health insurance marketplaces (exchanges)
• Carriers must spend 80% of premiums on care
PLANS THROUGH COVER OREGON
PAGE 8
MEDICAL INDIVIDUAL CARRIERS
formerly ODS
PAGE 9
SMALL BUSINESS CARRIERS
formerly ODS
DENTAL CARRIERS(COOS COUNTY)
formerly ODS
INFORMED DECISIONS ABOUT PREMIUMS VS. COPAYS
INDIVIDUAL RATES - PORTLAND
More information: www.oregonhealthrates.org
SMALL GROUP RATES - PORTLAND
More information: www.oregonhealthrates.org
PLAN CHOICE
Number of plans in individual market: 102
Number of plans in small group market: 72
Number of HSA-qualified plans (tentative): 25
PUBLIC MEDICAL PROGRAMS
Mental/behavioral health
ESSENTIAL HEALTH BENEFITS
Hospitalizations Ambulatory services
Maternity/newborn care
Emergency services
Prescription drugs
Laboratory services
Rehabilitative/habilitative
services & devices
Pediatric vision care
Prevention/wellness
INDIVIDUALS AND FAMILIES
INDIVIDUALS
AND FAMILIES
• Financial help
• Clear information and
price transparency
• Side-by-side
comparisons
• One-stop shopping
• Quality coverage and
grades
• Help enrolling
• HSA-eligible plans
ELIGIBILITY FOR FINANCIAL HELP
SMALL BUSINESSES
SMALL
BUSINESSES
• Choice
• Clear information
• Set contribution
• Quality coverage
• Streamlined
administration
• Access to tax credits
• Help
ELIGIBILITY FOR TAX CREDITS
EMPLOYER CHOICES
TIMELINE FOR EMPLOYERS
?
HOW TO APPLY
Go to CoverOregon.com
or call 1-855-Cover-OR
You’ll be connected to a
community partner or agent in your
area
Community partner or agent will find a plan
that’s right for you
INDIVIDUALS AND FAMILIES(THRU MID-OCTOBER)
INFORMATION YOU’LL NEED
Social security number, residency card or
immigration documentation
Income documents and self-employment records
such as last tax return, most recent pay
stub, financial statements or other sources of
income
Documentation about any health insurance
plan(s) that cover household members
SEARCH FOR PLANS BY:
• Geography
• Price
• Provider
• Quality rating (11 metrics first year)
• Carrier
• Plan type (e.g., HMO, PPO)
• Deductible
• Out-of-pocket maximum
• Metal tier (bronze, silver, gold, platinum)
HOME PAGE
SEARCH DATABASE
RESOURCES• CoverOregon.com
• Online calculator
• Fact sheets
• Meetings/events
• Email updates
• Marketing materials at
CoverOregonStore.com
• 1-855-CoverOR
• Facebook, Twitter, etc.
CONNECT WITH US
Sign up for email alerts
at CoverOregon.com
@CoverOregon Facebook.com/CoverOregon
www.LinkedIn.com
(search “Cover Oregon”)
www.Plus.Google.com
(search “Cover Oregon”)
CoverOregon.com
www.YouTube.com/Cov
erOregonVideo
CoverOregon.com
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