ACA Open Enrollment & Disability Week of Action
Financial help available for most people to get health insurance. Go to www.healthcare.gov today and #GetCovered.
Action Talking Points and Key Statistics
- Access to health insurance coverage is critical to addressing disparities in health outcomes among people with disabilities:
- Without health coverage, people often forgo regular doctor’s appointments, don’t take necessary prescription medication, and delay care, resulting in emergency room visits and inpatient hospital stays that are expensive and often avoidable.
- People who were uninsured in 2013 and gained either marketplace or Medicaid coverage in 2014 were more likely than their counterparts who remained uninsured to report having a usual source of care, receiving an annual checkup, and getting a blood pressure screening.
- The ACA has improved access to health care services for those who gained coverage through its coverage expansions. Research focusing on the first two years of the ACA’s Medicaid expansion found improvements in various measures of access to care, including affording needed follow-up care, having a personal doctor, and having access to medications.
- Nearly 1 in 5 Americans are covered by Medicaid and 1 out of 3 children receive coverage through Medicaid or CHIP.
- The research shows that the employment rate for individuals with disabilities who were living in expansion states increased from 41.3% in 2013 right before the Medicaid expansion to 47% in 2017. Unemployment rates also dropped from 32% in 2013 to 27% in 2017.
- People with disabilities historically have experienced difficulty purchasing healthcare insurance in the individual commercial market because some insurers would not provide coverage for people with pre-existing conditions and also because policies could be prohibitively expensive. (An estimated 3.5 million people with disabilities did not have health insurance when the Affordable Care Act was enacted in 2010.)
- The Health Insurance Marketplace offers an excellent opportunity for people with all disabilities who either have gone without coverage or have had limited access to needed health care benefits to obtain health insurance in the individual market.
- The Health Insurance Marketplace affords an opportunity for some people who have costly individual coverage to lower the cost of their health insurance and/or obtain adequate coverage for the services, medications, or equipment they require by switching policies.
- The Marketplace offers some people with disabilities the opportunity to determine their eligibility for Medicaid under both existing and new expansion rules and for other federal or state health care benefits such as the Children’s Health Insurance Program (CHIP).
- Coverage through a plan purchased on the ACA marketplace gives people with disabilities access to 10 essential health benefits, including prescription medication, mental health treatment, durable medical equipment or other medical device, and rehabilitation and/or habilitation benefits, among others.
- Check out the National Disability Navigator Resource Collaborative (NDNRC) Medicaid Social Media Toolkit below to see sample tweets and Facebook posts about Medicaid.
- To learn more, participate in the 1.5 hour enduring webinar event: Reaching People with Disabilities Through Patient Navigation: Supportive Access to Healthcare Coverage, available at: http://mtdh.ruralinstitute.umt.edu/?p=7346 . This continuing nursing education activity was approved by the Montana Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
- Consumers who wish to have coverage starting January 1 need to sign up by December 15, and they should keep these things in mind:
- Financial help is available to make the coverage more affordable. 85 percent of current enrollees receive financial assistance.
- New regulations this year make it easier for insurance companies to sell plans that do not have all the consumer protections provided by the ACA. To make sure you are buying an ACA compliant plan, purchase a plan through healthcare.gov. A red flag for an insurance company that is selling a non-compliant plan is if the application is asking questions about health status, prior conditions or family medical history.
- At , consumers will immediately see the type of coverage for which they qualify. This year, it’s easier than ever to shop on mobile devices.
- For those who prefer the phone to an online experience, help is available 24 hours a day, seven days a week. Assistance is available in multiple languages. Call (800) 318-2596.
Resources for Open Enrollment Year 6 that can be used in your community:
- National Disability Navigator Resource Collaborative
- List of NDNRC Resources
- Young Invincibles' OE6 Partner Toolkit(Spanish version coming soon!)
- Out2Enroll Partner Toolkit
- YI Social Media Graphics
- Out2Enroll Social Media Graphics
- Community Catalyst Outreach Hub (New materials added in several languages)
- Get America Covered Toolkit
- Get America Covered Graphics
- Kaiser Family Foundation Open Enrollment FAQ
- “Time to Check Your Health Insurance” Brochure (prepared by the Consortium for Citizens with Disabilities; 11/2018)