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 Getting Health Insurance Option Op ion 1: 1: Medi-Cal al Program gram FREE State-run program for Now open to families and FREE coverage for those low-income individuals adults without children who qualify! and families 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).

New Options for Getting Health Insurance Op Option ion 2: 2: C Cove vere red d CA Online marketplace to Financial assistance, The lower the income, purchase private insurance also known as a subsidy, the more the subsidy is available to many middle and lower income individuals 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).

New Consumer Protection No denial for  preexisting conditions No questions about  HEALTH CARE REFORM health history Free preventive  services Stay on or be added  to parents’ plan until age 26

You’re Young & Healthy… Why Do You Need Insurance? Photo from Flickr: http://www.flickr.com/photos/91325507@N02/8291733691/

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/

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

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

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!

How Much Will Health Insurance Cost Through Covered California? 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: Monthly 1 tank 2 movie tickets cell bill of gas & popcorn

How Much Will Health Insurance Cost Through Covered California? Exampl mple 1: 21-year-old CSU student Income: $18,000/year Cost per month: $166* Government pays: - $140 Student pays: $26 *Costs are estimates, Los Angeles zip code 90032.

How Much Will Health Insurance Cost Through Covered California? Exampl mple 2: Family of 4, ages 46, 44, 22, and 19 Income: $45,000/year Cost per month: $750* Government pays: - $703 Family pays: $47 for all 4 family members *Costs are estimates, Los Angeles zip code 90032.

New Requirement to Have Insurance Coverage The Affordable Care Act requires that nearly rly all l U.S. . citize tizens ns have health insurance coverage.

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

Penalties* for Individuals 18 & Over 2016 20 16 and Beyond nd In 20 2015 15 $695 $695 $325 $325 or or 2.5 .5% of 2% of 2% annual income annual income *Penalty is greater of fixed dollar amount or percent of income. Source: Covered California, https://www.coveredca.com/faqs/Tax-Penalty/#105

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, or even free ee!  Be sure ure to t o talk lk to yo o your ur family mily about health insurance and getting affordable coverage.

Join the Club About 250,000 0,000 CSU students and family members have already signed up for Medi-Cal or Covered CA. Jo Join n the hem! m!

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 ornia: No November vember 15 th th through rough Fe Februar bruary y 15 th th

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

Tha Thank y nk you! ou! We hope to talk with you again.