Community Partner Newsletter IS S UE N UMB ER 2 November-December 2014 GENDER HEALTH CENTER Connecting with the LGBT population As the executive director of the Gender Health Center in Sacramento, Ben Hudson recognizes that his job doesn’t end once an application for health coverage is signed. The small, fouremployee agency (www.thegenderhealthcenter.org) that provides counseling and benefits advocacy to the lesbian, gay, bisexual and transgender (LGBT) community is a top-performing Certified Enrollment Entity, signing up more than 1,000 individuals in Covered California and Medi-Cal plans. As Covered California gears up for the next open-enrollment period, Hudson had a few words to share about how the center is successfully engaging the LGBT community. continued on page 2 A WORD FROM THE DIRECTOR Welcome to the newest issue of the Community Partner Newsletter, which offers an inside look at some of the people throughout California who are helping to enroll individuals in health coverage under the Affordable Care Act. With this newsletter I’m thrilled to introduce our new sales director, Kirk Whelan, and offer some important updates about the work we’ll be doing together in the coming months. In the first year, the fact that health care is regional, local and personal was reinforced again and again. We invite you to read about people on the ground from Sacramento to Solano County to Los Angeles who are doing the hard work to help people get and keep the health coverage they need. We worked hard over the summer to improve our operations — expanding the continued on page 4 ‘Enroll Here’ Signage Available The much-anticipated Covered California enrollment event signage is now available for order. The sign, which reads “Enroll Here” and contains the Covered California logo, is available in English, Spanish and Chinese. Signage is available for pickup at Covered California regional offices located in Los Angeles, Oakland, Fresno and Sacramento, through the following Covered California staff: Los Angeles — Claudie Kiti-Bustamante, [email protected], (916) 539-4773 Oakland — Thomas Li, [email protected], (916) 539-5293 Fresno — Athena Fleming, [email protected], (916) 539-4029 Sacramento — Irene Ng, [email protected], (916) 228-8378 The signs can also be ordered online for a nominal cost through Covered California’s print store at http://360.kpcorp.com/coveredca. 2 Community Partner Newsletter Nov.-Dec. 2014 Continued from page 1 – Gender Health Center Q. What kind of unique outreach strategies do you use for the LGBT population? A. We’re using the hashtags #OutToEnroll and #OutforHealthCalifornia to brand the cause and get folks engaged — not only to get enrolled, but also to volunteer to engage other people in the LGBT community and let them know there are culturally competent people out there who can help. Many things when it comes to enrolling an LGBT person in health coverage need to be considered. How you file your taxes, your marital status — these are all things that are very relevant and important to LGBT people in California, especially as marriage equality has been passed. Transgender individuals are now able to get their hormones and many surgeries [which may be needed for an individual’s transition process] covered under their insurance. Many trans folks don’t even know that, so there’s a lot of trans individuals in the same sort of circumstances that many people are, saying “Eh, I guess I gotta [sign up]” or “Maybe I’ll take the penalty.” We’re able to say, “Do you know that all Covered California and all Medi-Cal plans cover hormone treatment and many surgeries?” So, all of a sudden, it’s like, “I’m going to sign up just for that!” Then we’re able to say, “And it comes with insurance!” Q. What message do you have for other Covered California partners? A. We really want other partners to know that we’re part of the LGBT community. As such, we have expert knowledge on enrolling LGBT folks into plans, and we want to be a resource for our partners to connect with about LGBT folks they may be enrolling. I think this collaborative effort is really something we all need to think about. We shouldn’t become competitive about enrolling people. There are more than enough people out there for us all to meet our numbers. So, how can we really do that and do it the best way possible? If there’s anyone out there enrolling an LGBT person, and they’re not quite sure how to do their application, we want them to call us. We don’t want your enrollment, we just want you to connect with us so that we can help you answer your questions and make sure you’re giving the right information to those folks. Update on Payments Covered California greatly appreciates the patience of those individuals still waiting to receive payment for some of the work that took place during our first open-enrollment period. We could not have enrolled more than 1 million people in California if it were not for the support we received from individuals working on the ground in communities. Covered California’s goal is to have all of the Certified Enrollment Entity qualified health plan payments, Certified Enrollment Entity Medi-Cal payments and Certified Insurance Agent Medi-Cal payments paid by the first of the year, with some payments being made in late November. If you receive a request for further information from Covered California, please return the information to Covered California as soon as possible to ensure payments can be made expeditiously. We will continue to provide updates about these payments in future newsletters. RENEWAL KEY DATES Consumers who purchased health coverage for 2014 have begun receiving renewal notices urging them to visit CoveredCA.com to renew their coverage for 2015. When they have completed the process, they will receive a bill from their insurance plans in December. Consumers who take no action by Dec. 15, 2014, will be renewed into their existing plan and receive a bill with their new premium and tax credit lowering their monthly payment. (Those receiving Medi-Cal should not renew on CoveredCA.com, but should wait to hear from Medi-Cal about next steps.) 2015 2014 2014 2014 2015 2014 2015 2 FEB OCT NOV DEC JAN DEC FEB O 15 15 15 Renewal notices start going out to encourage consumers to renew their coverage on CoveredCA.com and update their information. 15 Last day to change your plan selection to avoid any gap in coverage. 15 26 15 1 Premium must be received by your plan by Dec. 26 to avoid any gap in coverage. Community Partner Newsletter Nov.-Dec. 2014 3 Introducing Kirk Whelan Kirk Whelan, director of the Individual and Small Business Sales Division at Covered California, knows firsthand the importance of having comprehensive health insurance. Whelan is a father of three, and his youngest child, now 17 years old, was born with Down syndrome and also is a four-year cancer survivor. For Covered California, Whelan, 51, leads the agency’s Small Business Health Options Program (SHOP) and Individual Sales program, including all sales channels: Certified Insurance Agents, Navigators, Certified Enrollment Entities and Certified Enrollment Counselors, Certified Plan-Based Enrollers, and Outreach and Education Program grantees. Whelan comes to Covered California from Kaiser Permanente, where he worked in a variety of positions since 1996. Most recently, he was the sales manager for Kaiser’s valley territory in Northern California, responsible for large- and small-business membership sales, and was the leader of Kaiser Permanente’s California small-business strategy team. “Our health care industry is going through a historic transformation, and California is helping lead the way in moving the nation toward better population health, outcome-based medicine and affordable care,” Whelan said. “The opportunity to play a sales leadership role with our exchange is very exciting and one that I felt would only come along once in a lifetime.” FAST FACTS: School — Whelan graduated from California Polytechnic State University, San Luis Obispo, with a Bachelor of Science degree in agricultural business management, concentrating in marketing and sales. Family — Whelan is married and has three children. Giving back — For the past five years, he’s been involved with fundraising for Okizu, a camp in Oroville, Calif., for children being treated for cancer and their families. Sales philosophy — “Work hard to stay at the top of your game,” he said. “Help your sales force sell more, faster. The organization matters. Develop a team of “A” players through coaching, empowerment and engagement. Model the way.” After hours — “I am an avid golfer and skier. I’m interested in good health, running two or three half-marathons a year,” he said. “I also enjoy road biking during the summer in preparation for the annual Tour De Tahoe 72-mile ride around Lake Tahoe in September.” Certified Insurance Agents — Whelan said they are “established and trusted professionals in communities across the state, and they are crucial to helping consumers and employers enjoy the benefits of the Affordable Care Act. The law is going to trigger many changes in the way care is organized and delivered in California. Agents and other Covered California partners will be on the front lines of making this new era of care a success.” OPEN ENROLLMENT KEY DATES Open enrollment is the next opportunity for all Californians to benefit from new insurance rules, including the requirement that insurance be offered regardless of health status. This is the window of time when Californians can buy subsidized coverage starting in 2015. 2014 20142014 NOV NOV NOV 20142014 2014 2014 DECDECDEC DEC 2015 JAN 20152015 JAN JAN 2015 FEB 2015 2015 2014 FEB FEB OCT 2014 2014 OCT OCT 151515 15151515 15 1515 15 151515 1515 Open enrollment begins. Last day to enroll for coverage starting Jan. 1. First premium must be received by your plan by Dec. 26 for coverage to begin Jan. 1. Last day to enroll for coverage starting Feb. 1. First premium must be received by your plan by Jan. 27 for coverage to begin Feb. 1. The last day to enroll for coverage starting March 1 and the final day of open enrollment for 2015 coverage. First premium must be paid by Feb. 24 for coverage to begin March 1. 4 Community Partner Newsletter Nov.-Dec. 2014 BE HI ND THE CU B I CL E Julia Is Ready to Rock and Enroll Covered California will start open enrollment for 2015 coverage with more than 1,300 Service Center representatives helping consumers over the phone, by Web chat or by processing their paperwork. Julia, 26, is one of the hundreds of representatives at the Rancho Cordova Service Center location assisting consumers. She has been with Covered California since February, while 2014 open enrollment was still underway, and said the first few months were overwhelming but rewarding. ered California v o C ENROLLMENT 2 million 1.7m 2015 goal 1.12m to date Julia breathed a sigh of relief when talking about all the additional staff that have been hired — many of them bilingual — to help people get through the process. While the vast majority of consumers are served in their own languages by Covered California staff, the capacity of the Service Center will be expanded more in order to serve callers in Spanish, Chinese and other languages. “We have hired a lot of new staff, and I was honestly a little mortified before that. We beefed up our staff a lot, and it makes me feel confident, especially with the new people, because they seem to be catching on. I’ve been helping them as much as I can, because it will make my life easier.” While Julia’s main focus now is reading up on processes and being sure she has all relevant information at hand, she said she’s ready for the calls every day when she arrives. She begins her day at 11:45 a.m., which is typically a busy time, given that it is during the lunch hour for many people. Service Center hours have been expanded to accommodate consumers after hours, with representatives now available from 8 a.m. to 8 p.m. Monday through Friday and from 8 a.m. to 6 p.m. on Saturday. The Center will also be open on Sundays from Nov. 16 to Dec. 14. With the historic first open enrollment behind Covered California, Julia seemed at ease about how the next few months would go for her and her colleagues. “It’s not going to be as crazy, because this is the second time around, and we’re more familiar with everything. I feel like we’re more organized.” To add to that, she said most of the people she talks with over the phone are understanding. “People are always grateful because we can really talk with them and explain things to them. They seem to really appreciate our help.” 1 million 500k 0 “It’s definitely been interesting, and everyone’s really tight-knit,” she said. “They all maintain a sense of humor, and it’s important because we’re all in this together and trying to figure out the best way to do things.” During the next open-enrollment period, about 2 million consumers are expected to call into Covered California’s Service Center offices in Rancho Cordova, Fresno and Concord, as well as a newly opened Service Center location in Sacramento. 1.5 million continued from page 1 — Director’s Message number of Service Center representatives, extending Service Center hours and redesigning the website, among other things. But our work is far from over. Open enrollment is shorter this year — running from Nov. 15 to Feb. 15 — and there’s much to do. Last year we made history; let’s do it again this year and enroll even more uninsured Californians in health coverage for 2015. Questions or comments about this newletter? Please send an email to: [email protected] Our next issue will be out in January 2015. Community Partner Newsletter Nov.-Dec. 2014 5 Se Habla Seguro de Salud (Health Insurance Talk) As a Certified Insurance Agent with Covered California, Jackie Luna speaks two valuable languages: insurance and Español. A mother of five and owner of JM Luna Health, Financial, and Insurance Solutions (http://jmluna-solutions.com), she enrolled hundreds of individuals and their families into health insurance plans in their native language during Covered California’s first openenrollment period. And because 95 percent of her clients are Spanish-speaking, Luna has mastered the art of selling insurance to Latinos, and it boils down to one word: simplicity. Step 1: Elementary, my dear. “HMO vs. PPO. I keep it simple. HMO is the insurance where you need to select your primary care physician, and in order to go to see a specialist, you need to get an authorization. PPO is having the freedom to go and come as you please as long as you stay within the network of the insurance carrier. “The biggest obstacle was that many people don’t know how health insurance works. Once I show them the value, they are happy to sign up.” Step 3: Guide them to choose the best plan for their budget and needs. “I then explain what a deductible is and where it applies. I normally tell them that the deductible would apply if they have a surgery or stay in the hospital.” “People have different ways of understanding. So, as an agent, I need to be able to help so people aren’t resistant and help them understand — in simple terms — the benefits of having health insurance. Because if I tell them, ‘It is the law,’ they don’t like that.” Step 2: You insure your car, so why not yourself? Final thoughts on misconceptions? “When they give me the objection as to what is the need to pay for health insurance, I do the car insurance comparison. We all need car insurance, right? You pay for car insurance. When your car breaks down, you take it to the mechanic. Well, if you break down, you go to the doctor. “There are still misunderstandings and misleading information out there. For example, my sister said, ‘All the benefits that they are giving me, they will come back one day and take it back.’ Or ‘I don’t want to share my information, because they will use it against me.’” “When you need a tune-up, the car insurance doesn’t pay for it; you have to pay for it. So, think of that as your doctor visits. If you get into a major accident, you have to pay a deductible in order for the insurance company to cover the cost of the accident. The same thing goes with health insurance. Luna noted that managing home life, managing a business and helping with a local radio station can be a juggling act for most. Mix in the upcoming Covered California open-enrollment period, and she said she already has a de-stress plan in the works: “Meditation, reiki and walks in the park!” Are You ‘In’? We are encouraging everyone who is already “In” by having coverage — whether through Covered California, their job or any other source — to spread the word to their friends and neighbors by using social media to share the message. Visit CoveredCA.com and click on the “Tell a Friend” icon for more information. 6 Community Partner Newsletter Nov.-Dec. 2014 COVERED C ALIFORNIA STOREFRONTS Shoes, Desserts, Vitamins and … Health Care? Baldwin Hills Crenshaw Mall, Los Angeles As Covered California readies for the fall openenrollment period beginning in November, partners up and down the state are slated to open more than 200 storefronts in retail locations to help educate, enroll and renew consumers. Crenshaw Health Partners President Dr. Brownell Payne (left) with Dr. Charles Loeb, Director of Education and Enrollment Center Manager at the Baldwin Hills Crenshaw store. During the historic, first open-enrollment period, consumers relied on a variety of touch points, including in-person assistance, to successfully complete enrollment. In June, Crenshaw Health Partners, a Covered California Certified Enrollment Entity, opened the doors to an enrollment center on the second floor of the mall, which has daily foot traffic of 14,000 people. The effort is led by Crenshaw Health Partners President Dr. Brownell Payne and Director of Education and Enrollment Center Manager Dr. Charles Loeb. The enrollment center is open every day, providing health insurance enrollment for the community year-round. Since its opening, hundreds of people have taken advantage of the free, in-person assistance. Operators of the Crenshaw Healthcare Enrollment Center offered advice to Covered California partners entering similar business ventures: 1. Business 101: Create a solid business plan. 2. Define your organization: Develop an effective mission statement and live by it. 3. Location, location, location: Choose a location that has built-in foot traffic. 4. Back to basics: Be friendly and engaging with clientele. 5. Resources: Simply put, “If you don’t have it, don’t spend it.” 6. Staffing matters: Employees should be knowledgeable, diverse and bilingual. 7. Learning never stops: Conduct ongoing training sessions and refresher courses. 8. Community presence: Participate in events outside the center. 9. Increase visibility: Include marketing and public relations in your strategy to raise awareness. 10. Have a heart: During the ups and downs, glitches or hiccups, remember the cause. “Whatever the question, love is the answer,” said Payne. Loeb added, “As a physician, I’ve delivered thousands of babies, yet this is the most valuable thing I’ve done. It has made the biggest difference in my community. This is God’s work.” DON’T FORGET If your consumers are enrolled in or are eligible for Medi-Cal, enrollment continues year-round. Medi-Cal will send them information about renewing. Have Medi-Cal? You don’t need to renew until you hear from Medi-Cal about your next steps. Community Partner Newsletter Nov.-Dec. 2014 7 Redesigned Website for CoveredCA.com Covered California has upgraded its website to make the consumer experience both easier and more intuitive. Enrollees will find CoveredCA.com and the California Healthcare Eligibility, Enrollment and Retention System (CalHEERS) application portal now have a unified look. The new CoveredCA.com website design includes an updated top navigation bar and bottom page content that are consistent on every page throughout the website, including the pages within the CalHEERS application. The redesign also allows consumers to navigate back and forth between CoveredCA.com and the CalHEERS portal so that enrollees can find answers to health insurance questions while applying. In addition, to meet high consumer demand, Covered California spent $22.6 million to upgrade the enrollment portal infrastructure to allow more consumers to access the website without delays or performance issues. The improvement allows for speedier page loads so that consumers do not have to return later to complete their application. slides take users directly to a page where they can take action, such as enrolling or renewing, or they will be able to read additional information to help them apply or use their coverage. Consumers now can start applying from any page of the website. New to the CoveredCA.com website are home page sliders. These clickable informational ACE ♠ AGENT: Simon Chew Simon Chew is a household name within Chinese-American communities in the San Francisco Bay Area. He started his insurance business 25 years ago, and he and his six trusted insurance advisers have helped thousands of families obtain health insurance through Covered California. Agents from Chew’s eHealth-Plans Inc. — located in San Francisco, San Jose, Oakland and Fremont and online at www.simon888.com — were among Covered California’s top-producing Certified Insurance Agents in the state during the first open-enrollment period. Covered California recently sat down with Chew and asked him to share some of the secrets to his success. Q. You’ve been in this business long enough to know what works and what doesn’t work. What’s your top tip for Covered California enrollers — Certified Enrollment Counselors (CECs) and Certified Insurance Agents — to help them reach target populations? A. Be present in your community. Host seminars — large and small. Make sure people know you are there to answer questions. Get to know your community and the people you are trying to reach. The idea of “health care for all” is still relatively new. Over the years, I’ve learned to work with Chinese media outlets to reach the Chinese communities, educating families on the financial impact of not having insurance. Most people have assets they want to protect. Once they understand that, they are pretty open to ways to protect their assets. Q. What are you doing differently during the 2015 open-enrollment period? Q. Is there a different approach enrollers should be making while targeting Asian communities? A. We’d love to do more enrollment events with local grantees and CECs. Agents and counselors bring different skill sets and knowledge to the table. The only way we are able to succeed in getting coverage for all in California is if we — agents and CECs — work together. I want to do more events with San Francisco Bay Area Navigators. This is absolutely essential this time around. We need to work together to approach and engage the hard-to-reach populations. A. Speaking from my own personal experience, Chinese communities like to enroll face to face. We set up seminars so they are able to meet my team and me in person. It’s extremely important to build that trust. Once we meet in person, then we are able to establish that physical commitment. Maybe it is a cultural thing. I have four offices where clients are able to walk in at any time during our business hours. My clients know that I’m here to stay. They know where to find me and my advisers. 8 Community Partner Newsletter Nov.-Dec. 2014 Solano Coalition for Better Health, Making a Difference Baron reported that since the Patient Protection and Affordable Care Act took effect, school districts within Solano County have seen insurance coverage jump to 80 percent to 90 percent among children 18 and younger. with sufficient information. As enrollment counselors, we need to stay positive, be patient and be persistent. It takes time to break down barriers, but we’ll get there.” “That’s an impressive coverage rate,” said SCBH veteran counselor Maria Rios, noting that approximately 91 percent of preschool, elementary and high school students The SCBH counselors said they are ready to “make history again” and have ambitious plans for Covered California’s 2015 openenrollment period. These plans include: increasing outreach efforts to local faith-based “People are motivated to increase their quality of life, and they are getting covered.” Fatima Bustos, a health access specialist from Solano Coalition for Better Health, during a recent tabling event at Solano College in Fairfield, Calif. Solano Coalition for Better Health (SCBH, online at www.solanocoalition.org) operates and thrives under the belief that healthy people build a more productive community. With that mindset going into the first openenrollment period, SCBH’s eight Certified Enrollment Counselors worked diligently in Solano County to enroll 500 consumers into Covered California health insurance plans and more than 1,000 additional people into the expanded Medi-Cal program. By the end of the enrollment period, SCBH ranked among Covered California’s top 50 high-performing Certified Enrollment Entities. “We love what we do, because at the end of the day, we are providing a sense of security,” explained SCBH Certified Enrollment Counselor Shai Baron. “There’s definitely a sense of satisfaction knowing that you’ve made a difference,” added another counselor, Luis Reynoso. in Vacaville now have health insurance. Compared with a 60 percent to 70 percent student health coverage rate during previous years, the SCBH counselors believe it is evident that the Affordable Care Act and Covered California are working. The counselors are also noticing more active participation from parents in Solano County since Covered California launched, and they are seeing families actively involved in ensuring their children have health coverage. “That’s what we want!” exclaimed Rios. “People are motivated to increase their quality of life, and they are getting covered.” SCBH has faced some obstacles, though, most notably with enrollment of families with mixedimmigration status. “We have a large number of mixed-status immigrant families in Solano County who are afraid to provide lawful presence verifications because of the implications it may cause [with Immigration and Customs Enforcement],” Rios said. She continued, “These mixed-status immigrant families are harder to reach. We really need to educate them and provide them organizations and colleges in an effort to enroll more families and millennials, and partnering with the Mexican Consulate’s mobile services to better reach Spanish-speaking communities in Solano County. In addition, SCBH will also use its offices as a storefront enrollment location and will be extending office hours during weekends and evenings to provide enhanced services to consumers. The SCBH counselors said a little bit of patience and optimism goes a long way during enrollment periods. They keep binders of their success stories to remind themselves of the difference they’ve made and the lives they’ve changed. Reynoso shared a story of a woman who lost her husband unexpectedly and came to the SCBH office with her children two weeks after his death. “It was really sad,” he recalled. For the next couple of hours, Reynoso sat with her and sensitively helped her select health plans to cover her entire family. At the end of this appointment, the woman managed a thankful smile. “She was still sad, but she smiled,” Reynoso said. “I made a difference that day — one family, one person at a time.” Community Partner Newsletter Nov.-Dec. 2014 9 Fresno Resident Says Covered California Saved Her Life CoveredCA.com Enroll by February 15, 2015 @CoveredCA Last January, 59-year-old Diana Parret thought something might be wrong with her health, because she was having a gynecological problem. She’d lost her health insurance the month before, when she was laid off from her job, and now she couldn’t afford to go to the doctor. 2014 Open Enrollment Bus Tour (tentative schedule) Mon., Nov. 10 Sacramento, Petaluma, San Francisco and San Jose While taking her mother to an appointment at Kaiser Permanente in Fresno that January, she stopped at a Covered California kiosk at the hospital and spoke with a Certified Educator who encouraged her to enroll in a subsidized health plan. The following month, Parret picked a Kaiser Permanente Silver plan with a $207 monthly premium. She paid her first premium at the end of February and had her first doctor’s appointment on March 3, 2014. Tues., Nov. 11 Gilroy, Fresno, Bakersfield Wed., Nov. 12 Pasadena, Riverside, Palm Springs, Moreno Valley Thurs., Nov. 13 San Diego, Santa Ana, downtown Los Angeles Fri., Nov. 14 Los Angeles “That solution saved my life. It gave me a new lease on life.” Sat., Nov. 15 San Bernardino, Anaheim, Santa Ana, Carson, Los Angeles “The subsidy was a godsend,” exclaimed Parret. Soon after her appointment, her doctor called and said she had a “nasty, fast-growing, aggressive uterine cancer.” The doctor wanted her to take care of it right away. Parret had surgery in early April 2014 and is now recovering well. She said she loves Covered California and is helping spread the word about affordable health care. “It’s the best thing that ever happened to me. It is a gift,” she said. “I had a problem, but I had a solution. That solution saved my life. It gave me another opportunity. It gave me a new lease on life.” Sun., Nov. 16 Los Angeles (churches/faith-based) Mon., Nov. 17 Santa Barbara, San Luis Obispo, Paso Robles, Salinas Tues., Nov. 18 Yuba City/Marysville, Chico, Redding To make her even happier, Parret has just learned that her premium is going down in 2015. CoveredCA.com Enroll by February 15, 2015 @CoveredCA “I’m an advocate of Covered California. This has been wonderful for me. The plan was affordable. If I didn’t have this, I would be upside down physically and upside down financially. This was a gift!” ABOUT COVERED CALIFORNIA Covered California is the state’s marketplace for the federal Patient Protection and Affordable Care Act. Covered California, in partnership with the California Department of Health Care Services, was charged with creating a new health insurance marketplace in which individuals and small businesses can get access to affordable health insurance plans. Covered California helps individuals determine whether they are eligible for premium assistance that is available on a sliding-scale basis to reduce insurance costs or whether they are eligible for low-cost or nocost Medi-Cal. Consumers can then compare health insurance plans and choose the plan that works best for their health needs and budget. Small businesses can purchase competitively priced health insurance plans and offer their employees the ability to choose from an array of plans and may qualify for federal tax credits. Covered California is an independent part of the state government whose job is to make the new market work for California’s consumers. It is overseen by a five-member board appointed by the governor and the Legislature. For more information about Covered California, please visit www.CoveredCA.com. CONTACT US: CoveredCA.com (800) 300-1506 GET COVERED Open Enrollment 2015 NOV. 15, 2014 – FEB. 15, 2015 Open Enrollment is the ONE TIME during the year when most Californians who need insurance cannot be denied by a health plan and when millions can get subsidized health insurance for the upcoming year. (Individuals who have limited income may enroll in Medi-Cal year-round.) Shop Smart Key Dates 2014 2015 NOV 2014 2015 2015 DEC 2014 2015 0 FEB JAN 15 15 15 1515 15 JAN FEB OCT 2014 OCT 15 15 Open Enrollment starts Nov. 15 and continues through Feb. 15 and offers all individuals — sick or healthy — the opportunity to get the health coverage and care they need. In California, coverage is offered through Covered California at CoveredCA.com, the state marketplace. If you do not want a subsidy, buy directly from a health plan. The new Covered California website offers interactive shopping tools that allow individuals to pick a plan that is right for them. Consumers can shop and compare their options based on their age, where they live, their household income and number of people in their household. These factors determine their premium and amount of any subsidy they may receive. Find Help Consumer Choice BRONZE 60% Health insurance can be complicated. Consumers can seek free, confidential assistance from more than 28,000 individuals in California who stand ready to help them enroll or by visiting CoveredCA.com. Click on “Find Local Help” to search for a Certified Insurance Agent, Certified Enrollment Counselor or county eligibility worker. SILVER 70% GOLD 80% PLATINUM 90% Covered California offers a range of choices of private health insurance plans. Consumers can choose the health plan and level of coverage that best meets their needs and budget. At Covered California and in the individual market, consumers can compare based on standard benefit designs and know that all essential health benefits are covered.
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