GEAR
SAVE THE DATE FOR GHF ENROLLMENT SUMMIT
August 16, 2016 8:30 AM – 2:00 PM
Sloppy Floyd Building, 20th floor Floyd Room
Atlanta GA
Please join us for our second annual enrollment summit Getting Georgia Covered: How Consumers and Assister Experiences can Increase Enrollment and Inform Policy. This summit will highlight the relationship between advocates and enrollment assisters and how they can inform each other’s work. Speakers include representatives from the Georgetown Center for Health Insurance Reforms, Families USA, and Region IV Health and Human Services. Enrollment assisters will learn from national partners, discuss how to reach the remaining uninsured, and other open enrollment topics. Learn more and RSVP here.
CONSUMER COMPLAINTS TOOLKIT
This resource from Community Catalyst covers a wide variety of consumer complaints topics and provides tips for enrollment assisters, advocates, and health care providers to understand the complaint process, help file complaints with relevant state agencies, and engage in state-based advocacy to improve the complaints process. The toolkit includes the following resources:
- Using Complaints to Address Discrimination in Care for Mental Illness and Substance Use Disorders
- Filing a Consumer Complain About Health Insurance: A Step by Step Guide
- Working with Your Department of Insurance (DOI): Tips for Advocates
- Working with Your Attorney General’s Office (AG) on Parity: Tips for Advocates
- Advocacy Priorities on Health Care Consumer Complains
CLARITY ON MEDICAID AS MINIMUM ESSENTIAL COVERAGE (MEC)
It is important to understand the intersection of Medicaid and MEC when helping consumers enroll and avoid fines. This article from Georgetown Center for Children and Families provides key information on this topic. Certain Medicaid coverage that only provides limited benefits such as family planning (Planning for Healthy Babies), emergency Medicaid, or Tuberculosis services are not considered MEC. Those that count as MEC include Medicaid coverage for premium assistance, coverage for disabled children and adults, PeachCare for Kids, and Age-Blind-Disabled Medicaid.
MARKETPLACE RESOURCE HIGHLIGHT
Jobs you Don’t See Every Day: In the Loop
This In the Loop weekly update from June 21, 2016, includes a collection of tips and tricks from enrollment assisters working with consumers who have irregular jobs including self-employed, family business, truck drivers, temporary workers, migrant workers, and school employees. This tool helps enrollment assisters to determine the eligibility for some of these groups and can help calculate income for the others.
MEET THE GEAR TEAM
Pranay Rana is a certified enrollment assister and is GHF’s Consumer Education and Enrollment Specialist. Whitney Griggs is our Outreach & Engagement Manager. Together they manage the GEAR Network. Have a question you’d love to see GEAR address? Let them know!
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