What Immigrants And Refugees Need To Know About The Affordable Care Act .

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What immigrants and refugees need to knowabout the Affordable Care Act (ACA)

Affordable Care Act (ACA)It is sometimes called ObamacareWhy do you need health insurance coverage?Are you eligible for health coverage?How do you enroll in health coverage?2

Why is health insurance important?Having health insurance makes it easier for you and your family to get and stay healthy3Check-upHospitalCounselingPrescriptionsFlu ShotsDepression Screening

What does health insurance do?It helps you get access to quality health carePhysical Health4Mental HealthSubstance Abuse

Concerns about enrollmentMajor barriers· Difficulty completing application· Confusion about eligibility· Fear about immigration enforcement· Language and literacy challenges· Renewing your coverage5

To get insuranceYou need to meet these requirementsBe a U.S. citizen or be lawfully present in the United States“Lawfully present” individuals have:· Qualified non-citizen status without a waiting period· Humanitarian statuses or circumstances· Valid non-immigrant visa· Legal Status conferred by other laws6

Qualified non-citizensYou can get insurance on the Marketplace· Lawful Permanent Residents (LPR/Green Card Holder)· Asylees· Refugees· Cuban/Haitian entrants· Paroled into the U.S. for at least one year· Conditional entrant granted before 1980· Battered non-citizens, spouses, children, or parents· Victims of trafficking· Granted withholding of deportation· Member of a federally recognized Indian tribe or American Indian born in Canada7

You may qualify for government helpPaying for health insuranceThe amount of tax credits and cost-sharing reductions you getdepends on how much money you make.Federal Poverty level 11,490 50,000 94,200Single 11,490 – 45,960Family of 4 23,550 – 94,2008

Health insurance wordsThe most important words are premiums, co-pays, deductibles, co-insurance and out-of-pocket9PremiumEach month, you pay what’s called a premium to have health insurance, even ifyou do not use any health care services.Co-payOnce you’ve paid your premium, most plans help pay for the costs of doctorvisits and drugs – only making you pay a small portion or fixed amount.DeductibleIt’s the portion you have to pay before the insurance company covers anything.Co-insuranceAfter you have met your deducible, the amount or percent that you have usually 20%.Out-of-pocketmaximumIt’s the most you pay during a policy period (usually one year) before yourhealth insurance plan starts to pay.

What does your plan cover?10 essential health benefits in every Marketplace plan10OutpatientCareEmergencyServicesHospitalBaby CareMental HealthSubstance AbusePrescriptionsDisabilityCareLab TestsPreventiveServicesDental andVision for Kids

Medicaid and CHIPOther programs availableMedicaidMedicaid is a health insurance program forlow-income families and children, pregnantwomen, the elderly, people with disabilities,and in some states, other adultsCHIPThe Children’s Health Insurance Program,or CHIP, is a health insurance program forchildren up to age 1911

Your immigration statusIt won’t be used for immigration enforcement purposes121Can’t require you to provide information about thecitizenship or immigration status of any family orhousehold members who aren’t applying for coverage2States can’t deny you benefits because a family orhousehold member who isn’t applying hasn’t providedimmigration status3Applying for health insurance will not affect yourchances of becoming a Lawful Permanent Residentor U.S. citizen

Special casesYour eligibility varies depending on your status13Mixed statusfamiliesOnly lawfully present individuals are eligiblePregnant womenand childrenLawfully residing immigrant children under age 21 andpregnant women are eligible in some statesCOFAmigrantsEligible for Marketplace plans, not eligible for Medicaid or CHIPDACAindividualsNot eligible for Marketplace, Medicaid or CHIPUndocumentedindividualsNot eligible for Marketplace, Medicaid or CHIP

How to get health insuranceThere are 4 ways to enroll14OnlineGo online toPhoneCall 1-800-318-2596MailFill out a paper application and mail it inGet HelpFind an ‘assister’ at any of these places and schedule an appointment, or call1-800-318-2596 and ask how to get in-person help.

Language assistanceYou can get help in your languagecuidadodesalud.gov15

Application processWhat you will need to applyFor every person in your house (which is defined by how you file your income tax return)who needs coverage, you must have their:Proof of Residence16Pay Stubs & Tax FormsOther Insurance

Where can I go for more information?Health Insurance MarketplaceHealthCare.gov1-800-318-2596Information is available inadditional languages17

Affordable Care Act (ACA) It is sometimes called Obamacare. 2. Why do you need health insurance coverage? Are you eligible for health coverage? How do you enroll in health coverage? 3 Why is health insurance important? Having health insurance makes it easier for you and your family to get and stay healthy.

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