Marketplace Questions .... Burgess Can Help

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OCTOBER 14, 2013

Marketplace Assistance at Burgess

No doubt you’ve been starting to hear about the new Health Insurance Marketplace, a key part of the health care law that is now open for business. But you probably still have questions. Like what is the Marketplace, and can you really get health insurance? Well we’ve got answers.

The best place for the latest, most accurate, information on the Marketplace is the updated website, HealthCare.gov. At the site, you can learn what it is, who can apply for insurance, how to get insurance, how to lower your costs, and more. If you own a small business, there’s information for you, too.

Starting this fall, the Marketplace will help you find health insurance that fits your budget and meets your needs, with less hassle. No matter where you live, you may buy insurance from private health plans that cover a comprehensive set of benefits, including doctor visits, hospital stays, preventive care, and prescriptions. And plans in the Marketplace must treat you fairly; they can’t deny you coverage because of a pre-existing condition. With a single application, you can also see if you qualify for Medicaid or the Children’s Health Insurance Program, or savings you can use right away to lower your health insurance premiums.

You can now enroll in the Marketplace directly for coverage that begins as soon as January 1, 2014 if signed up by December 15, 2013. The final deadline for open enrollment is in March 2014.

Want help or need more information?

As you explore your options on the Marketplace, you may want to get some help. There are six employees at Burgess Health Center who have gone through training and can give you personal help with your choices. If you would like additional help, a personal appointment at our office can be scheduled by contacting Peggy Low at 712-423-9218 or Sarah Goslar at 712-423-9209.

Instructions for Consumers Who Call Burgess for Help

The Marketplace offers different types of health plans to meet a variety of needs and budgets. You will need to figure out how much you want to spend on health coverage each month. Through the Marketplace, you can apply, compare all your options, and find out if you can get lower costs on monthly premiums or get free or low-cost coverage.

First Step
To find out how much you are eligible for when you apply, you need to have the following information:

  1. Social Security numbers (or document numbers for legal immigrants) for each member of your family
  2. Birth dates for every member of your family
  3. Pay stubs, W-2 forms, or “Wage and Tax Statements”
  4. Policy numbers for any current health insurance
  5. Information about any health insurance you or your family could get from your jobs

Second Step
To apply for health coverage, create an account at HealthCare.gov

Additional Resources for Consumers:

  1. Cuidadodesalud.gov – to apply for health coverage in Spanish Marketplace Call Center: 1-800-318-2596 (open 24/7)
  2. TTY: 1-855-889-4325 (open 24/7)
  3. SHOP Small Employer Contact Center: 1-800-706-7893 (Open Mon-Fri, 9 am – 7 pm)
  4. Questions your CAC can’t answer? Call your regional Navigator @ Planned Parenthood of the Heartland: Sioux City – 1-877-811-7526
  5. Like Facebook.com/HealthCareGov
  6. Follow @HealthCareGov on Twitter

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