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Expanding health care access in Washington. Together, we can make a difference in more lives.

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Together, we can make a difference in more lives.

Expanding health care

access in Washington.

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We are in a time of great change in America’s health care system.

Between the launch of health care exchanges and the expansion of

Medicaid to more people, the uninsured will have new opportunities to

get affordable health care coverage.

The challenge is that the new choices under the Affordable Care Act are

complex and may be confusing. It’s going to take the combined effort of

the community and the health care industry to reach the people who can

benefit the most, help them make sense of their new choices and assist

them in getting the right coverage for their needs.

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1.

Qualifying

for Medicaid.

Your organization may be in the best position to help people who qualify for Medicaid take a closer look at all their health care options. In fact, they may be the people you serve every day.

The uninsured population ranges from people who have never been insured to people who may have had insurance at one time but no longer qualify or are able to afford it. Some may have had Medicaid in the past, and some may have no idea that they could qualify for subsidized coverage. Here is a quick profile of some people who could benefit from Washington’s expanded Medicaid program.

Good news for men and women without dependent children.

Beginning October 1, 2013, men and women without dependent children within the income requirements will be eligible for no-cost Medicaid health coverage. Income requirements.

Household Size 138% FPL

$15,856

$21,403

$26,951

$32,499

$38,046

$43,594

Working parents.

Meet Teresa. She is the mother of three children, ages 8, 3 and 5 months. She has a positive experience with Medicaid from when her first child was born. Getting her children insured is Teresa’s top priority, but the entire family is at risk without full family coverage.

Ways to help: Working parents may be too busy to pay much attention to the new health law changes. Encourage them to apply and see if they qualify for no-cost coverage. Hold educational events or reach out directly to individuals.

Healthy single adults.

Meet Mike. His career in construction has had its ups and downs since the downturn in housing a few years ago. He is skeptical about the need for coverage. For Mike and many others like him, health insurance is not a priority — until an illness or an accident strikes that can threaten their livelihoods and financial security.

Ways to help: Reach out to healthy young adults to help them appreciate the physical, psychological and financial benefits of health care coverage. And encourage the people in their lives — friends, family and role models — to help influence attitudes toward coverage.

People who’ve had major life challenges.

Meet Barbara. She is employed, but hasn’t had affordable health insurance since she became divorced. A few years ago, she was diagnosed with multiple sclerosis. With a pre-existing condition, Barbara has been unable to obtain coverage.

Ways to help: These individuals are ready to apply. Help connect them with the people who can assist them in the application process.

The profiles above are fictional and portray common types of people who may now qualify for Medicaid coverage.

Beginning January 1, 2014, Medicaid in Washington will be expanded to include all individuals and families whose income falls below 138% FPL based on modified adjusted gross income.

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In-Person Assisters

In-Person Assisters (IPAs) are outreach specialists who have been officially trained to help enroll prospects and provide them with unbiased information about health insurance, Washington Healthplanfinder, qualified health plans, and public programs, including Medicaid and CHIP.

How UnitedHealthcare can help:

• Benefits information – We’ll help your IPAs and outreach specialists get fully versed on the new Medicaid benefits.

• Education – Leverage our 25 years of Medicaid experience in training your staff, IPAs and outreach specialists.

• Events – Let us help you attract and entertain young families and adults at your events. • Training – Tap into our years of experience reaching out to and interacting with the

Medicaid public.

• Materials – Let us know what you need to hold events, educate on health or explain insurance options.

2.

Applying

for benefits.

In Washington, provider groups and community organizations are recruiting and training individuals to help uninsured apply for coverage.

Our mascot, Dr. Health E. Hound®, attracts

families with activities and health-related fun.

Let’s plan an event.

We’re ready to work with your organization, to draw people to your event or create a new event around

Medicaid expansion.

Open enrollment begins

October 1,

2013

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+

+

3.

Becoming

a member.

The uninsured often have existing medical needs, such as medications that they haven’t been able to afford or health concerns to discuss with a doctor. At UnitedHealthcare Community Plan, our welcome process quickly assesses the health of new members and connects them with the care they need.

Meeting immediate needs, providing comprehensive coverage.

Coverage begins

January 1,

2014

Let’s work together.

Please call us at 1-206-749-4381.

Together, we can help expand health care access in Washington.

Additional Services and Support: (at no cost)

24/7 NurseLine™ Pregnancy support programs Online support Multi-lingual services Chronic care

programs Member services

Rewards for healthy choices Youth Programs Immediate Needs: Member ID Card

Members receive their insurance card and details about their coverage. Their card’s arrival marks the start of their coverage.

Health risk assessment

Members receive a welcome call from our care team to learn more about health needs and concerns. Those with more complicated concerns receive extra attention and support.

Primary care provider

Members have the freedom to choose their own primary care provider and are encouraged to go in for a checkup in the first 30 days.

Core Coverage:

Doctor

visits Medications Immunizations and vaccines Hospital care Emergency

care Vision Preventive care Specialists

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©2013 by United Healthcare Services, Inc. All rights reserved. CST3418_WA 09/13

Learn more about Medicaid expansion.

Here are some federal and state resources to help you prepare for Medicaid Expansion and serve the uninsured.

Website Description

Federal HHS.gov/healthcare/rights • At-a-glance and detailed information on the Affordable Care Act.

EnrollAmerica.org/maps • Census Bureau demographic information of the uninsured in your state. • Mapping tools to identify pockets of the uninsured.

State www.wahealthplanfinder.org • Washington’s new health insurance marketplace for Medicaid coverage and affordable health insurance plans, starting October 2013.

• Apply for coverage online at or call 1-855-WAFINDER (1-855-923-4633) TTY/TTD 1-855-627-9604 to apply or ask questions. Call center business hours will be 7:30 a.m. – 8 p.m. Monday through Friday. Help will be available in up to 175 different languages.

www.hca.wa.gov • The Washington State Health Care Authority website provides information about Medicaid programs, the expansion and health reform.

UHCCommunityPlan.com • To learn more about free or low cost health care with UnitedHealthcare Community Plan in Washington, visit us online or call 1-877-542-8997 (TTY: 711).

UHCCommunityPlan.com

Information on our health plans, including plan benefits, provider networks and covered medications.

References

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