On October 1, 2013, Health Insurance Marketplaces opened in every state, and millions of Americans became eligible to apply for coverage.
The NERGN would like to help families and communities to understand the law and to access the related resources. Below, we have provided resources for understanding the ACA, accessing the new health insurance and informing about the impact on Children and Youth with Special Health Care Needs (CYSHCN).
Open Enrollment occurs every year. Even if the enrollment period is closed, you may still have options to get health insurance coverage. Link to see if you qualify for a Special Enrollment Period.
During Open Enrollment Period, here are a number of different methods you may use to enroll in a health insurance plan:
- You can go to an on-line marketplace, which will also provide you the option to use the telephone, a paper application, online, or in-person assistance.
- You can seek the assistance of a Navigator.
- You can use an insurance agent or broker.
Healthcare.gov is the online destination for the Health Insurance Marketplace. This is the website for open enrollment for your health insurance with all the information you need. The Marketplace is like a virtual shopping mall for insurance policies; where you are able to compare policies, benefits and pricing; and purchase your health insurance. Some states have established their own healthcare marketplace sites to shop, compare and enroll in healthcare coverage. And some states will use the Healthcare.gov site. Here are the links for the New England states:
- Massachusetts Health Connector
- HealthSource RI
- AccessHealth Connecticut
- Vermont Health Connect
- Maine and New Hampshire will be served by HealthCare.Gov
Para informacion en Espanol, visite CuidadoDeSalud.gov .
- Health Insurance Jeopardy is a video series developed by the National Disability Navigator Resource Collaborative (July 2015).
ACA & CYSHCN
- Affordable Care Act Fact Sheets for Families
- The Affordable Care Act: A Working Guide for MCH Professionals
- The Affordable Care Act: A Side by Side Comparison of Major Provisions and Their Implications for CYSHCN, provided by the Catalyst Center.
- The National Organization for Rare Disorders provides state-by-state insurance information and resources.
- The ACA & Children & Youth with Autism Spectrum Disorder & Other Developmental Disorders by the Association of Maternal Child Health Programs.
- National Academy for State Health Policy for the Catalyst Center analyzes the ACA and children with special health needs to help inform states' policymakers.
- Low-Income Children with Special Health Care Needs and the Affordable Care Act. Fact Sheet from the Catalyst Center.
- Immigrant Children with Special Health Care Needs and the Affordable Care Act. Fact Sheet from the Catalyst Center.
MEDICAID, CHIP AND CYSHCN
- InsureKidsNow.gov provides information about Medicaid and CHIP services for families who need health insurance coverage. These programs are designed to be affordable for families who are not able to afford health insurance coverage in the private market or do not have coverage available to them
- Public Insurance Programs and Children with Special Health Care Needs: A Tutorial on the Basics of Medicaid and The Children's Health Insurance Program (CHIP). A publication by the National Academy for State Health Policy (NASHP) for the Catalyst Center, Feb. 2012)
- Fact Sheet: Medicaid and Children with Special Health Care Needs/Disabilities: An Overview. (October, 2013). An overview of the importance of Medicaid in covering children with special health care needs and disabilities provided by the Catalyst Center.
- Fact Sheet: The Children’s Health Insurance Program (CHIP) and Children with Special Health Care Needs An overview of the importance of CHIP in covering children with special health care needs.
- Medicaid & CHIP--What's the Difference? An infographic provided by the Catalyst Center., with an explanation of what the differences might mean for a child with special health care needs.
- InsureKidsNow.gov provides information about Medicaid and CHIP services for families who need health insurance coverage. These programs are designed to be affordable for families who are not able to afford health insurance coverage in the private market or do not have coverage available to them.
- Catalyst Center, Improving Financing of Care for Children & Youth with Special Health Care Needs. This is source of many of our links, with a library of additional information available.
- The Henry J. Kaiser Family Foundation, is a non-partisan, non-profit organization focusing on the major health care issues facing the U.S., providing research, statistics and resources relative to ACA.
INFO FOR PROFESSIONALS
- New England Children with Genetic Disorders & Health Care Reform / Information and Recommendations for State Policymakers is a policy brief created in 2014 by the Health Care Access & Financing Work Group chaired by Meg Comeau, MHA; this was a project of the New England Genetics Collaborative (NEGC). The brief describes opportunities and challenges around health care reform at that time. It was was informed by a regional survey of families and includes an introduction to children with genetic disorders.
- The Affordable Care Act and Children with Special Health Care Needs: An Analysis and Steps for State Policymakers [PDF, 48 pages]. This report is designed to help inform state policymakers' decisions in implementing health care reform. Developed for the Catalyst Center by the National Academy for State Health Policy (NASHP), the report reviews and analyzes key provisions of the ACA and their potential impact on CYSHCN and their families.
- Guide to Disability for Healthcare Insurance Marketplace Navigators. The National Disability Navigator Resource Collaborative provides cross-disability information and support for Navigators and other enrollment specialists.