ACA Health Insurance Enrollment Assistance

A worksheet for Individuals & Families of Grant County

Fill out this worksheet, then match your details to the insurance plan that meets your health care & budget needs.

Enroll before March 30, 2014

My Medications: Insurance Plan that covers my meds:

1.2.3.4.5.6.7.My Primary Care Provider (PCP):

Insurance Plan that covers my PCP visits:

1.My Specialists: Insurance Plan

that covers my Specialists visits:1.

2.

3.

4.

5.

6.

7.

My Other Considerations: Insurance Plan with the Best Value Add-ed Benefits for my needs:

What to have with you... for each household member• Your picture ID• Proof of residency• Tax returns or a month’s pay stubs• A list of your meds!

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Adults ages 19 to 64 qualify if:

So I qualify, what is covered?

Managed Care Organizations

Ways to apply

Centennial Care Centennial Care is the new name of the New Mexico Medicaid program. Most people who are currently enrolled in a New Mexico Medicaid program will be eligible for Centennial Care. For all Medicaid programs, you have to meet certain federal guidelines.

Household Size

If annual household income is this much each month

1 Less than $1,323/mo ($15,856/yr)2 Less than $1,785/mo ($21,404/yr)3 Less than $2,247/mo ($26,951/yr)4 Less than $2,709/mo ($32,499/yr)5 Less than $3,172/mo ($38,047/yr)6 Less than $3,634/mo ($43,594/yr)

Centennial Care provides coverage for:Routine CheckupsPrescription DrugsHospital CareMaternity CareMental Health ServicesChildren’s Dental and VisionFamily Planningand more

Income Guidelines (Before Taxes) by Size of Households

A managed care organization (MCO) is an insurance company that contracts with providers and medical facilities to provide healthcare services to its members. Four MCOs will be providing services for all Centennial Care members. These four MCOs are:

• Blue Cross Blue Shield of New Mexico • Molina Health Care of New Mexico, Inc. • Presbyterian Health Plan, Inc. • United Health Care Community Plan of New Mexico

1. Online: http://www.yes.state.nm.us

2. Orange Envelope? Phone 866-251-4591 or bring to this event

3. In Person: Health Care Guides at county enrollment events, local agencies and clinics

Centennial Care Helpful Resources

Visit online at www.centennialcare.net

Pregnant women, seniors, and people with disabilities may also qualify. Not sure? Call the Hotline.

Medicaid Expansion Hotline toll-free 1- 855-637- 6574

Current Medicaid recipients call for general questions 1-888-997-2583

What do I Qualify for?Centennial Care (New Mexico Medicaid)

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Added value benefits vary per MCO/insurance provider. Informational brochures available.

To download an application: http://www.hsd.state.nm.us/isd/apply.html.

Adults ages 19 to 64 qualify if:

So I qualify, what is covered?

Private Healthcare Coverage

Ways to apply

Health Insurance Exchange A marketplace of private healthcare plans in New Mexico that cover the uninsured, people who can’t afford employer plans and those buying their own insurance but who want better options. Also covered are small businesses with 50 employees or fewer.

Size

With Financial Assistance/Tax Credit*

Without Financial Assistance

1 Less than $1,323/mo ($15,856/yr) More than $3,830/mo ($45,960/yr)2 Less than $1,785/mo ($21,404/yr) More than $5,170/mo3 Less than $2,247/mo ($26,951/yr) More than $6,170/mo4 Less than $2,709/mo ($32,499/yr) More than $7,850/mo5 Less than $3,172/mo ($38,047/yr) More than $9,190/mo6 Less than $3,634/mo ($43,594/yr) More than $10,530/mo

Health Exchange provides coverage for:Routine CheckupsPrescription DrugsHospital CareMaternity CareMental Health ServicesChildren’s Dental and VisionFamily Planningand more

Income Guidelines (Before Taxes) by Size of Households

A contract between you and an insurance company to cover the cost of your health care. Each company offers plans that range from high to low levels of monthly premiums, deductibles, out-of-pocket maximum costs and co-payments. The five New Mexico exchange members are:

• Blue Cross Blue Shield of New Mexico • Molina Healthcare of New Mexico • Presbyterian Health Plan• New Mexico Health Connections• United Healthcare

1. Online: http://www.bewellnm.com

2. In Person: Health Care Guides at county enrollment events, local agencies and clinics

Exchange Helpful Resources

Visit online at www.bewellnm.com

New Mexico Health Insurance Exchange 855-996-6449

Videos available about “Using the Health Insurance Marketplace” on YouTube.com or www.HealthCare.gov

*Tax Credits Financial help is provided through tax credits that can be used on monthly insurance payments. You do not have to wait until the end of the tax year to get them.

What do I Qualify for?

Private healthcare Insurance from the New Mexico Exchange

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To download an application: http://www.hsd.state.nm.us/isd/apply.html.

Grant County Public Access Computers

Bayard Public Library 537-6244 (sign-in, library card not needed, 2 hr limit) 1120 Central Ave., Bayard Tues.-Fri . 8:30am – 5:30pm, Sat. 10am – 5pm Number of Computers: 16

Gospel Mission 388-5071 111 S. Texas St., Silver City Mon.-Fri. 8:30am – 1pm, Sat. 8am – 10am Number of Computers: 1

Grant County Community Health Council 214 N. Black St., Silver City 388-1198 Mon-Fri 9am – 5pm Number of Computers: 2 388-1198

Healthy Eats (Free WiFi) 534-9404 303 E 13th St., Silver City Mon.-Fri. 9am – 5pm Bring your own computer

Javalina Coffee Shop 388-1350 (free WiFi | Computers $5/hr) 611 N. Bullard, Silver City Mon.-Thurs.& Sun. 6am-6pm, Fri.-Sat. 6am – 9pm Number of Computers: 2

NM Dept of Workforce Solutions 538-3737 410 W. Broadway, Silver City Mon.-Fri. 8am – 5pm Number of Computers: 2+

Silver City Public Library 538-3672 (sign-in, library card not needed, 1 hr limit) 515 W. College Ave., Silver City Mon. 12pm – 7pm, Tues. -Thurs. 9 – 6pm, Fri. 9am – 5pm, Sat. 9am – 1pm Number of Computers: 5

Silver City Senior Center (senior use only) 205 W. Victoria St., Silver City 388-2545 M-F 8am – 2pm Number of computers: 3

WNMU Miller Library (students come first) 1000 W. College Ave, Silver City 538-6359 Mon.-Thurs. 8am – 9pm, Fri. 8am – 5pm, Sat. 1pm – 5pm, Sun. 3pm – 9pm Number of Computers: 23

WNMU Watts Hall (students come first) Corner of Swan & Hwy 180, 574-5101 Mon. & Fri. 11am – 4:30pm, Tues.-Thurs. 9am-4:30pm Number of Computers: 16

Do you have questions about the New Mexico Health Insurance Exchange application?

Health Guides are available to guide you through the process of completing the online or paper applications.

Gila Regional Medical Center Patient Financial Services offers assistance. Call 575-539-4004.

HMS has staff and locations available to provide these services. For a list of HMS locations please call 575-534-0248.

Contact your Local Insurance providers. They can also help you with your questions.