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Jason Stevenson, Education & Stevenson Director for Utah Health Policy Project shows what health insurance options are available in Summit County.
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Health Reform 101Bringing the Affordable Care Act to Utah
Park City Community ForumDecember 2, 2013
Summit County’s marketplace
Medical Altius Health PlansArches BridgeSpanSelect Health
60 plans
4 plans18 plans
23 plans15 plans0 plans
Source: https://https://insurance.utah.gov/health/Health%20Refrom/ACA_Rate_Individual_20131007_OnExchange.pdfUtah Individual on Exchange Rates - Medical Plans - Non-smoker Rates for plans currently approved (10/072013)
60% 70% 80% 90%
Bronze Silver Gold Platinum
Costs for health plans will differ by metal tier
Higher PremiumsLower Premiums
Lower cost-sharingHigher cost-sharing
Catastrophic
<60%
And now we know the 2014 premiums…
Cheapest monthly premiums by age and plan level
Source: https://https://insurance.utah.gov/health/Health%20Refrom/ACA_Rate_Individual_20131007_OnExchange.pdfUtah Individual on Exchange Rates - Medical Plans - Non-smoker Rates for plans currently approved (10/072013)
Age in years
Rates apply to:• Single person• Summit County resident• Non-smoker
Summit County
And now we know the 2014 premiums…
Most expensive monthly premiums by age and plan level
Age in years
Rates apply to:• Single person• Summit County resident• Non-smoker
Source: https://https://insurance.utah.gov/health/Health%20Refrom/ACA_Rate_Individual_20131007_OnExchange.pdfUtah Individual on Exchange Rates - Medical Plans - Non-smoker Rates for plans currently approved (10/072013)
Summit County
Who will be helped?(in billions)
270,000 Utahns will be eligible for premium subsidies
[1] “Help is at Hand: Health Insurance Tax Credits for Utah,” Families USA, based on analysis by the Lewin Group, April 2013
Carbon, Daggett, Duchesne, Emery, Grand, Morgan, San Juan, Summit, Uintah, Wasatch
16,250
Who is eligible for premium subsidies?
Source: 2013 Federal Poverty Guidelines, Published in the Federal Register, January 24, 2013 http://healthpartnersamerica.com
A family of four can earn up to $94,200 a year and receive a premium subsidy
The Reyes FamilyIncome: $53,000Residence: Park City, UtahAges: Dad : 45 Mom: 42 Kids: 10, 13
Annual income: $53,000% of Poverty Level: 225%Expected family contribution: 7.18% of income
Yearly premium cost: $9,084 The Reyes’ contribution: $3,804 Subsidy received: $5,280
Monthly premium: $757 The Reyes pay: $317 per month Subsidy pays: $440 per month
Source: Kaiser Family Foundation Subsidy Calculator; http://kff.org/interactive/subsidy-calculator; Image source: CBPP
Benchmark Silver Plan
Annual income: $44,000% of Poverty Level: 225%Expected contribution: 7.19% of income
Yearly premium cost: $6,458 The Shumway’s contribution: $3,162 Subsidy received: $3,297
Monthly premium: $538 The Shumway’s pay: $263 per month Subsidy pays: $274 per month
Source: Kaiser Family Foundation Subsidy Calculator; http://kff.org/interactive/subsidy-calculator; Image source: JohnCropper
Benchmark Silver Plan
The ShumwaysIncome: $44,000Residence: Provo, UtahAges: Dad : 24 Mom: 23 Kid: On the way
Mr. and Mrs. SmithIncome: $42,000Residence: Roy, UtahAges: 60, 62
Annual income: $42,000% of Poverty Level: 271%Expected contribution 8.65% of income
Yearly premium cost: $10,698 The Smith’s contribution: $3,634 Subsidy received: $7,064
Monthly premium: $891 The Smiths pay: $303 per month Subsidy pays: $589 per month
Source: Kaiser Family Foundation Subsidy Calculator; http://kff.org/interactive/subsidy-calculator; Image source: Creative Commons
Benchmark Silver Plan
Find out how much you would pay…
www.kff.org
Kaiser Family Foundation - Premium Subsidy Calculator
$415
$156
$56 $114
How the ACA is funded: Cuts (in billions)Total: $741 billion
Medicare / Medicaidpayment rates
Medicare Advantage
Uncompensated care for hospitals (DSH) Other
[Chart] CBO / Washington Post Wonkblog http://www.washingtonpost.com/blogs/wonkblog/wp/2012/08/30/how-congress-paid-for-obamacare-in-two-charts//
[2013-2022]
How the ACA is funded: Taxes (in billions)
$55
$106
$111
$216
$318
$87
Penalties (individuals)
Penalties (employers)
‘Cadillac’ health plans
Cost-savings
High-earners capital gains taxes
Medical devices tax
Total: $893 billion
[Chart] CBO / Washington Post Wonkblog http://www.washingtonpost.com/blogs/wonkblog/wp/2012/08/30/how-congress-paid-for-obamacare-in-two-charts//
[2013-2022]
What are the penalties for remaining uninsured in 2014?
[Chart] Kaiser Family Foundation
$285 $975 $2,085
Starting in 2014
Navigators and Enrollment
Who are the helpers?Navigator
Certified Application Counselor
Experts trained to help others evaluate their insurance options on the new insurance marketplace.
www.healthcare.govCuidadoDeSalud.gov
Where can I get help?
www.takecareutah.org
Where can I get help?
Our trained counselors are ready to help you understand your new options to find affordable
health care coverage today
More resources are on the way…
Dial 2-1-1
Where can I get help?
United Way’s 2-1-1 information specialists are standing by to answer your health care questions
2-1-1
Community Health Clinics
Where can I get help?
Our health clinics can help you enroll in new insurance coverage for you and your family.
www.auch.orgAssociation of Utah Community Health
Insurance brokers
Where can I get help?
Many brokers are trained and certified to help individuals and businesses with enrollment
www.utah.gov/agent-search/search.html
www.utah.gov
What state agencies can do…
(in billions)
No one can be denied or priced out of
coverage for a pre-existing condition
(1) healthcare.gov
(2) Being sick doesn’t matter
anymore
(4) Subsidies will make premiums
more affordable
60%70%
80%90%
(3) It’s private insurance
(and it’s good insurance)(5) Navigators will
help you sign up
Call or email UHPP to schedule a presentation just like this one
Want to learn more?
Jason StevensonEducation and Communications Directorcell. 617-290-8188work. 801-433-2299 ext. [email protected]
