Helping Your Patients Enroll
If your patients already have health insurance coverage, that fulfills the Individual Mandate requirement, then they do not have to obtain additional insurance, or change insurance coverage.
If they do not have insurance, and live in state that is Expanding Medicaid, they may be newly qualified for the state Medicaid program, or for Medicaid managed care programs in the state.
If they do not have health insurance coverage, and do not qualify for Medicaid, they may be able to purchase health Insurance in the new State Insurance Exchange (Marketplace).
Many patients may be confused about exactly what is happening with the implementation of health reform in their state. You can provide them basic information about health reform in your state.Many systems have been set up to assist in Patient Enrollment nation-wide. Patients can enroll in many different ways, and can take advantage of a single-form application to determine what programs and assistance they qualify for under health reform. Learn More about patient enrollment, and what you as a provider can do to help your patients.
The ACA also provides new opportunities to play a direct role in patient enrollment efforts. Patient Navigators and Certified Enrollment Counselors are available in every state to help patients enroll in either health insurance plans offered in the state Insurance Exchanges or in Medicaid in their state.
As a provider, you may be able to identify a member of your staff become certified, and receive training to assist patient enrollment among your patients.
Enrollment Counselors & My Practice