The ACA sets out a consumer-friendly approach to patient enrollment in the new programs – an approach referred to as “no wrong door.”
How to Apply
Patients are able to utilize a “single-form application” to that will determine which programs, and what types of assistance, they are eligible for.
Where to Apply
Applicants are able to apply through online, by phone, and through in-person enrollment.
Applicants may apply through either the Insurance Exchange or through their state Medicaid program. The application will be able to identify eligibility for either Medicaid or for Qualified Health Plan coverage, and premium tax credits.
Assistance in Applying
To help consumers understand their new options and to apply for and enroll in appropriate coverage, the ACA includes a number of consumer assistance programs, including Patient Navigators, In-Person Assisters, and certified Application Counselors.
Some of these programs offer funding for training of personnel to perform these positions. HIV providers should consider how these roles may be incorporated into their practices.
Learn More: Patient Navigators, In-Person Assisters, and Certified Application Counselors
Community Health Centers also receive federal funding to provide in-person enrollment assistance.