Enrollment in Health Insurance Marketplace Open
Nov. 1, 2015 – January 31, 2016

Health care coverage is an essential component of achieving the AHA’s vision of healthy communities, where all individuals reach their highest potential for health. The Affordable Care Act (ACA) continues to hold the promise of extending coverage to more than 25 million uninsured Americans through a combination of public programs and private-sector health insurance expansions. In 2014 alone, 7.3 million people were enrolled in health care coverage through the new marketplace and over 8 million received coverage through Medicaid making great progress toward that 10 year goal of 25 million. The preliminary data for 2015 show nearly 11.7 million enrolled or re-enrolled in coverage through the new insurance marketplace.

The 2016 Health Insurance Marketplace enrollment period opened November 1 and will close on January 31, 2016. It’s critical for all community stakeholders, including hospitals, to continue to reach out to consumers and make the enrollment process easy, accessible and widely available.

To apply: Go to HealthCare.Gov to apply for health coverage, renew your current plan or choose a new plan. For your new or updated health insurance coverage to start January 1, you must enroll or change plans by December 15. You can change your plan any time during Open Enrollment, which ends January 31, 2016. You can also:

  • Preview 2016 health insurance plans and prices before you apply. Most people qualify for financial help with their premium costs.
  • Compare 2016 health plans and prices to your current coverage, update your application with any household or income changes, and enroll in a plan.

Also available is information on Medicaid and the Children’s Health Insurance Program which provide coverage to families and individuals with limited income or other reasons.

Community Connections Enrollment Toolkit (November 2014)

AHA and Enroll America Webinar - Strategies on Coverage, Outreach and Enrollment (October 9, 2014) Audio File, Slide Presentation

Webinar - Health Insurance Marketplace Enrollment (September 23, 2014)

Regulatory Advisory - Update on 2015 Regulatory Actions for ACA Marketplace and Medicare Advantage (July 3, 2014)

Members-Only Webinar - Hospital-based Medicaid Presumptive Eligibility and Enrollment (March 4, 2014)

HHS/AHA Special Enrollment Webcast (January 23, 2014)

Webcast: Expanding Health Coverage – Special webcast on working with community stakeholders on health insurance enrollment (Sept. 2013)

Get Enrolled Case Examples

AHA Member Advisory: Understanding and Monitoring New Insurance Coverage Issues (Jan. 8)

Special Bulletin: Resources to Help Consumers and Providers with Insurance Coverage Questions (Dec. 2013)

Special Bulletin - Medicaid Presumptive Eligibility Hospital Toolkit Available (Aug. 2013)

Special Bulletin – CMS Rule on ACA provisions Related to Eligibility and Enrollment for Medicaid and CHIP, Presumptive Eligibility and Coordination with the Insurance Marketplaces. (July 2013)

Member Advisory - Helping People Get Insurance Coverage: Options for Hospitals (July 2013)

Special Bulletin – CMS Rule on Marketplace Standards for Navigators & Others (July 2013)

Regulatory Advisory – Update on Implementation of ACA Insurance Reforms (March 2013)

Special Bulletin – HHS Rule on Essential Health Benefits & Related Provisions (Feb. 2013)  


Enroll America – Provides a number of enrollment resources, webinars, maps and state profiles, including the new Get Covered Connector which helps connect consumers to application assistance, Certified Application Counselor (CAC) Organization Toolkit,  State and Regional Staff Contacts and the resource paper: Promising State Approaches for Using Hospital Presumptive Eligibility.

To Enroll or Not to Enroll? Why Many Americans Have Gained Insurance Under the Affordable Care Act While Others Have Not

Are Marketplace Plans Affordable? Consumer Perspectives from the Commonwealth Fund Affordable Care Act Tracking Survey, March–May 2015

2015 Survey of Health Insurance Marketplace Assister Programs and Brokers

Glossary of Health Coverage and Medical Terms

State Health Reform Assistance Network – Boosting Enrollment: Lessons Learned from 2013-2014 (August 2014)

National Conference of State Legislatures - Medicaid and Marketplace Outreach and Enrollment Options for States (May 2014)

Alliance for Health Reform – Offers ACA information and resources, including sourcebooks, issue briefs and toolkits. Includes Marketplace Enrollment Helpers Toolkit and ABCs of the ACA – What You Need to Know.

CMS Health Insurance Marketplace – Offers training materials and outreach and education tools including consumer materials and resources for presentations and promotion (many available in Spanish). See Outreach to Special Populations.

Health Resources and Services Administration (HRSA) Provider Toolkit – Includes patient handouts and education, training and additional information.

Substance Abuse and Mental Health Services Administration (SAMHSA) Enrollment Coalitions Initiative – Offers several toolkits for behavioral health and other community-based organizations and professionals to help patients sign up for insurance coverage.

Get Covered America – This site from Enroll America is directed at consumers with an emphasis on public awareness and grassroots efforts.

Get Covered Calculator: Estimate Your Costs

The Center for Consumer Information Insurance Oversight - In-Person Assistance in the Health Insurance Marketplace

Cut the Cost of Health Insurance - Consumers Union State by State Information on New Health Premium Tax Credits

New Chart - State Approaches to Consumer Assistance Training

BusinessUSA - Information for small businesses about new health care changes

Catholic Health Association of the United States - Animated video on Enrollment and Presumptive Eligibility

HealthCare.gov – This consumer site offers a wealth of resources in plain English, such as “What is an Insurance Marketplace?” and live chats. Plus there’s a Spanish sister site.

Kaiser Family Foundation – Find health reform facts and tools, including a consumer-friendly video explaining the ACA, to use with your community.

StateReforum - An online network for health reform implementation.

Click on the map to view state-specific health coverage resources, such as insurance commissioner, Medicaid and CHIP enrollment, Marketplaces and resources from your state hospital association.    



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