affordable health insurance for csu students and their ... · new options for getting health...
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Affordable Health Insurance for CSU Students and their Families
A new online marketplace to find affordable health insurance options under the Affordable Care Act (ACA).
What is Covered CA?
www.CoveredCA.com
Option 1: Medi-Cal Program
New Options for Getting Health Insurance
State-run program for low-income individuals
and families
FREE coverage for those who qualify!
FREE
Note: Eligibility is based on income relative to the Federal Poverty Level (FPL). Individuals and families making up to 138% FPL may be eligible for Medi-Cal. According to 2013 Federal Poverty Guidelines, FPL is $11,490 for an individual and $23,550 for a family of 4 (http://www.familiesusa.org/resources/tools-for-advocates/guides/federal-poverty-guidelines.html).
Now open to families and adults without children
Option 2: Covered CA
New Options for Getting Health Insurance
Online marketplace to purchase private insurance
Financial assistance, also known as a subsidy,
is available to many middle and lower income individuals
The lower the income, the more the subsidy
Note: Eligibility is based on income relative to the Federal Poverty Level (FPL). Individuals and families making up to 138% FPL may be eligible for Medi-Cal. According to 2013 Federal Poverty Guidelines, FPL is $11,490 for an individual and $23,550 for a family of 4 (http://www.familiesusa.org/resources/tools-for-advocates/guides/federal-poverty-guidelines.html).
No denial for preexisting conditions
No questions about health history
Free preventive services
Stay on or be added to parents’ plan until age 26
New Consumer Protection
HEALTH CARE REFORM
You’re Young & Healthy…
Why Do You Need Insurance?
Photo from Flickr: http://www.flickr.com/photos/91325507@N02/8291733691/
Things Happen…
Active lives include the risk of injury:
» 1 day in a hospital in Los Angeles County averages $4,500*
» An emergency room visit can cost $3,000 or more**
» You may need reproductive or specialty care
* Helfand, D. Los Angeles Times. March 6, 2011. Retrieved from: http://articles.latimes.com/2011/mar/06/ business/la-fi-hospital-cost-20110306
** Kliff, S. The Washington Post. March 2, 2013. Retrieved from: http://www.washingtonpost.com/blogs/wonkblog/wp/2013/03/ 02/an-average-er-visit-costs-more-than-an-average-months-rent/
Things Happen…
Health insurance will protect you and your family from
high medical bills and debt
What Will Health Insurance Cover?
» Primary and specialty care
» Free preventive care
» Hospital care
» Prescription drugs
» And much more
What Will Health Insurance Cover?
Insurance helps keep you healthy and protects you against the unexpected!
Probably less than you think! Depending on your income, monthly premiums can be as low as $26 per month – less than many common expenses:
How Much Will Health Insurance Cost Through Covered California?
Monthly cell bill
1 tank of gas
2 movie tickets & popcorn
Cost per month: $166*
Student pays: $26
Example 1:
21-year-old CSU student
Income: $18,000/year
How Much Will Health Insurance Cost Through Covered California?
*Costs are estimates, Los Angeles zip code 90032.
Government pays: - $140
Example 2:
Family of 4, ages 46, 44, 22, and 19
Income: $45,000/year
How Much Will Health Insurance Cost Through Covered California?
*Costs are estimates, Los Angeles zip code 90032.
Cost per month: $750*
Family pays: $47 for all 4 family members
Government pays: - $703
The Affordable Care Act requires that nearly all U.S. citizens have
health insurance coverage.
New Requirement to Have Insurance Coverage
A CSU No-Brainer: Why Pay the Fine?
» Most Americans will have to be insured or pay a fine
» For many CSU students and families the fine may cost more than insurance
Penalties* for
Individuals 18 & Over
$325
or
2% of
annual income
In 2015
$695
or
2.5% of
annual income
2016 and Beyond
*Penalty is greater of fixed dollar amount or percent of income. Source: Covered California, https://www.coveredca.com/faqs/Tax-Penalty/#105
Take Home Messages
Health insurance can help you and your family stay healthy and avoid health care costs.
It may be much less expensive than you think, or even free!
Be sure to talk to your family about health insurance and getting affordable coverage.
About 250,000 CSU students and family members have
already signed up for Medi-Cal or Covered CA.
Join the Club
Join them!
Get More Information
Please email us if you have any questions about Covered California and the options available to you.
Emailing is NOT a commitment to enroll.
Open enrollment for Covered California:
November 15th through February 15th
CSU Health Insurance Education Project:
www.calstate.edu/coveredca
Or visit:
www.CoveredCA.com
Or follow us on Twitter:
@CSU_HIEP
Learn More
Thank you! We hope to talk with you again.