2015 Open Enrollment: Tools and Information for Ryan White Grantees and Consumers

2015 Open Enrollment: Tools and Information for Ryan White Grantees and Consumers

November 12, 2014
TARGET Center

See the latest information on enrollment in health coverage.

The Open Enrollment window for consumers to buy or change Marketplace health coverage for 2015 spans November 15, 2014 to February 15, 2015. Below are resources for Ryan White HIV/AIDS Program (RWHAP) staff in helping their clients with both renewals and first time enrollment in Qualified Health Plans (QHPs).

Renewals for Clients Enrolled in QHPs in 2014

Clients who bought a QHP through the Marketplace in 2014 should either renew their current plan or select a new plan that better fits their needs. Clients should make a choice by January 15, 2015 in order to avoid a gap in coverage.

The ACE TA Center Marketplace Plan Renewals Flowchart includes an Open Enrollment timeline and asks key questions to guide the renewal process.

Two action steps to help your clients to stay enrolled in 2015:

  1. Remind your clients to look for a notice from their insurance company. Clients will receive a notice from their insurance companies to explain any changes from last year’s plan and the estimated tax credit or cost sharing reduction for 2015. A separate notice from the Marketplace will provide basic information about Open Enrollment.
  2. Help your clients update their Marketplace applications. All clients who had a QHP in 2014 must use that QHP’s 14-digit number to update their Marketplace application. This will prompt the re-enrollment process and the 2015 eligibility determination for tax credits and cost-sharing reductions. Information about 2015 plans and estimated prices will be available by November 15, 2014.

Attention Ryan White grantees and providers: Register and join the ACE TA Center on Wednesday, November 12 to learn more about Open Enrollment and plan renewals, including a new plan renewal flowchart tool developed by ACE.

First Time Enrollment

Some clients did not get enrolled in health coverage in 2014. Clients who did not enroll in 2014 have until February 15, 2015 to enroll in a Marketplace plan. For coverage beginning on January 1, 2015, clients must enroll by December 15, 2014.

RWHAP staff helping clients apply for health insurance can use the ACE TA Center's online resource guide: Resources, Tips, and Tools for Enrolling Ryan White HIV/AIDS Program Clients in Coverage.

This guide, organized by the following enrollment steps, contains resources to help engage, educate, enroll and retain clients in health insurance coverage:

  • Step 1: Get started
  • Step 2: Address client questions, concerns, and fears
  • Step 3: Fill in application
  • Step 4: Submit application
  • Step 5: Follow up on submitted application
  • Step 6: Use benefits
  • Step 7: Stay enrolled

Browse Enrolling and Accessing ACA Health Coverage for more tools and resources to support enrollment.