Coverage and Access

Every day, the caregivers in America’s hospitals see how not having insurance coverage impacts people’s ability to access the right care, at the right time and in the right place.  That’s why hospitals across the country are working to help people understand their options and enroll in affordable health coverage.

Health care coverage is an essential component of achieving healthy communities, where all individuals reach their highest potential for health.  The Affordable Care Act (ACA) has already extended coverage to millions of previously uninsured Americans through a combination of public programs and private-sector health insurance expansions.

But people won’t enroll if they don’t know about and understand their coverage options.  That’s why it’s critical for all community stakeholders, including hospitals, to help make the enrollment process easy, accessible and widely available.

Below you’ll find resources to help you navigate the ACA’s insurance Marketplaces and Medicaid and Children’s Health Insurance programs.

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)

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 (Feb. 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.