Program or Project:
Health benefits outreach, screening and enrollment
Percentage of time over term member will spend with this program:
Member will deliver information to patients about health insurance programs, including Medicaid, the Marketplace, and Emergency Medical Assistance. Member will conduct insurance assessments and assist patients in applying for health insurance using the PA Compass System. If not eligible for Medical Assistance, the member will assist the patient in applying for prescription medication assistance and other health benefit programs, or assist the patient in applying for health insurance through the Marketplace. The member may serve as an advocate in assisting the patient to negotiate public assistance, community resources, and the health insurance marketplace. This includes significant advocacy efforts with DHS, including insure supporting documents were received and the application is being processed. Members will be available to assist patients in reapplying for insurance and advocating for patients who were dropped from insurance. Members will assist patients in picking an HMO through HealthChoices. Members will assist Medicare patients with understanding their insurance benefits and assisting them with applying for supplemental health insurance.
Member will have face to face contact with at least 10 people a week, assist at least 160 patients with applications for insurance or prescription assistance, and enroll at least 100 individuals in health insurance.
NHC performance measure(s) this activity falls under (if any). :
Deliver Information about Health Insurance, Health Care Access, and Health Benefits Programs, Health Insurance Screening and Enrollment Assistance, Prescription Medication Assistance Program (PMAP) and/or Other Health Benefit Screening and Enrollment Assistance, Health Insurance Enrollment, and Prescription Medication Assistance Program (PMAP) and/or Other Health Benefit Screening and Enrollment