Program or Project:
Health benefits outreach and enrollment
Percentage of time over term member will spend with this program:
Member will work with the medical and social work team to screen uninsured primary care, behavioral health, dental patients and walk-ins for insurance eligibility and other benefits through the Department of Welfare. Member will also spearhead ACA initiatives at the Health Annex. Member will carry out the following activities:
-Deliver information to patients about health insurance programs, including Medicaid, the Marketplace, and Emergency Medical Assistance.
-Conduct insurance assessments and assist 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.
-Member will attend in-reach events at the Health Annex to educate patients on insurance and their eligibility.
-Member will conduct in-reach to educate patients on their eligibility for the Marketplace and promote the Open Enrollment Period.
-Member will assess patients for Special Enrollment Periods outside of Open Enrollment.
-Member will assist patients in completing Marketplace applications and renewing their benefits. Member will also discuss benefits associated with each insurance plan, taking time to explain deductibles, premiums, and other insurance terminology.
Have face to face contact with at least 10 people a week. Complete at least 160 applications for insurance or prescription assistance over the course of service. Enroll at least 120 individuals in insurance or prescription coverage.
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
Prescription Medication Assistance Program (PMAP) and/or Other Health Benefit Screening and Enrollment