Assister Alert - Outreach and Enrollment Resource Round-Up
Recently there have been several developments that may be of interest to organizations helping low-income Texans access health care. So we thought this week we would provide a quick round-up of important topics:
Can't get enough? Scroll down for more resources.
Feedback Loop Question of the Week
Q: I am assisting a consumer who has End-Stage Renal Disease (ESRD). I know they may be able to get Medicare but could they also choose to enroll in a Marketplace plan? Will they have to wait until open enrollment?
A: While many individuals may be able to get Medicare if they have ESRD, enrollment into Medicare because of ESRD is voluntary; therefore, a consumer may choose to enroll into a Marketplace plan instead of Medicare. However, there is no special enrollment period (SEP) for being diagnosed with ESRD, so unless the consumer is eligible for a different SEP they must wait until open enrollment to purchase Marketplace insurance.
As always consumers should examine which option is best for them. For more information read CMS' FAQS on Medicare and the Marketplace; ESRD is addressed in Section B.
TOED Feedback Loop
Have questions? Have you identified a barrier to coverage that needs to be addressed? Or maybe you’ve identified a best practice that you’d like to share. Let us know about by emailing your issue to Melissa McChesney at email@example.com.
For the Data Nerds
About the Texas Outreach and Enrollment Digest
This digest is meant for anyone interested in outreach and enrollment efforts for the Health Insurance Marketplace created by the Affordable Care Act, Medicaid, or the Children’s Health Insurance Program (CHIP). The TOED is sent to members of the Cover Texas Now coalition, the Texas Well and Healthy campaign, the Texas CHIP Coalition and its Outreach and Eligibility Technical Assistance Workgroup, and Consumer Voices for Coverage grantees.
If you are not part of one of these groups and someone forwarded you this message, please join the TOED email list.
We also have a TOED Facebook group where you can access the full list of TOED FAQs, collaborate with other stakeholders, and see information on the latest resources and headlines related to outreach and enrollment. Join today!
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