GOOGLE HANGOUT

AMY FAUVER, CHIEF COMMUNICATIONS OFFICER

SEPTEMBER 20, 2013

Cover Oregon is a new

online marketplace

where Oregonians can

compare and enroll in

health coverage that

fits their needs and

budget, and also

access financial help.

WHAT IS COVER OREGON?

Improving the health of all Oregonians

by providing health coverage options,

increasing access to information, and

fostering quality and value in the health

care system

MISSION

BACKGROUND

• Created in 2011 by

Oregon Legislature

• Formed as public

corporation

• Key piece of

Affordable Care Act

• Custom-built for

Oregonians

• October 2013:

Open enrollment

• January 2014:

Coverage begins

• January 2016:

Groups to 100

Employees

TIMELINE

CHANGES

• Can’t be denied for pre-existing condition

• Essential health benefits

• Financial help

• Medicaid expansion

• Requirement to have insurance

• Health insurance marketplaces (exchanges)

• Carriers must spend 80% of premiums on care

PLANS THROUGH COVER OREGON

PAGE 8

MEDICAL INDIVIDUAL CARRIERS

formerly ODS

PAGE 9

SMALL BUSINESS CARRIERS

formerly ODS

DENTAL CARRIERS(COOS COUNTY)

formerly ODS

INFORMED DECISIONS ABOUT PREMIUMS VS. COPAYS

INDIVIDUAL RATES - PORTLAND

More information: www.oregonhealthrates.org

SMALL GROUP RATES - PORTLAND

More information: www.oregonhealthrates.org

PLAN CHOICE

Number of plans in individual market: 102

Number of plans in small group market: 72

Number of HSA-qualified plans (tentative): 25

PUBLIC MEDICAL PROGRAMS

Mental/behavioral health

ESSENTIAL HEALTH BENEFITS

Hospitalizations Ambulatory services

Maternity/newborn care

Emergency services

Prescription drugs

Laboratory services

Rehabilitative/habilitative

services & devices

Pediatric vision care

Prevention/wellness

INDIVIDUALS AND FAMILIES

INDIVIDUALS

AND FAMILIES

• Financial help

• Clear information and

price transparency

• Side-by-side

comparisons

• One-stop shopping

• Quality coverage and

grades

• Help enrolling

• HSA-eligible plans

ELIGIBILITY FOR FINANCIAL HELP

SMALL BUSINESSES

SMALL

BUSINESSES

• Choice

• Clear information

• Set contribution

• Quality coverage

• Streamlined

administration

• Access to tax credits

• Help

ELIGIBILITY FOR TAX CREDITS

EMPLOYER CHOICES

TIMELINE FOR EMPLOYERS

?

HOW TO APPLY

Go to CoverOregon.com

or call 1-855-Cover-OR

You’ll be connected to a

community partner or agent in your

area

Community partner or agent will find a plan

that’s right for you

INDIVIDUALS AND FAMILIES(THRU MID-OCTOBER)

INFORMATION YOU’LL NEED

Social security number, residency card or

immigration documentation

Income documents and self-employment records

such as last tax return, most recent pay

stub, financial statements or other sources of

income

Documentation about any health insurance

plan(s) that cover household members

SEARCH FOR PLANS BY:

• Geography

• Price

• Provider

• Quality rating (11 metrics first year)

• Carrier

• Plan type (e.g., HMO, PPO)

• Deductible

• Out-of-pocket maximum

• Metal tier (bronze, silver, gold, platinum)

HOME PAGE

SEARCH DATABASE

RESOURCES• CoverOregon.com

• Online calculator

• Fact sheets

• Meetings/events

• Email updates

• Marketing materials at

CoverOregonStore.com

• 1-855-CoverOR

• Facebook, Twitter, etc.

CONNECT WITH US

Sign up for email alerts

at CoverOregon.com

@CoverOregon Facebook.com/CoverOregon

www.LinkedIn.com

(search “Cover Oregon”)

www.Plus.Google.com

(search “Cover Oregon”)

CoverOregon.com

www.YouTube.com/Cov

erOregonVideo

CoverOregon.com