TOP 5 LESSONS LEARNED

Joan FisherUnited Way of Anchorage

Monique Martin

ANTHC

Don’t expect to enroll people on the first visit◦ It takes 3-4 visits for some individuals/families

The Affordable Care Act is complicated and people need to understand how the tax credits work and what insurance plans are available

Then they apply it to their circumstances and are ready to enroll

Lesson #1

Talking about the Medicaid Expansion Gap requires time and sensitivity

Demonstrate the Gap using the Calculator Give people options for care such as

referrals to the Community Health Centers Remain neutral and objective Have a box of tissue handy

Lesson #2

The MAGI – Modified Adjusted Gross Income Discussion on the new formula for Medicaid No longer assets based – income includes

the Permanent Fund Dividend Review your income on a quarterly basis

Lesson #3

Bone up on your insurance terms and keep up your training!◦ Learn how to explain deductibles, co-insurance,

co-payment, in/out of network in multiple languages

◦ Attend the Weekly Assister’s Trainings on Fridays◦ Understand the Qualified Health Plans and the

benefit coverage

Lesson #4

Did you know you were going to be a tax expert? You aren’t so be careful.◦ Learn how the Advanced Tax Credits work and are

reconciled◦ Explain how the filing status impacts the ATC◦ Remember – victims of domestic violence can file

married single and get the tax credits ◦ Stress to people to update their income

Lesson #5

Share with us one lesson that you learned from your experience as a Navigator or Certified Application Counselor

Questions?

What lessons did you learn?