Certified Application Counselor Organization

Providing assistance with enrollment in a Marketplace Exchange Plan

certified application counselor program

HRSI is a dedicated advocate for the improvement of cost-effective access to healthcare resources.

HRSI has been designated as a Certified Application Counselor Organization (CACO) by the Center for Medicare and Medicaid Services (CMS). We are committed to helping hospitals meet their mission of counseling patients on the Marketplace process. HRSI staff has certified application counselors (CACs) and will be able to assist the patients at any point in the process. HRSI and the healthcare provider will develop a protocol to assist patients in completing applications to purchase health insurance on the Pennsylvania Federally-facilitated Exchanges.

HRSI will provide Certified Application Counselor services in accordance to the agreement between CMS and HRSI.

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available options

  • Bedside counseling for patients on the Marketplace process
  • Placing CACs at stationary locations in the hospital
  • Placing CPCs at outreach locations
  • Providing a complete overview of all available insurance plans
  • Providing detailed information on any specific plan offered
  • Assisting in the enrollment process
  • Understanding premium and out-of-pocket medical cost subsidies
  • Providing details on how to make the first premium payment