healthcare reform in action

Providing assistance with enrollment in a Marketplace Exchange Plan - Learn more >

healthcare reform act assistance

HRSI has a dedicated team specializing in healthcare reform regulations and requirements.

The Centers for Medicare and Medicaid Services (CMS) has designated HRSI as a Certified Application Counselor organization. All staff who interact with patients are trained as Certified Application Counselor's (CACs).

HRSI's CAC program will help patients understand their options, premium, and out-of-pocket expenses, and facilitate their enroll in a plan. HRSI will follow up with the patient until the first premium is paid.

HRSI will consult with healthcare providers to provide the most accurate information, including revenue cycle data.

Healthcare Act Assistance

What is The Marketplace (or Exchange)

The Marketplace is where qualified individuals and employers can directly compare private health insurance options, known as Qualified Health Plans (QHPs), on the basis of price, benefits, quality, and other factors. This creates an easier way to shop for health coverage. Most people will be able to get a break on costs - 90% of people who are currently uninsured will qualify for discounted or free health insurance. The Marketplace's initial open enrollment period started October 1, 2013, and ends March 31, 2014. If you applied by December 15 of 2013, your coverage began January 1, 2014. To be eligible to enroll in a Marketplace, you must live in its service area. You must also be a U.S. citizen or national, or be a non-citizen who is lawfully present in the U.S. for the entire period for which enrollment is sought. You also cannot be incarcerated, unless you are pending disposition of charges. However, those who are incarcerated can apply for Medicaid or CHIP at any time.

The estimated time to complete an application is one hour. The Certified Application Counselor Program also makes provisions for health insurance professionals to provide consumers with information that will facilitate their enrollment in QHPs and insurance affordability programs. Certified application counselors can provide skilled application assistance in community health centers, health care facilities, social service organizations, and local governmental agencies.