Health Enrollment Literacy Program and Servicex | Hawaii HELPS - Health Enrollment Literacy Programs and Services

(HI HELPS) Provides access to the enrollment process via smartphone, iPad, laptop, desktop, zoom call, standard phone call or referral to community health centers for walk-ins. Uses a needs assessment tool to determine appropriate health insurance option, including retiree/federal or veteran insurance as well as marketplace, medicare and medicaid solutions. Guides consumers through the healthcare.gov marketplace eligibility and application process using a direct enrollment pathway. The system reduces need for complicated identity verification modules and allows the enrollee or a marketplace assister select a plan and enroll in under 15 minutes. Reviews eligibility information and enrollment forms to help individuals who may qualify for medicare, medicare savings programs and/or medicaid programs. Refers individuals to appropriate state or federal agencies for issues that require investigation and follow up. Compares plan benefits, pricing, deductibles and services that are not covered. Uploads required documents to facilitate marketplace enrollments. Monitors enrollments for acceptance, premium payments and issuance of member identification cards. Assists with cancellation of the marketplace plan if no longer needed. Trains team of community certified application assisters and monitors annual recertification and credentials. Ensures all activities are compliant and meet federal and state regulations including protected health information mandates. Develops and distributes outreach materials to community health centers, food bank distribution locations, and other venues where the newly unemployed utilize resources available due to the pandemic. No face to face contact needed to enroll and those that qualify for Medicaid will be contacted by Medicaid with eligibility results and/or approval. Health premium subsidy based on household income. There is a 60 day window beginning the day coverage is lost to qualify for the special enrollment period.