CT FAMILY TO FAMILY HEALTH INFORMATION CENTER
CHAMPIONS FOR COVERAGE
Time for a Health Insurance Check Up
Now is the time to take a closer look your health care needs and options.
The Open Enrollment Period for 2018 coverage has ended. You must apply for a Special Enrollment Period to enroll in a qualified health plan.
If you have a Qualifying Life Event, your Special Enrollment Period will generally last 60 days from the date of the event. During this time, you can sign up for health care coverage or change your plan if you already have coverage. The following are considered Special Qualifying Events:
• Just Married to an Access Health Customer
• Divorce or Legal Separation
• Having, adopting, or fostering a child
• Just moved to Connecticut
• Loss of coverage due to job change
• Aging off parents’ plan
Or loss of coverage due to other circumstances:
• Expiration of COBRA
• No longer eligible for Medicaid/HUSKY
• No longer eligible for an Advanced Premium Tax Credit (APTC) or a Cost-Sharing Reduction (CSR)
• Decertifcation of your health plan
• Cancellation of employer health care coverage for employees or their beneficiaries
• Cancellation or large reduction in employer contributions toward coverage so that your share of premium does not meet federal standards
• Change in citizenship or lawful presence standards
Do you already have health insurance through the Marketplace?
If you do, you must re-enroll every year or you will be automatically re-enrolled. It is also important to report any changes to your income to the marketplace.
Enrollment for Medicaid and the Children’s Health Insurance Program (CHIP) is open anytime. Open enrollment is not limited for these publically funded health insurance programs for low income individuals. Medicaid also provides long term services and supports to people with disabilities.
- This is a good time to check your health insurance coverage and see if it still meets your healthcare needs.
- Anyone can change health care plans during open enrollment, but most people will be re-enrolled automatically if they take no action.
- Carefully read all health insurance notices and updates.
You should check your coverage:
- Even if you like your health plan, new plans may be available and premiums or cost sharing may have changed since last year.
- Even if your income has not changed, you could be eligible for more financial assistance.
If you have a disability or a health condition, pay attention to possible changes:
- Are a broad range of health care providers included in the health plan’s network of providers?
- Are there enough medical specialists in the network to meet your needs?
- Are needed medications included in the plan’s list of covered drugs?
- Is there adequate access to non-clinical, disability-specific services and supports?
- Does the plan have service limits, such as caps on the number of office visits for therapy services?
- Are mental health services covered to the same extent that other “physical” health benefits are covered?
Where to get help?
Help in CT is available through our Marketplace known as ACCESS HEALTH CT
Contact them directly at: 1-855-805-HEAL (1-855-805-4325). | TTY: 1-855-789-2428
NOTE: Applications for HUSKY are available throughout the entire year
FOR HELP NAVIGATING IT ALL, CONTACT A HEALTH INFORMATION SPECIALIST AT:
PATH/FVCT: 203-234-9554 or 1-800-399-7384
Request a training for your parent organization to help families learn how to navigate the healthcare system. Training covers topics such as:
- All you need to learn about Health Plans (Both private & public health insurance)
- 6 steps to help you select your Health Plan
- Learning about the appeals process
- Helpful resources and tips
The CT Family-to-Family Health Information Center, a project of PATH Parent to Parent/Family Voices of CT, is funded under Grant Award #H84MC21663 from the U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau, Division of Services for Children with Special Health Needs. This funding was made available through the Patient Protection and Affordable Care Act (ACA). This Center is staffed by parents. We provide free, confidential assistance to families raising children and youth with special health needs (CYSHCN), professionals, and others.
What are F2F HICs?
Family-to-Family Health Information Centers (F2F HICs) are family-staffed organizations that assist families of children and youth with special health care needs
(CYSHCN) and the professionals who serve them. F2F HICs provide support, information, resources, and training around health issues. F2F HICs are uniquely able to help
families because they are staffed by family members who have first-hand experience navigating the maze of health care services and programs for CYSHCN. This intimate understanding of the issues that families face make F2F staff exceptionally qualified to help families navigate health systems and make informed decisions. Some F2F HICs are independent nonprofits; others are part of collaborative nonprofit organizations or state agencies. All F2F HICs have a strong commitment to and expertise about CYSHCN.
How are F2F HICs funded?
The Health Resources and Services Administration (HRSA), Maternal Child Health Bureau (MCHB) provides the primary funding support for F2F HICs, authorized by the Family Opportunity Act (FOA) in 2006 (part of the Deficit Reduction Act). This funding is currently authorized through the Affordable Care Act (ACA). Through this funding, HRSA’s MCHB currently supports F2F HICs in all states and the District of Columbia. This federal funding is blended in some states with oher federal or state specific funding to support F2F activities.. This funding enables F2F HICs to provide free assistance to families.
How do F2F HICs help?
Each F2F HIC is unique, reflecting the needs and character of the community and state that it serves. Organizational structure, locations, partnerships, and specific initiatives may vary. However, all F2F HICs provide:
• Assistance to families and professionals in navigating health care systems
• Information, education, training, support and referral services
• Outreach to underserved / underrepresented populations
• Guidance on health programs and policy
• Collaboration with other F2F HICs, family groups, and professionals in efforts to improve services for CYSHCN
• Evaluation and outcome assessment
What are typical questions that a parent or professional might ask an F2F HIC?
• Is there a health insurance program that will pay for my child’s medical needs? How do I enroll?
• How will the Affordable Care Act affect me?
• Medicaid has denied payment of some of my child’s services. What do I do now?
• My child is very medically complicated. How can I best work with her doctors?
• My baby is being released from the NICU. What will happen next? Can you tell me about early intervention services?
• Should my child receive the flu vaccine?
• Where can I find a support group for families of children with my child’s disability?
• How can you help us to develop a Family Advisory Committee at our hospital?
• Do you have materials appropriate for our growing immigrant community?
•We’d like to set up a family-faculty training program. Can you help?
CONTACT THE HEALTH INFORMATION SPECIALIST IN YOUR AREA
Maria Castellanos – Bilingual Health Information Specialist email@example.com
Kevin Daly – Statewide Educational Advocate firstname.lastname@example.org
Marni McNiff – Health Information Specialist, Western Region email@example.com
Nicole Oswald – North/Northeast Region firstname.lastname@example.org
Andrea Richardson – Health Information Specialist, Hartford email@example.com
Danielle Rodriguez – Statewide Genetics Parent Specialist firstname.lastname@example.org
Sheri Romblad – Parent to Parent Program Coordinator email@example.com
Jennifer Thompson – South/Southeastern Parent to Parent Specialist firstname.lastname@example.org
Questions? Give us a call or send us an email!!!
Additional Health Resources:
The Catalyst Center is a national center dedicated to improving health care coverage and financing for Children and Youth with Special Health Care Needs (CYSHCN).
The Catalyst Center is dedicated to improving health care coverage and financing for children and youth with special health care needs (CYSHCN). We are funded by the federal Maternal and Child Health Bureau, Health Resources and Services Administration, US Department of Health and Human Services. Our primary offices are located within the Health and Disability Working Group at the Boston University School of Public Health.
The Catalyst Center works with a broad range of partners to:
- Expand health insurance coverage of CYSHCN across the country;
- Close the gaps faced by underinsured families;
- Develop and disseminate innovative financing strategies at the community, state, and national levels;
- Enhance knowledge and collaboration among stakeholder groups around coverage and financing issues.
Click on the following links for some helpful health resource documents which you can download and print and/or save.
- Using Your Insurance Coverage
- Finding/Keeping Insurance Coverage When You Lose Your Job
- Katie Beckett Waiver
- Katie Beckett Waiver (Spanish)
- Supplemental Security Income (SSI) and Your Child
- Other Waivers
- Other Programs
Health Reform Hits Main Street:
Health Reform Hits Main Street (Spanish Version):