Health Insurance Open Enrollment

11/1/2020 – 12/15/2020

Open enrollment for the Affordable Care Act Health Insurance begins November 1st and ends on December 15th. Health care insurance coverage changes made during during open enrollment will take effect in January of 2021. Contact our Certified Application Counselors at (603) 516-2556 or enroll@goodwinch.org to learn more about enrolling in health care insurance.

 


Need Health Insurance?

At Goodwin, we want to make sure everyone has access to our services. We accept most kinds of health insurance, including most private insurance plans, Marketplace plans, NH Medicaid,  MaineCare and Medicare. You will not be turned away from Goodwin for not having insurance. Our Certified Application Counselors can help you get covered.


How do I apply for insurance?

We know applying for health insurance can be confusing and difficult to understand. That’s why Goodwin has onsite Certified Application Counselors  (CAC’s) who are available to help you and your family get health insurance coverage.

Our team at Goodwin can help to review your eligibility for one of two different insurance programs:

 

What is the Health Insurance Marketplace?

The Health Insurance Marketplace was created to provide affordable health care plans for as many Americans as possible. All insurance plans offered through the Marketplace are required to cover doctor visits, hospitalizations, maternity care, emergency room visits, prescriptions, mental health and substance abuse services, and more. You can even get dental insurance through the Marketplace. Financial assistance may be available for those who qualify.

The Health Insurance Marketplace has open enrollment periods every year.
It is very important to meet with someone who can help you enroll during this open enrollment period. 

 

 

 

What is the Granite Advantage Health Care Program?

The Granite Advantage Health Care Program is designed for low-income families to receive health insurance at little to no cost. This is a Medicaid funded program that has expanded its requirements so more people can qualify. Even if you already have health insurance, there may be a more affordable option for you. Within the Granite Advantage Health Care Program there are three options for getting coverage. Our team can meet with you to identify which option is best suited for you or your family.

 

 

 

How do I know if I am eligible for the Granite Advantage Health Care Program?

The program is available  to New Hampshire residents ranging from ages 19 to 64 whose incomes fall below a certain level. To see if you’re eligible, visit the NH Health and Human Services website.

 

What type of coverage does Granite Advantage Health Care Program offer?

The details of your coverage will depend on the type of plan you qualify for. Most plans are required to cover routine doctor’s appointments, prescriptions, and emergency room visits. Use the chart below to get an idea of what coverage you may qualify for, then scroll down to learn how we can help you get started. Both programs help pay for regular checkups, prescription drugs, ER visits, hospital stays, specialist visits, and mental health and substance use treatment.

 

 

Selecting a Managed Care Plan:
The guide below reviews the differences between managed health plan options. Our specialists are happy to help with any questions about selecting a plan.
Contact our Certified Application Counselors at (603)516-2556 or enroll@goodwinch.org.

Contacting our team:
To make a change to your Managed Care Plan during the special enrollment period, contact our Certified Application Counselors at (603)516-2556 or enroll@goodwinch.org.

Click here for help with language or translation. 


Prepare for Your Application

When you apply for either option, be sure to have the following information available for either online applications or in person appointments:

  • Social Security numbers
  • Birth dates
  • Pay stubs, W-2 forms, or other information about your family’s income
  • Most recent tax returns (if any)
  • Policy/member numbers for any current health coverage
  • Immigration documents for any eligible immigrants who want health coverage  (Get more info on this here)
  • Information about any health coverage from a job that’s available to you or your family (even if you don’t take the insurance). You can use this Employer Coverage Tool
  • Employers’ names, phone numbers and addresses, for all household members
  • Home and mailing addresses for everyone applying for coverage

If you are applying for or renewing an Affordable Care Act plan, please also bring:

  • Your written estimate of household income for 2021, including all sources of income and amounts. Write down how you figured this out! You may want to use this tool. An accurate estimate will help you get the correct tax credit – not too little and not too much. (If too much, you may have to pay some back to the government.)
  • If you have a household member who has access to insurance at work, complete this employer coverage tool.
  • List of the medications you and other household members take, providers you see, and hospital you prefer. This will help in choosing the plan that best covers your needs.
  • If you lost your health insurance in the past six months, bring your loss-of-insurance letter and the insurance card for the plan that you lost.

If you have had Affordable Care Act insurance before and are renewing, please also bring:

  • Your HealthCare.gov email address and password.  Having this will allow you to best use your time with the enrollment counselor to set up your coverage for next year. If you don’t have it, you can set up an account or retrieve your login info at HealthCare.gov, or call 1-(800) 318-2596. 2)
  • Notices from your current plan that include your plan ID#

Meet Our Specialists

Getting health care coverage can be overwhelming. Our team of Certified Application Counselors (C.A.C.) are ready to guide you through the process. We will work with you to make sure you get access to the services you need.

For appointments on-site at Goodwin Community Health please contact one of our Certified Application Counselors at (603)516-2556 or enroll@goodwinch.org

  • Mary Moynihan, CAC
  • Ginny Mayo, CAC

 


 

Special Enrollment Periods

 

What is the special enrollment period, and how do I know if I’m eligible?

If you qualify for a Special Enrollment Period if you’ve had certain life events (known as “qualifying events”)including losing health coverage, moving, getting married, having a baby, or adopting a child.

Below are examples of acceptable qualifying events:

ACA Qualifying Life Events

 

 

 

 

 

 

 

 

 

 

 

If you have a “qualifying event”, our onsite enrollment specialists can help you enroll during the Special Enrollment Period.

You can enroll in Medicaid and the Children’s Health Insurance Plan (CHIP) any time of year, whether you qualify for a Special Enrollment Period or not.  Job-based plans must provide a special enrollment period of at least 30 days.

To learn more about enrollment during Special Enrollment Period, please contact one of our Certified Application Counselors at (603)516-2556 or enroll@goodwinch.org

If you have a qualifying life event, you may be eligible to enroll in the Marketplace outside the open enrollment period, this is known as a Special Enrollment Period (SEP).

If you qualify for a Special Enrollment Period, you usually have up to 60 days following the date of the life event to enroll in a plan. If you miss that window, you’ll have to wait until the next Open Enrollment Period to apply.


Helpful Links for Special Enrollment Periods:
Frequently Asked Questions
Managed Care Plan Selection Tool
Guide to the Quality of NH Medicaid Health Plans
Language/Translation Services

 


Read About How Applying For Health Coverage Changed the Lives of these Goodwin Patients