The New Law The Affordable Care Act (ACA) requires everyone legally living in the U.S. to have health insurance beginning January 1, 2014. And it also gives millions of individuals with too little OR no insurance, access to health plans at different cost levels. The law also provides financial assistance to those who qualify based on family size and income. Beginning October 1, 2013, you will be able to shop at a new online Health Insurance Exchange Marketplace, also known as an “Exchange,” where you can one-stop-shop for a plan that fits your budget and coverage needs. We’re here to help you learn about the law and how to select the right plan for you and your family.
What Will the Plans Cover? Coverage will include doctor visits, hospital stays, wellness care, prescriptions, emergency services, maternal and newborn care, pediatric care and more. In fact, Ten Essential Health Benefits must be covered in every plan and certain Preventive Care services will be provided at NO additional cost to patients. Also, patients cannot be turned away due to pre-existing conditions, as has been the case in the past.
Sign Up Begins October 1, 2013 If you do not have health insurance, you are required to sign up during open enrollment, from October 1, 2013 to March 31, 2014. You can shop for plans by phone, through a broker, at on-site enrollment locations, or at the online Health Insurance Marketplace, where you can easily compare benefits and costs. If you choose not to enroll for insurance, the law states that you will face tax penalties. Saint Alphonsus is here to help you with enrollment. Call toll-free 855-220-0432 to schedule an appointment with one of our assisters in your community. In Baker City, call 541-524-9050.
WANT HELP ENROLLING? Call Toll Free 855-220-0432 to schedule an appointment with one of our assisters (In Baker City call 541-524-9050)
Take a few minutes to learn a little, or a lot, about the New Law.
Long Overview Video
Short Overview Video
The New Marketplace The Health Insurance Exchange Marketplace is available online, by phone, or through an approved insurance broker, and it’s designed to make buying health coverage easier by comparing plans side by side, in simple language and with no fine print. You will be able to choose between four levels of health plans – Platinum, Gold, Silver, and Bronze – from a variety of approved insurance providers, and each will have different amounts of coverage and different monthly premiums. Only one simple application will be required.
Learn more about the Marketplace in English or Spanish.
What is the Health Insurance Marketplace?
El Mercado de Seguros Medicos
Financial Assistance Starting in 2014, a surprisingly large number of people will qualify for financial help. For example, an individual earning up to $45,900 a year, or a family of four earning up to $94,200 a year, will qualify for a reduction of their monthly premiums, or a tax credit at the end of the year. The calculator and chart on this page will give you a good idea of how much assistance will be available. Once you apply at the Marketplace, you will find out the exact amount.
Financial Assistance Income Chart Look for your income and household size on this chart to see if you qualify for financial assistance.
Why Choose Us? For over 100 years, Saint Alphonsus Health System hospitals, clinics and physicians have been caring for people in our communities and are focused on delivering exceptional quality care close to home.
When you compare plans on the Health Insurance Exchange, you’ll be able to see what hospitals and doctors are included in each one. If you want to continue to access Saint Alphonsus physicians and hospitals in your local community, then make sure you choose a plan that includes Saint Alphonsus.
We are innovators and experts focused on better ways to deliver healthcare. For example, our primary care physicians often use health coaches and medical homes to offer you a unique and customized experience to help keep you out of the hospital. Our patient navigators help coordinate care among specialists to provide a more responsive, individualized approach to your care. Our Express Care and Urgent Care clinics provide you more immediate medical care options at nights and on the weekends.
We invest in new healthcare facilities, clinical information systems and state-of-the-art technologies in our pursuit for better, safer and faster ways to take care of you. In fact, we are the first health system in our region to install electronic medical records systems in all our hospitals and clinics. And we have remained at the forefront with technologies, research trials and more that help us quickly diagnose and effectively treat the most critical patients. Our Centers of Excellence include Emergency & Trauma, Cardiac, Stroke, Orthopedics, Oncology and Women’s & Children’s Services.
We continue to deliver value to you in everything we do. Our physician-led Saint Alphonsus Health Alliance is at the forefront of innovation and unprecedented teamwork across all medical and surgical specialties. The Alliance brings employed Saint Alphonsus Medical Group primary care and specialty physicians together with independent physicians focused on improving your care quality while reducing your costs. Through the use of integrated IT systems that generate real-time quality data, Alliance members will be able to better manage and monitor your chronic disease and wellness needs and deliver more effective and valuable care.
The world-class healthcare our 5000 physicians, nurses and colleagues provide you each and every day has proven itself in countless national, state and regional clinical excellence awards. While impressive, these awards cannot capture the true compassion and unparalleled talent our providers, from some of the nation’s finest medical schools, have in blending the art and science of medicine.