St. Alphonsus Health System
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Affordable Health Insurance is Here

The New Law
The Affordable Care Act (ACA) requires everyone legally living in the U.S. to have health insurance. It gives millions of individuals with too little OR no insurance, access to health plans at different cost levels. The law provides financial assistance to those who qualify based on family size and income. Beginning November 15, 2014, you will be able to shop at an 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 answer any questions you may have.

What Will the Plans Cover?
Coverage will include doctor visits, hospital stays, wellness care, prescriptions, emergency services, obstetrics 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  November 15, 2014
If you do not have health insurance, the exchange provides an online individual shopping place for you and your family to enroll from November 15, 2014 to February 15, 2015.  It is important to note if you want coverage to start January 1, 2015, you need to enroll by December 15, 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.

 

Questions about the Health Insurance Exchange?

Saint Alphonsus is here to help.

Idaho Toll Free:
855-220-0432

Oregon
Baker City:
541-523-6461
Ontario:
541-881-7064

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 care 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.

Please send me more information.

 

Questions about the Health Insurance Exchange?

Saint Alphonsus is here to help.

Idaho
Toll Free: 855-220-0432

Oregon
Baker City: 541-523-6461
Ontario: 541-881-7064




Financial Assistance
If you're worried you may not be able to afford health insurance, you may be surprised that subsidies will go up to 400% of the poverty level, this will qualify many for subsidy assistance. For example, an individual earning up to $46,680 a year, or a family of four earning up to $95,400 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 Calculator

Idaho
Oregon

Financial Assistance Income Chart
Look for your income and household size on this chart to see if you qualify for financial assistance.

Financial Assistance Guidelines in Relation to Federal Poverty Income Levels
Household size 100% 200% 400%
1 $11,670 $23,340 $46,680
2 $15,730 $31,460 $62,920
3 $19,790 $39,580 $79,160
4 $23,850 $47,700 $95,400
5 $27,910 $55,820 $111,640
6 $31,970 $63,940 $127,880
7 $36,030 $72,060 $144,120
8 $40,090 $80,180 $160,360

Eligible for financial assistance through the Health Insurance Exchange

Source: Calculations by Families USA based on data from the U.S. Department of Health and Human Services

*Figures are for Gross Family income

Why Choose Us?

When you look for plans on the Health Insurance Exchange, make sure you choose one that includes the quality and unique services offered by Saint Alphonsus.

To make it easy to get the quality of Saint Alphonsus – wherever you live – we've formed the Saint Alphonsus Health Alliance, a network that includes over 1500 doctors and providers, 8 hospitals and nearly 600 clinics across the region.

The following plans include the Saint Alphonsus Health Alliance:

In Idaho:

  • Blue Cross Connect, Choice & HSA Saver
  • PacificSource Smart Alliance
  • BridgeSpan

In Eastern Oregon:

  • Lifewise
  • Moda (formerly ODS)
  • PacificSource
  • Health Republic (the Co-Op)
  • Bridgespan

Find a Saint Alphonsus Health Alliance Provider

Call 208-367-DOCS (3627) or 877-401-DOCS (3627)
Visit www.SaintAlphonsusHealthAlliance.org.

What is the Health Alliance?

For you to understand the value in choosing a Saint Alphonsus related physician, we think it’s important to start by highlighting the fundamental shifts we are making to improve health outcomes, reduce the cost of healthcare, and make care easy to access.

Better Value

Saint Alphonsus Health Alliance is a network of hospitals, doctors and providers working together to see the best care principles are being delivered, so we can make unprecedented shifts towards reducing costs and rewarding great outcomes.

The Alliance is working to help:

  • People currently healthy remain that way
  • Providers stay on top of care and focused on early detection for people who have high risks for becoming ill
  • Reduce healthcare costs by improving outcomes
  • Prevent expensive complications
  • Reduce avoidable hospitalizations
  • Reduce expensive duplication of services by better managing or coordinating care beyond a doctor or hospital visit

Better Care

If you think about it, it should cost very little to keep people healthy. Preventing disease or finding it very early when it is likely more treatable, will cost much less in the long-term. Making the right care available at the right time and in the right place will also be important.

And if people do get sick, they should be quickly and accurately diagnosed, the treatment options should be clearly outlined and available, and the necessary support should be provided.

Key services offered or supported by Saint Alphonsus, include:

  • Patient Navigators help patients access the most appropriate care in a timely manner
  • Patient Centered Medical Homes offer patients a team approach to care
  • Express Care & Urgent Care offer lower cost medical visits, compared to an Emergency Department, and are open 7 days a week
  • iTriage helps consumers assess their health symptoms then recommends where to go for care and maps out the closest medical facilities
  • 367-DOCS helps consumers schedule appointments to any doctor or provider in The Alliance
  • 367-COST helps estimate out-of-pocket costs of procedures performed at Saint Alphonsus hospitals, based on a consumer’s specific insurance plan and deductibles
  • Corporate Wellness programs help prevent chronic illness and keep employees healthy and productive

Better Quality

Most people think quality is inherent in hospitals and they would be right. However, rather than meeting minimum regulatory standards, The Alliance is focused on achieving maximum standards.

  • Our Quality Care Continuums identify common diseases or conditions — such as stroke, diabetes, pregnancy, breast cancer, congestive heart failure, or joint replacement surgery — and bring experts together to share the most innovative medicine or medical practices that have strong evidence proven to provide the best outcomes for each disease or condition.
  • These evidence-based medicine guidelines are then hardwired into our processes and delivered to all Alliance providers so patients can consistently achieve the best outcomes along with the most positive experience.

Better Choices

We give patients more value and choices by providing them with the highest quality healthcare network, which includes Saint Alphonsus and other hospitals, doctors, and providers around the region.

Saint Alphonsus Health Alliance:  At A Glance

  • Over 1,500 Doctors and providers
  • 715 Primary care providers
  • 479 Specialty doctors
  • 88 OB/GYNs
  • 359 Ancillary providers
  • Over 75% Independent or private practice providers
  • 8 Hospitals
  • 9 Surgery centers
  • Nearly 600 Clinic locations
  • 20 Urgent care clinics
  • 4 Express care clinics
  • Covering 170 Miles along I-84 corridor in Idaho and Oregon
  • Covering 8 counties

Primary & Specialty Care Within The Alliance

  • Allergy & Immunology
  • Anesthesia
  • Audiology
  • Breast Care & Reconstruction
  • Cardiac & Thoracic Surgery
  • Cardiology
  • Chiropractor
  • Colorectal Surgery
  • Corporate Wellness
  • Counseling
  • Dentist
  • Dermatology
  • Diabetes Education
  • Dietetics/Nutrition
  • Emergency Medicine
  • Endocrinology
  • Ear, Nose, & Throat
  • Family Medicine
  • Gastroenterology
  • General Surgery
  • Hematology
  • Hospitalist
  • Internal Medicine
  • Infectious Disease
  • Maternal Fetal Medicine
  • Neonatology
  • Nephrology
  • Neurology
  • Neurosurgery
  • Obstetrics/Gynecology
  • Occupational Medicine
  • Occupational Therapy
  • Oncology Gynecologic
  • Oncology Medical/Chemotherapy
  • Oncology Radiation
  • Oncology Surgery
  • Ophthalmology
  • Optometry
  • Orthopedics
  • Pain Management
  • Pathology
  • Pediatrics
  • Physical Medicine & Rehabilitation
  • Physical Therapy
  • Plastic Surgery
  • Podiatry
  • Psychiatry
  • Psychology
  • Pulmonology
  • Radiology
  • Rheumatology
  • Sleep Medicine
  • Speech Therapy
  • Sports Medicine
  • Telemedicine
  • Urology
  • Vascular Surgery
  • Wound & Hyperbaric Medicine

©

 2014  

Saint Alphonsus Health System  |  1055 North Curtis Road  Boise, ID 83706  |  208-367-2121

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