In an effort to expand health coverage to all consumers, the Patient Protection and Affordable Care Act (ACA) created a new online Marketplace, also called a public exchange, where individual consumers, families and small businesses can go to purchase health plans. In addition to these exchanges, private exchanges are also available to sell health insurance to individuals and groups. This course defines and differentiates the three main types of exchanges and the health coverage and financial assistance available through each, as well as identifies strategies for helping you guide consumers to the type of exchange that is right for them.
Lesson 1: Public Exchanges
Compares state-based vs. federally facilitated exchanges, as well as the functions and operations of each. Also covers qualified health plans, eligibility, health premium tax credits and cost-sharing reductions.
Lesson 2: Small Business Health Options Program (SHOP)
Explains the purpose of SHOP, the eligibility requirements for coverage, financial advantages for small employers, and how and why a consumer should enroll.
Lesson 3: Private Exchanges
Describes the various types of private exchanges, as well as the common features of all private exchanges. Enrollment rates for private exchanges are also covered.
Lesson 4: Advising Consumers
Identifies important questions and concerns for consumers as they compare types of exchanges and the coverage available within each and outlines strategies for advising consumers.