In an effort to expand health coverage to all consumers, ACA created new online marketplaces, also called exchanges, 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 available through each, as well as identifying 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, minimum value, minimum essential coverage, tax penalties, health premium tax credits and cost-sharing reductions.
Lesson 2: Small Business Health Options Programs (SHOP)
Explains the purpose of SHOP exchanges, the eligibility requirements and 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 characteristics for all private exchanges. Growth trends of 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.