Basics and Eligibility
- Health Insurance Literacy Basics
This resource is a self-paced, interactive course designed to build the health insurance literacy of RWHAP program staff. Participants will learn how to: define health insurance literacy, use key health insurance terms correctly in conversations with clients, help clients understand their health coverage options, and help clients use and keep their health coverage. - Plain Language Glossary
The Plain Language Glossary is a quick guide to common health insurance terms in plain language intended for both RWHAP program staff and clients. The glossary is also available in Spanish, Haitian Creole, and as an English/Spanish Comparison Table. - 8 Things to Know to Help Support People with HIV to Enroll in Health Coverage
This resource provides enrollment assisters, navigators, and certified application counselors, especially those who may be new to helping enroll people with HIV, with tips to help people with HIV find health plans that cover their unique health care needs. - Video for Enrollment Assisters
This video provides essential tips to enrollment assisters, navigators, and certified application counselors who may be new to supporting people with HIV. - Transitioning from Marketplace to Medicare Health Coverage
Learn how to help RWHAP clients navigate the transition from Marketplace to Medicare smoothly and efficiently using this helpful guide. The resource includes answers to frequently asked questions about this process. - Best and Promising Practices for Engaging, Enrolling, and Retaining People with HIV in Health Coverage
The ACE TA Center has identified best and promising practices for engaging, enrolling, and retaining people with HIV in health coverage. Though the current list is most relevant to enrollment in Marketplace health insurance, many of the best practices can also apply to Medicare and Medicaid enrollment work.
Engaging Clients in Conversations About Coverage
- Common Questions and Suggested Responses for Engaging Clients in Health Coverage
This guide is a training tool to help RWHAP providers start a conversation with their clients about their health coverage and how to address possible concerns, including sample questions and responses. This resource is also available in Spanish. - Pre-enrollment Appointment Checklist
This pre-enrollment appointment checklist can be used by HIV case managers and enrollment staff to help individual clients choose the health care plan that best fits their health and financial needs. - Get Covered for a Healthy Life - Q&A for People with HIV
This Q&A is a plain language guide to common questions that RWHAP clients might have about enrolling in health coverage, such as: “Why do I need health insurance?”, “Will insurance pay for my HIV medications?” and “Can I still get services from RWHAP and ADAP?” This resource is also available in Spanish and Haitian Creole. - My Health Insurance Works For Me - Enrollment Poster Series
This poster series is designed to spark conversations about the benefits of enrolling in health insurance. The poster series is also available in Spanish. - My Health Insurance Works For Me - Renewals Poster Series
This poster series is designed to spark conversations about the benefits of renewing health insurance. The poster series is also available in Spanish. - Tracking Your Efforts to Engage Clients Who Experience Barriers to Enrollment
This resource includes best practices and resources for engaging hard-to-enroll clients and tracking your efforts in four easy steps. - Open Enrollment Twitter Toolkit
This toolkit compiles adaptable tweets and graphics to promote key Open Enrollment messages and ACE TA Center materials on Twitter for people with HIV. This resource is updated annually before Marketplace Open Enrollment.
Enrolling Clients in Marketplace Coverage
These resources are updated annually before Open Enrollment for Marketplace Coverage.
- Microlearning Module: How to Enroll Clients in Marketplace Coverage
This microlearning module outlines the basic eligibility criteria for health insurance through the Marketplace, open and special enrollment periods, and financial assistance available. The module also suggests other ACE TA Center resources for RWHAP staff to learn more about Marketplace coverage. - eLearning Module: Preparing for Open Enrollment
This eLearning module is a self-paced, interactive learning tool designed to help RWHAP program staff and enrollment assisters prepare for an efficient and successful Open Enrollment Period. - Account Tune-Ups: Getting Ready for Marketplace Open Enrollment
This resource provides guidance on conducting Account Tune-Ups to help make sure eligible clients are ready to enroll in health coverage in the months leading up to Open Enrollment. - Special Enrollment Periods - Resource for People with HIV
This fact sheet provides people with HIV with an overview of the life events and special circumstances that may qualify them for a Special Enrollment Period, as well as what to do if they think they are eligible. This resource is also available in Spanish and Haitian Creole. - FAQ: Special Enrollment Periods for Marketplace Health Coverage
This searchable FAQ features all the information from our SEP Fact Sheet as well as questions commonly asked about SEPs during ACE TA Center webinars.
Using Coverage and Staying Covered
- Making the Most of Your Coverage - Resource for People with HIV
This resource is intended to help newly enrolled clients get started with using their health insurance benefits. Topics include identifying important health insurance documents, defining key insurance terms, anticipating potential health care costs, knowing where to go for care, and making the most of each medical visit. This resource is also available in Spanish and Haitian Creole. - "Covered" Video Series
The “Covered” video series is a collection of short videos for people with HIV that provides tips for RWHAP clients on how to make the most of their health insurance. Topics include: key health insurance terms, what’s covered by insurance, where to go for care, and how RWHAP and ADAP can help. The “Covered” video series is also available in Spanish. - My Health Insurance Works for Me - Stay Covered Poster Series
This poster series was designed to help people with HIV understand what they need to do in order to maintain their health insurance coverage throughout the year. The poster series is also available in Spanish and Haitian Creole. - Stay Covered All Year Long - Resource for People with HIV
This resource for people with HIV is designed to help them understand what they can do to maintain their health coverage, including paying premiums on time, reporting income and household changes, and what to do if they lose their coverage. This resource is also available in Spanish and Haitian Creole.
Taxes and Financial Help
- eLearning Module: Understanding Premium Tax Credits and Cost-Sharing Reductions
This eLearning module is a self-paced, interactive tool designed to help RWHAP program staff understand the basics of premium tax credits (PTCs) and cost-sharing reductions (CSRs) as well as how they can help RWHAP clients pay for their Marketplace insurance and reduce out-of-pocket costs. - FAQ: Premium Tax Credits and Cost-Sharing Reductions
This FAQ provides information about the two main types of financial support available for many people with HIV who get health coverage through the Marketplace: premium tax credits (PTCs) and cost-sharing reductions (CSRs). - Taxes and Health Coverage - Resource for People with HIV
This tool is designed to help people with HIV understand the relationship between Marketplace health coverage and taxes and how to reconcile advance premium tax credits (APTCs) through tax filing. This resource is also available in Spanish and Haitian Creole. - Financial Help and Taxes
This resource provides an overview of the tax filing process for individuals with Marketplace coverage, including guidance for reconciling advance premium tax credits (APTCs) and information on state-specific individual mandates.
