The following tools and resources are intended to guide RWHAP managers, staff, and enrollment assisters as they engage, support, and enroll RWHAP clients in Marketplace health coverage.
Health Insurance Basics eLearning Module
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.
Eligibility Decision Tree
This one-page tool is designed to help RWHAP program staff assess a client’s eligibility for Marketplace or Medicaid health coverage. Staff may use this tool to prepare for a client visit or during an enrollment appointment to determine the client’s health coverage options.
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.
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.
Get Covered for a Healthy Life - Consumer Q&A
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.
Engaging Hard-to-Enroll Clients and Tracking Your Efforts
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 with consumers on Twitter. This resource is updated annually before Marketplace Open Enrollment.
These resources are updated annually before Open Enrollment for Marketplace Coverage.
- Marketplace Plan Renewal Flowchart
This tool provides a basic timeline for Marketplace enrollment and plan renewals, with an emphasis on avoiding gaps in coverage and ensuring that financial assistance is up-to-date.
Preparing for Open Enrollment eLearning Module
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 Consumer Fact Sheet
This fact sheet provides consumers 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.
- Making the Most of Your Coverage - Consumer Resource
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 consumers 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 consumers 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 - Consumer Resource
This consumer resource is designed to help consumers 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.
Note that the federal tax filing deadline for the 2020 tax year has been extended to May 17, 2021.
- Understanding Premium Tax Credits and Cost-Sharing Reductions eLearning Module
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 (PTCs) and Cost-Sharing Reductions (CSRs)
This Frequently Asked Questions (FAQ) guide provides information about the two main types of financial support available for many consumers who get health coverage through the Marketplace: premium tax credits (PTCs) and cost-sharing reductions (CSRs).
Taxes and Health Coverage - Consumer Resource
This consumer tool is designed to help consumers 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.