Excerpt from the ACE TA Center Listserv - 7/25/24
It’s time to start preparing for Marketplace Open Enrollment.
Take steps now to ensure your clients’ enrollment experiences are quick, efficient, and successful. Open Enrollment (OE) begins on November 1, 2024, and will run through January 15, 2025 in states that use Healthcare.gov.
- Clients who enroll between November 1 and December 15, 2024, will have coverage beginning January 1, 2025.
- Clients who enroll between December 16, 2024, and January 15, 2025, will have coverage starting February 1, 2025.
Now is the time to prepare clients and staff for efficient enrollment appointments starting November 1.
Get your organization ready to enroll with our on-demand Preparing for Open Enrollment Module.
Whether your staff have many years experience conducting enrollment appointments or are brand new to the process, preparation is key for a successful OE period. The ACE TA Center’s Preparing for Open Enrollment Module outlines a month-by-month timeline of key steps your staff should take between now and November to help prepare both staff and clients for OE.
The training module also provides links to resources that support staff training, partnership development, and clients’ enrollment appointments.
Explore the Preparing for Open Enrollment On-Demand Module
Start scheduling Account Tune-Ups now
An account tune-up is a pre-enrollment appointment to prepare clients to enroll into health coverage once OE begins. The goal of each account tune-up appointment is to make sure clients have all the paperwork and information they need so that enrollment appointments are efficient and effective beginning November 1. Ideally, these appointments take place in the three months leading up to November 1.
There are four main steps to an Account Tune-Up:
- Check paperwork, Marketplace accounts, and insurance payments to ensure they are up-to-date.
- Review the client’s income and tax filing history to estimate income for 2022 and determine eligibility for Advanced Premium Tax Credits (APTCs).
- Confirm enrollment in the Ryan White HIV/AIDS Program (RWHAP), including its AIDS Drug Assistance Program (ADAP).
- Help clients prepare for enrollment and schedule enrollment appointments.
Account Tune-Ups: Getting Ready for Marketplace Open Enrollment