Fact Sheets

Streamlined Marketplace Application Process

This fact sheet is intended to help Navigators answer specific questions that people with disabilities might ask about using the Streamlined Marketplace Application process to apply for health insurance coverage Q1. How do I apply for health insurance? A. You can apply for health insurance through the Health Insurance Marketplace, which is designed to help […]

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Medically Frail Status as an Exemption to Receiving Medicaid Alternative Benefit Plan with Essential Health Benefits

This fact sheet is intended to help Navigators answer specific questions people with disabilities may call you with if their exchange application indicates that they potentially qualify for enrollment in their state’s Medicaid expansion.  These individuals may have health conditions that qualify them as “medically frail” or another category that is exempt from enrollment in the […]

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Mental Health and Substance Use Disorder Parity

This fact sheet is intended to help Navigators answer specific questions that people with disabilities might ask about mental health and substance use disorder parity (MH/SUD) through the Health Insurance Marketplace Q1. Will I be able to get insurance with mental health and substance use disorder benefits through the Marketplace? A. Yes, mental health and […]

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Supporting Collaborations between Navigators, Connectors and Assisters, and Local Disability and Affinity Organizations

This fact sheet is intended to help Navigators, connectors and assisters understand why it is important to identify and build relationships with local disability and affinity organizations Q1. Some of the people I am assisting are individuals with disabilities. Should I learn more about community resources that might help them? A. While your primary role […]

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Prescription Medication Benefits

This fact sheet is intended to help Navigators answer specific questions that people with disabilities might ask about prescription medication benefits when they are considering buying health insurance through the Marketplace Q1. What do I need to know about prescription drug coverage as I evaluate plans I am considering purchasing? A. Prescription drugs are included […]

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Rehabilitation and Habilitation Services and Devices

This fact sheet is intended to help Navigators answer specific questions that people with disabilities might ask about rehabilitation and habilitation services and devices benefits when they are considering buying health insurance through the Marketplace Q1. What do I need to know about rehabilitation and habilitation services and devices? A. Health plans available through the […]

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Using Health Plan Customer Services To Learn Scope of Coverage

This fact sheet is intended to help Navigators answer specific questions that people with disabilities might ask about the role health plan customer services can play when purchasers are considering buying health insurance through the Marketplace Q1. What are the primary purposes of health plan customer service? A. Typically, health plan customer services can involve, […]

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Getting and Using Health Plan Evidence of Coverage

This fact sheet is intended to help Navigators answer specific questions that people with disabilities might ask about getting and using health plans’ Evidence of Coverage documents when purchasers are considering buying health insurance through the Marketplace Q1. What is Evidence of Coverage? A. The Evidence of Coverage (EOC) is a document that describes in […]

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Comparing Health Plans’ Benefits and Coverage Summaries

This fact sheet is intended to help Navigators answer specific questions that people with disabilities might ask about benefits and coverage available through the Health Insurance Marketplace Q1. What is the “Summary of Benefits and Coverage (SBC)”? A. All individual and group health plans participating in the Marketplace must use the same standard form, called […]

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