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1 Affordable Health Insurance for CSULA Students and their Families Photo from Flickr:

2 New Health Insurance Rules 1. Affordable Care Act (2010) offers new insurance oplons for all 2. Government assistance to middle and lower income individuals and families to buy insurance 3. Insurance companies cannot charge more because you have or had a medical problem (like a pre- exislng condilon) Photo from: h/p://ph.lacounty.gov/aids/healthcarereform.htm

3 How This Affects You StarLng January 1, 2014, federal law requires almost everyone (who is eligible) to have health insurance. CSU system is educa?ng students and families about the new system and opportuni?es to get affordable coverage.

4 You re young & healthy why do you need insurance? Photo from Flickr:

5 Why do you need insurance? Things Happen. With an aclve lifestyle, chances are you will need medical care at some point: AcLve lives include the risk of injury You may need reproduclve services One day in a hospital in LA County = $4,389 * An emergency room visit can cost $3,000 ** or more Health insurance will protect you and your family from high medical bills and debt. * Helfand, D. Los Angeles Times. March 6, Retrieved from: h/p://arlcles.lalmes.com/2011/mar/06/business/la- fi- hospital- cost ** Kliff, S. The Washington Post. March 2, Retrieved from: h/p:// 2013/03/02/an- average- er- visit- costs- more- than- an- average- months- rent/

6 What Your Insurance Will Cover Comprehensive insurance coverage will give you & your family: Access to primary and specialty care Free prevenlve care Hospital care Coverage of prescriplon drugs Coverage of reproduclve services And much more So, insurance helps keep you healthy and protects you against the unexpected!

7 Now that you know why insurance is important how do you get health insurance?

8 Two Ways to Get Insurance Op?ons in the New System 1. Medi- Cal program 2. A health insurance exchange (Covered California) run by the state

9 Expanded Medi- Cal Program Government program for low- income residents Individuals with income below $15,000 Family of four with income below $31,000 Free coverage for those who qualify Note: Eligibility is based on income relalve to the Federal Poverty Level (FPL). Individuals and families making up to 138% FPL may be eligible for Medi- Cal. According to 2013 Federal Poverty Guidelines, FPL is $11, 490 for an individual and $23,550 for a family of 4. (h/p:// for- advocates/guides/federal- poverty- guidelines.html)

10 California Health Benefit Exchange Covered California: Marketplace to buy private insurance Individuals and families may be eligible for subsidies Individual with income between $15,000 and $45,000. Family of four with income between $31,000 and $92,000. The lower the income, the more the subsidy Note: Eligibility is based on income relalve to the Federal Poverty Level (FPL). Individuals and families making between 138% and 400% FPL may qualify for federal subsidies. According to 2013 Federal Poverty Guidelines, FPL is $11, 490 for an individual and $23,550 for a family of 4. (h/p:// for- advocates/guides/federal- poverty- guidelines.html)

11 California Health Benefit Exchange (Covered California) Covered California Online marketplace where consumers can shop for choice of health plans. Insurance Plan 1 Insurance Plan 2 Insurance Plan 3 Insurance Plan 4 Insurance Plan 5 CONSUMER CHOICE

12 How Much Will Insurance Cost? Example 1: 23- year- old CSU student Income: $20,000/year In Covered CA, insurance premiums may be: Cost per month: Government pays: Student pays: $146* - $61 $85 * Costs are eslmates.

13 How Much Will Insurance Cost? Example 2: Family of 4, where parents are 42 Income: $40,000/year In Covered CA, insurance premiums may be: Cost per month: Government pays: Family pays: $902* - $738 $164 * Costs are eslmates.

14

15 Take- Home Message Health insurance is very important and could help you and your family. Talk to your parents and families about health insurance and gelng affordable coverage!

16 To receive more informa?on, please fill out these cards:

17 For addi?onal informa?on: Visit CoveredCA.com or the CSU health insurance web site at calstate.edu/coveredca Visit the CSU Health Insurance EducaLon Project table on your campus

18

19 THANK YOU. We hope to talk with you again.

20

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