Understanding the Health Insurance Marketplace: A Tool Kit for Nursing Faculty
This tool kit was created for AACN faculty members to enhance their understanding of the Health Insurance Marketplace and what it means for nurse educators, students, and patients. The resources below were designed for faculty and student use. To suggest additional resources for this page, please contact Bianca Singh, AACN’s Policy Assistant at firstname.lastname@example.org.
The American Association of Colleges of Nursing (AACN) is a nonpartisan organization that serves to educate and advocate for sound health policy. AACN views federal advocacy as having an integral role in the ability to shape, advance, and promote a professional nursing workforce that meets America’s healthcare needs.
While AACN did not take an official position on the Patient Protection and Affordable Care Act [Public Law No: 111-148], the organization supported a number of provisions that improved nursing education, research, and practice. AACN’s leadership recognizes the responsibility to educate our constituents about the law and what the Marketplace means for clinical practice, faculty, students, and patients. To review these provisions, www.aacn.nche.edu/government-affairs/HCRsupport.pdf.
Open Enrollment: 2016
Open Enrollment for 2016 begins on November 1st, 2015 and ends January 31st, 2016.
The 2016 open enrollment period will mirror that of the traditional health insurance market as much as possible. Therefore, consumers who take no action will be automatically reenrolled in their current plan. However, the Centers for Medicare & Medicaid Services is encouraging all consumers to log into their HealthCare.gov accounts starting November 1st, 2015 to update their information for 2016 and compare plans. With many new issuers offering coverage on the Federally Facilitated Marketplace for the upcoming enrollment period, consumers may be able to find new plans which suit their specific needs better in some way. For more information on transitioning to 2016 coverage, click here.
Consumers receiving the Advanced Premium Tax Credit (APTC) should log into the system and update their information for 2016 during the open enrollment period. Those who do not take action will not be automatically dropped from the program, however. Consumers whose tax data indicates they are likely still eligible will be auto-enrolled in their same plan for 2016 with their APTC unchanged from 2015. Efforts will be made to reach out to those who did not allow access to their tax data in the system or whose tax data indicates there may be a change in eligibility to ensure updated information. See additional details.
resources for faculty
Assisting Your Patients: Navigating the Health Insurance Marketplace
This slide deck was created for faculty and students to understand the basics of the Health Insurance Marketplace. It provides an overview of key questions nurses may be asked by their patients and how to direct them to the best resources.
Teaching Nursing Students About the Health Insurance Marketplace: Example Activities and Assignments
This slide deck offers faculty suggestions on assignments, discussion questions, and activities that could help nursing students better understand the Marketplace.
A Message from HHS Secretary Burwell on the ACA
On June 25, 2015, U.S. Secretary of Health and Human Services, Sylvia M. Burwell, offered a statement discussing the Affordable Care Act’s tax credits.
Kaiser Family Foundation Presents: The YouToons Get Ready for Obamacare: Health Insurance Changes Coming Your Way Under the Affordable Care Act
Watch this video to understand the basics on the Health Insurance Marketplace. Many faculty have used this video to spark online discussions with their students.
Kaiser Family Foundation Presents: Health Insurance Explained: The YouToons Have it Covered
Watch this video to understand a breakdown of important insurance concepts, such as premiums, deductibles, and provider networks
Where Can I Find Out More Information about the ACA?
Basic Information about the Affordable Care Act
- Affordable Care Act Engagement Guide: Ways You Can Help Amplify Open Enrollment (November 15-February 15)
- HHS.gov/HealthCare: How the Health Care Law Benefits You
- Kaiser Permanente: Understanding the Affordable Care Act
- U.S. Department of Health and Human Services The Partnership Center
- Centers for Medicare & Medicaid Services: 10 Things Providers Need to Know
- Centers for Medicare & Medicaid Services: 10 Things to Tell Your Patients
- Centers for Medicare & Medicaid Services: Provider Tool Kit
Additional Information on Marketplace Enrollment
- Robert Wood Johnson Foundation: Health Insurance Enrollment
- Kaiser Family Foundation Flowchart of Health Coverage Under the ACA
- Centers for Medicare & Medicaid Services: Resources for Those New to the Marketplace
- Centers for Medicare & Medicaid Services: Resources for the Newly Insured
- Centers for Medicare & Medicaid Services: Information on Using and Changing Coverage
- Kaiser Family Foundation Frequently Asked Questions on Health Reform
Information for Special Populations
- For Students: What do I need to know about the Marketplace?
- For Recent Graduates
- For Yount Adults: HHS.gov: The Top Five Things You Need to Know About the Affordable Care Act
- Centers for Medicare & Medicaid Services: Resources for Special Populations
- Kaiser Family Foundation: Health and Access to Care and Coverage for Lesbian, Gay, Bisexual, and Transgender Individuals in the U.S.
- HHS.gov/HealthCare: State by State
- National Conference of State Legislators: State Actions to Address Health Insurance Exchanges
- PhRMA and Avalere Health Fact Sheets on State Exchanges
- Kaiser Family Foundation: Status of State Action on the Medicaid Expansion Decision
- Kaiser Family Foundation: Marketplace Enrollment as a Share of the Potential Marketplace Population
- Kaiser Family Foundation: State Level Data on the Health Insurance Marketplace
Strategic guidance and review of the original Tool kit’s outline was provided by AACN’s inaugural class of Faculty Policy Intensive Fellows (2013-2014).