http://www.nytimes.com/2013/06/25/health/us-unveils-health-care-web-site-and-call-center.html?ref=health&_r=0
U.S. Unveils Health Care Web Site and Call Center

The Obama administration announced new steps to expand coverage under
the federal health care law on Monday, less than a week after the
Government Accountability Office, a nonpartisan investigative arm of
Congress, found that the federal government and many states were
“behind schedule” in setting up marketplaces where Americans are
supposed to be able to buy insurance.
The steps — establishing a Web site and a telephone call center to
provide information to consumers — are in preparation for what the
government anticipates will be a flood of people buying health
insurance starting Oct. 1.
Kathleen Sebelius, the secretary of health and human services, said
the call center would be in operation 24 hours a day. The phone number
is 800-318-2596. The Web site, www.healthcare.gov, provides
information promoting the 2010 health care law and describing new
insurance options. The Web site and call center currently have only
general information about coverage.
Details about the prices and benefits of health insurance plans to be
offered by Blue Cross and Blue Shield and companies like Humana and
Kaiser Permanente will be available later this summer. Consumers can
file online applications starting Oct. 1. Coverage is to begin on Jan.
1, when most Americans will be required to have insurance.
In a statement, Ms. Sebelius said, “The new Web site and the toll-free
number have a simple mission: to make sure every American who needs
health coverage has the information they need to make choices that are
right for themselves and their families or their businesses.”
The Congressional Budget Office predicts that seven million people
will buy private insurance next year through marketplaces, or
exchanges, while nine million people will gain coverage through
Medicaid. By 2016, it says, the number of uninsured, now estimated at
56 million Americans, may be reduced by 25 million as a result of the
law.
The federal government will be running insurance exchanges in more
than half the states. The administration had said previously that the
federal exchanges would be open — at least in 2014 — to any insurers
that met basic federal standards.
But Ms. Sebelius, a former Kansas insurance commissioner, told
reporters on Monday that “we will be negotiating for rates across the
country.” She emphasized the federal role, saying that “we intend to
do rate negotiation to make sure that plans are going to offer
consumers the best possible choices.”
Federal officials said the negotiations would focus on rates that were
much higher or much lower than those proposed by other insurers.
The Web site asks consumers for information about their household
incomes, to determine if they may be eligible for federal subsidies,
in the form of tax credits, to help pay premiums.
Ms. Sebelius said “we are very concerned” that low-income people in
some states will not have access to either Medicaid or subsidies for
the purchase of private insurance. However, she said, “there is no
timetable” for states to expand Medicaid, and states that rejected the
expansion of eligibility this year could reconsider next year.
The federal Web site acknowledges that some states are not expanding
Medicaid. “Under the health care law,” it says, “states have the
choice to cover more people.”
The Web site says that people eligible for Medicaid should not try to
buy insurance in the exchange, because they will not receive
subsidies. “A marketplace plan will be more expensive than Medicaid
and usually won’t give you additional coverage or benefits,” it says.
“You wouldn’t be eligible for any savings on marketplace insurance and
would have to pay the whole cost.”
In states that do not expand Medicaid, insurance subsidies will
generally be available to people with incomes from the poverty level
up to four times that amount ($23,550 to $94,200 a year for a family
of four). But in those states, the subsidies will not be available to
some of the neediest — people with incomes below the poverty level who
will generally not qualify for the new financial assistance with
health insurance.
More than half of all people without health insurance live in states
that are not planning to expand Medicaid.
Marketing insurance in those states “will be complicated,” Ms. Sebelius said.
Administration officials said the call center would eventually have
9,000 customer service representatives fielding calls. Consumers can
also seek information in live Web chats.


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