Interest Media ACA Checklist

iNTEREST MEDIA ACA verification checklist

Health coverage

Medicare/MEDICAID

SSDI/disability

"Are you currently receiving Social Security Disability benefits?" If NO, continue. If YES, move to close.

"Are you currently insured through any other type of health coverage plan?"If NO, continue. If YES, move to close.

"Are you on Medicare or Medicaid right now?"If customer is not sure, ask about the Red, White and Blue card. If NO, continue. If YES, move to close.

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Zip code

INCOME

Customer availability

"To confirm, what’s your current ZIP code?"(Benefits depend on customers location/plans available)If they ask why: "we just want to make sure we connect you to a local Licensed Agent"

"Are you making between $14,000 - $50,000 a year in income?"If YES, continue. If NO, move to close.

"Do you have 5-10 minutes available right now to speak with my licensed agent to get setup?"

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Training & Development

Training & Development

ACA REMINDERS

OPTIONAL QUESTION

Company name

IF nOT iNTERESTED

Ask if the customer only speaks Spanish:"Are you a legal resident of the United States?"If YES, continue.If NO, they DO NOT QUALIFY

If customers are asking who we are: "What is National Health Advisors?"

"These are new and approved plans within your area for 2024. We can see if you qualify for FREE insurance. If not, there are some really great plans that fit just about any budget."

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DISQUALIFYING PROGRAMS

Health Benefits

EDUCATIONAL REBUTTALS

If the customer has:

• Tricare
• VA benefits
• Retirement Plan

They DO NOT QUALIFY

If a customer isn't sure about the reson for our call:"What is the Affordable Care Act?"

All plans offered in the Marketplace cover 10 essential health benefits

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Control the Call:

"Well, we’re partnered up with the Affordable Care Act- otherwise known as Obamacare. We help identify if you qualify for FREE health insurance. We have a lot of new and approved plans within your area- just wanted to see if this is a good fit for you. Now if you don't mind me asking. Are you currently between the ages of (18-64)?" (continue with the call)

• If YES, continue.

• If NO, rebuttal: "Ok are you sure? It only takes about 5-10 minutes to see if you’re eligible for that FREE insurance."

• I they say NO a second time: "Ok, well please feel free to call back when you have more time and we can check your eligibility then. Thank you. Have a good day"

are minimum requirements for all Marketplace plans. Specific services covered in each of these ten broad benefit categories can vary based on your state’s requirements:

Essential Health Benefits

1. Ambulatory patient services (outpatient care you get without being admitted to a hospital)
2. Emergency services
3. Hospitalization (like surgery and overnight stays)
4. Pregnancy, maternity, and newborn care
5. Mental health and substance use disorder services, including behavioral health treatment (counseling and psychotherapy)
6. Prescription drugs
7. Rehabilitative and habilitative services and devices (to help people with injuries, disabilities, or chronic conditions gain or recover mental and physical skills)
8. Laboratory services and tests
9. Preventive and wellness services and chronic disease management
10. Pediatric services, including oral and vision care (but adult dental and vision coverage aren’t essential health benefits)

Additional Benefits

Plans may offer additional benefits, including:

• Birth control coverage
• Breastfeeding coverage
• Dental coverage
• Vision coverage
• Medical management programs (for specific needs like weight management, back pain, and diabetes)

Legal eligible status in the US includes:

• Citizen
• Permanent Resident
• Green card holder

• Tricare

Health care program of the United States Department of Defense Military Health System.

• VA benefits

Provides some benefits to veterans.

• Retirement Plans

Also known as 401(k), an employee sets a percentage of their income to be automatically taken out of each paycheck and invested in their account.

Educational Rebuttal (2)

Educational Rebuttal (1)

Well with the uncertainty of the world today, it’s really important for us to be prepared at all times. Health insurance can be FREE or very affordable and can take stress away from you & your family members. (Close) Let's get you over to my specialist so you have peace of mind that you have everything covered if the unexpected ever happens. Sound fair enough?

Well {First Name}, Health Insurance is very simple:

• It's an affordable way to safeguard your health if something happens to you. Let's see if you qualify for FREE health insurance.

(Close) Let me transfer you over so you can get details on all this and see if it’s a good fit for you… Ok?

Other types of insurance in the US could include:

• Insurance through an employer

• VA health insurance

• Currently on a Marketplace/Obamacare health insurance plan