The Service Tree lists all services in "branched" groups, starting with the very general and moving to the very specific. Click on the name of any group name to see the sub-groups available within it. Click on a service code to see its details and the providers who offer that service.
Affordable Care Act Insurance Information/Counseling
Programs permitted by the Affordable Care Act (ACA) that provide in-person assistance personnel (also known as non-navigator assistance personnel) to help people understand and access insurance coverage through the marketplace. In a state-based marketplace, in-person assistance personnel may serve as a part of an optional, transitional program that the state can set up before its marketplace is economically self sustaining, and before its navigator program is fully functional. Though they perform the same functions as navigators, in-person assistance personnel are funded through separate grants or contracts administered by a state. In person assistance personnel must also complete comprehensive training.
Programs mandated by the Affordable Care Act (ACA) that help individuals who want to purchase insurance, and small businesses that need to provide health insurance for their employees, understand the qualified private health plans that are available within the marketplace and guide them through the enrollment process. The navigator conducts public education activities to raise awareness about the marketplace; distributes fair, accurate and impartial information concerning enrollment including information that acknowledges other health programs such as Medicaid and the Children’s Health Insurance Program (CHIP), and the availability of premium tax credits and cost-sharing reductions; provides referrals for consumers with a grievance, question or complaint; and offers information that is culturally and linguistically appropriate to meet the needs of the population served by the marketplace. Navigators are trained to offer expertise on each health insurance plan with the objective of empowering individuals to make informed choices and to facilitate selection of a qualified health plan; and either have or can easily establish relationships with the target population.
