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Health insurance feels more important than ever, and Public Health Navigators can help

King County’s health insurance Navigators are once again offering personal help with the enrollment process through Washington Healthplanfinder — with special adaptations to protect against COVID-19.

The Access & Outreach team at Public Health—Seattle & King County has designed an innovative new set of options for the Open Enrollment period that starts on Nov. 1, 2020.  These new strategies protect both the Navigators and King County residents.

In addition, a full remodel has dramatically improved the safety at the Federal Way Enrollment Storefront office (at 1640 South 318th Place, Federal Way) and the ORCA LIFT Office (201 South Jackson St., Seattle). At both locations, masks and temperature checks are required, furniture has been removed and plexiglass barriers separate Navigators from clients, waiting areas no longer allow congregating, and social distancing protocols will be followed.

New plans and a new urgency

Health insurance suddenly evaporated for thousands of Washington residents this year, with employment reductions due to the impacts of the COVID-19 pandemic. The uninsured rate went up from about 5.5% before the pandemic to about 13% last spring in King County.

With the COVID-19 pandemic, getting and keeping health insurance is more important than ever.

And the fate of the Affordable Care Act is once again before the U.S. Supreme Court, creating uncertainty about the future options for health insurance. The Affordable Care Act supports and enables the plans offered through Washington Healthplanfinder. The Court is hearing arguments about the law’s constitutionality on Nov. 10, with a decision expected by June 2021.

Fortunately, for now, Washington still has robust options through Washington Healthplanfinder, including Apple Health (Medicaid) options. Many people have already signed up for these options and the estimated uninsured rate dropped back to about 6.9% in September – which is still higher than before the pandemic.

“COVID-19 has shown how essential it is that we continue the push toward one-hundred percent health insurance coverage. No one should be left without full access to health care. Our enrollment teams are making sure we cover as many eligible people as possible, in the programs we have today,” said Patty Hayes, director of Public Health—Seattle & King County.

A new option this year – called Cascade Care – is helping make plans less expensive and easier to understand and use.

Cascade Care is a new set of “standard plans” for Washington state, designed to offer access to more health care services before a family reaches their deductible. All insurance carriers must offer a Cascade Care option, at bronze, silver and gold levels. Consumers compare by price and network.

There will be more than 70 insurance plans available in King County, including eight Cascade Care plans, offered by: Coordinated Care, Molina Marketplace, Kaiser Permanente, Premera, Lifewise, BridgeSpan, Regence, and United Health Care.

The Cascade Care Public Option is designed for people who are not eligible for tax credits (because their income is above 400% of the official federal poverty level). These plans offer lower monthly premiums (but with higher co-pays), and they cap provider rate reimbursements at 160% of Medicare rates. Typically, the plans may offer smaller provider networks in exchange for lower premiums. Three public option plans are available in King County, from BridgeSpan, Coordinated Care and LifeWise. 

How to get help with health insurance in King County:

Originally published 10/28/2020

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