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Help Each Enrollee Find the Health Plan That Best Meets Her or His Needs

| Feb 5, 2015

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Cross-posted from Enroll America.

In the final weeks of the second open enrollment period, we’re sharing blog posts from partner organizations about how they’re getting the word out — and featuring strategies organizations can use before February 15.

This post was written by Lauren Kennedy of the National Partnership for Women & Families.

Strategy:

Help women access the information they need to enroll in coverage that meets their needs and budget by walking them through a few key questions.

For example, when shopping for a plan, a few questions to ask include:

1. How much health care do I need?

Do you expect to visit a doctor often? If yes, you may want to consider a plan with lower cost-sharing for the health services you need. If you go to the doctor infrequently, a lower-premium plan may make more sense.

2. Is my preferred brand of birth control covered?

Marketplace plans are required to cover all FDA-approved methods of contraception without any cost sharing. However, different plans may cover different brands. Make sure you know exactly what brands of contraception are covered by a plan you are considering.

3. How important is it to me to see my current doctor?

If you want to be able to access care from your current health care provider, you will want to make sure that the plan you choose lists your doctor as “in-network.”

4. Am I expecting any major life events in the coming year?

If you’re planning to have a baby, or think you will go through another major life event, you may want to select a health plan that covers a greater portion of out-of-pocket health care costs.

The answers to these questions should help guide you and others to the right health insurance plan!

Who Can Use This Strategy: Outreach staff, assisters, Navigators, family members, and friends.

Resources:

Check out the National Partnership’s tips for selecting a health plan and maintaining coverage here.

About the Author

Lauren Birchfield Kennedy

Lauren Birchfield Kennedy

Lauren Birchfield Kennedy is the director of health policy at the National Partnership for Women & Families. Kennedy directs the National Partnership’s health policy portfolio and oversees advocacy strategy for key policy priorities, including implementation of the Affordable Care Act, health care delivery system transformation and comprehensive payment reform. Kennedy also serves as a public member on the board of Family Medicine for America’s Health.

Kennedy has worked extensively on health policy at both the federal and state levels. Prior to joining the National Partnership, she was the senior health policy and government affairs adviser for Boston Medical Center, where she advised on state and federal health policy issues concerning Medicaid and alternative payment methodologies; coordinated the hospital’s delivery system transformation efforts; and provided technical support to the hospital as it explored joining an accountable care organization.

Kennedy also worked as a policy representative for NARAL Pro-Choice America, where she developed expertise in health programs serving lower income women, including Medicaid and the Title X family planning program. Before that, Kennedy was a member of the policy and research department at the Blue Cross Blue Shield of Massachusetts Foundation.

Kennedy graduated summa cum laude with a Bachelor of Arts in political science from the University of California, Los Angeles. She holds a law degree with honors from Harvard Law School, where she served as editor in chief of the Harvard Human Rights Journal.