{"id":5451,"date":"2016-01-30T19:58:12","date_gmt":"2016-01-30T19:58:12","guid":{"rendered":"http:\/\/associatednews.us\/content\/2016\/01\/30\/feds-hopeful-hispanics-will-respond-as-open-enrollment-come-to-a-close\/"},"modified":"2016-01-30T19:58:12","modified_gmt":"2016-01-30T19:58:12","slug":"feds-hopeful-hispanics-will-respond-as-open-enrollment-come-to-a-close","status":"publish","type":"post","link":"https:\/\/associatednews.us\/content\/feds-hopeful-hispanics-will-respond-as-open-enrollment-come-to-a-close\/","title":{"rendered":"Feds Hopeful Hispanics Will Respond As Open Enrollment Come To A Close"},"content":{"rendered":"<p><span style=\"font-style:italic;font-size:16px\">By  <a class=\"colorbox\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2016\/01\/30\/464826389\/feds-hopeful-hispanics-will-respond-as-open-enrollment-come-to-a-close?utm_medium=RSS&amp;utm_campaign=healthcare\">Carrie Feibel<\/a><\/span>  <\/p>\n<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2016\/01\/30\/464826389\/feds-hopeful-hispanics-will-respond-as-open-enrollment-come-to-a-close?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"http:\/\/media.npr.org\/assets\/img\/2016\/01\/29\/img_1298-1fb080e06e277dfebf87f93e8d2caa6c2810cdc2-s1100-c15.jpg\" title=\"Iris Galvez, a health insurance navigator (right) helps Mary Soliz of Houston, Texas, sign up for her first health plan through the Affordable Care Act on January 28, 2015 at a Houston community center.\" alt=\"Iris Galvez, a health insurance navigator (right) helps Mary Soliz of Houston, Texas, sign up for her first health plan through the Affordable Care Act on January 28, 2015 at a Houston community center.\"><\/a><\/div>\n<div>\n<div><\/div>\n<div>\n<div>\n<p>Iris Galvez, a health insurance navigator (right) helps Mary Soliz of Houston, Texas, sign up for her first health plan through the Affordable Care Act on January 28, 2015 at a Houston community center. <strong>Courtesy of Iris Galvez<\/strong> <strong>hide caption<\/strong><\/p>\n<\/div>\n<p><strong>toggle caption<\/strong> <span>Courtesy of Iris Galvez<\/span><\/div>\n<\/div>\n<p>There&#8217;s football season, hunting season, and the holiday season. Overlapping all of these is something decidedly less fun and sexy: open enrollment season for health insurance.<\/p>\n<p>&#8220;We&#8217;ve been busy this past month,&#8221; says Iris Galvez, a health insurance navigator with the Houston social services agency <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.changehappenstx.org\/\" target=\"_blank\">Change Happens!<\/a><\/p>\n<p>Galvez helps people navigate the <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.houstonpublicmedia.org\/articles\/news\/2016\/01\/29\/135891\/feds-hopeful-hispanics-will-respond-during-third-round-of-affordable-care-act\/healthcare.gov\" target=\"_blank\">Healthcare.gov<\/a> website and enroll in health plans offered through the Affordable Care Act marketplace.<\/p>\n<p>&#8220;It&#8217;s the holidays, that makes it hard. Because people are like &#8216;Well, we&#8217;ll just put it off,&#8217; &#8221; Galvez says with a laugh. &#8220;But now we&#8217;re getting very busy.&#8221;<\/p>\n<p>Earlier this month, Galvez helped Elisia and Cipriano Saenz, a couple from north Houston, select a plan with Molina.<\/p>\n<p>&#8220;You&#8217;ll have to pay this much per month to Molina,&#8221; Galvez explains in Spanish, before handing over a summary sheet listing the couple&#8217;s monthly premium payment ($363), the federal subsidy ($691), deductible ($2,000), and copays ($20 for the primary care doctor, $55 for a specialist).<\/p>\n<p>&#8220;They&#8217;re pretty good, reasonable,&#8221; Saenz says of the amounts. &#8220;We&#8217;ll be able to afford it.&#8221;<\/p>\n<p>Elisia Saenz thanks Galvez for her assistance.<\/p>\n<p>&#8220;You made our day,&#8221; she says. &#8220;Because we were having a hard time getting in to it.&#8221;<\/p>\n<p>Last year, her husband Cipriano Saenz did try to sign the couple up, but he was confused, and then suspicious when a government worker requested more paperwork and asked him to confirm his Social Security number.<\/p>\n<p>&#8220;Sometimes we have to be careful who we talk to, give our Social Security, ID number,&#8221; Saenz explains. &#8220;He told them &#8216;I&#8217;m very sorry. I can&#8217;t give my information to you all through phone.&#8217; &#8220;<\/p>\n<p>Elisia Saenz says he never followed up, and the insurance lapsed.<\/p>\n<p>&#8220;Something had gone wrong, or maybe he didn&#8217;t understand,&#8221; she says.<\/p>\n<p>Signing up can be a chore. You need to gather financial documents and set aside money for the monthly premium. Not only that, it&#8217;s just unpleasant to think about risk and injury and disease.<\/p>\n<p>Galvez noted that some of her returning clients were angry this year because the insurance networks had become narrower. Almost all the coverage plans on the exchange in Houston are <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2015\/11\/25\/457132534\/premiums-rise-faster-for-flexible-health-plans-than-for-hmos\">now HMOs<\/a>.<\/p>\n<p>&#8220;This year they have taken away the PPO. So a lot of people are not pleased with that,&#8221; Galvez said.<\/p>\n<p>That means they have fewer choices of doctors and hospitals. Still, she tries to focus on the positives \u2013 not only avoiding the <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.healthcare.gov\/fees\/fee-for-not-being-covered\/\">federal tax penalty<\/a> for not being covered (which is either $695 for each adult without coverage or 2.5% of household income), but also the peace of mind that insurance will bring.<\/p>\n<p>&#8220;You never know, you know? You fall and slip and break your leg, that&#8217;s a big bill from the hospital,&#8221; she says.<\/p>\n<p>Elisia Saenz is 56 and Cipriano Saenz is 62. They work as janitors at a <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.thebrazosschool.org\/index.html\">charter school<\/a>, where Elisia also works in the kitchen. She says they can&#8217;t afford the insurance offered at the school.<\/p>\n<p>&#8220;It&#8217;s been years that I haven&#8217;t been to a doctor,&#8221; Elisia says. &#8220;Thank God that I haven&#8217;t gotten sick. Now I can just go and get a whole physical, and he can do the same. So we&#8217;re happy that we got this.&#8221;<\/p>\n<p>The Obama administration has increased its outreach this year to Hispanics, running special ads and targeting cities like Houston, Miami and Dallas with big Hispanic populations.<\/p>\n<p>Across the country, 20.9 percent of Hispanics are <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/kff.org\/uninsured\/fact-sheet\/key-facts-about-the-uninsured-population\/\" target=\"_blank\">uninsured<\/a> in the U.S., compared to 12.7 percent of blacks and 9.1 percent of whites, according to the Kaiser Family Foundation.<\/p>\n<p>There are lots of reasons why. Hispanics are more likely to work in <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.commonwealthfund.org\/publications\/fund-reports\/2001\/may\/running-in-place%E2%80%94how-job-characteristics%E2%80%94immigrant-status%E2%80%94and-family-structure-keep-hispanics-uni\" target=\"_blank\">jobs that don&#8217;t offer health benefits<\/a>. Many are ineligible for the Affordable Care Act, or just don&#8217;t know about the options available.<\/p>\n<p>Of the three states with the biggest Hispanic populations, only one, California, has chosen to expand Medicaid to low-income, uninsured adults. Florida and Texas have not expanded Medicaid, and that&#8217;s affected many low-income Hispanic adults.<\/p>\n<p>In surveys, Hispanics <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.episcopalhealth.org\/files\/1514\/5392\/5799\/Issue_Brief_18_FINAL.pdf\" target=\"_blank\">explain<\/a> the main reason they are uninsured is cost. Health coverage just seems too expensive to fit into a budget.<\/p>\n<p>&#8220;They don&#8217;t make enough money where they work, or they work self-employed, cutting yards and stuff,&#8221; says Elisia Saenz, describing some of her neighbors.<\/p>\n<p>&#8220;Sometimes they can barely, probably make it to pay the rent, feed their kids, clothe them. I know it&#8217;s kind of hard for them, if it&#8217;s just one person working in the household.&#8221;<\/p>\n<p>Federal officials counter that&#8217;s an outdated perception for some Hispanics \u2013 because under the new law, many <em>would<\/em> qualify for subsidies to buy insurance, just like the Saenzs did.<\/p>\n<p>Enrollment in most states for 2016 ends Sunday.<\/p>\n<p><em>This story is part of a reporting partnership with NPR, Houston Public Media and<\/em> <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.kaiserhealthnews.org\/\">Kaiser Health News<\/a><em>.<\/em><\/p>\n<p><em>This entry passed through the Full-Text RSS service &#8211; if this is your content and you&#8217;re reading it on someone else&#8217;s site, please read the FAQ at fivefilters.org\/content-only\/faq.php#publishers.<\/em><\/p>\n<p>Source:: <a href=\"http:\/\/www.npr.org\/sections\/health-shots\/2016\/01\/30\/464826389\/feds-hopeful-hispanics-will-respond-as-open-enrollment-come-to-a-close?utm_medium=RSS&amp;utm_campaign=healthcare\" class=\"colorbox\" title=\"Feds Hopeful Hispanics Will Respond As Open Enrollment Come To A Close\" rel=\"nofollow\">http:\/\/www.npr.org\/sections\/health-shots\/2016\/01\/30\/464826389\/feds-hopeful-hispanics-will-respond-as-open-enrollment-come-to-a-close?utm_medium=RSS&amp;utm_campaign=healthcare<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2016\/01\/30\/464826389\/feds-hopeful-hispanics-will-respond-as-open-enrollment-come-to-a-close?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"http:\/\/media.npr.org\/assets\/img\/2016\/01\/29\/img_1298-1fb080e06e277dfebf87f93e8d2caa6c2810cdc2-s1100-c15.jpg\" title=\"Iris Galvez, a health insurance navigator (right) helps Mary Soliz of Houston, Texas, sign up for her first health plan through the Affordable Care Act on January 28, 2015 at a Houston community center.\" alt=\"Iris Galvez, a health insurance navigator (right) helps Mary Soliz of Houston, Texas, sign up for her first health plan through the Affordable Care Act on January 28, 2015 at a Houston community center.\"><\/a><\/div>\n<div>\n<div><\/div>\n<div>\n<div>\n<p>Iris Galvez, a health insurance navigator (right) helps Mary Soliz of Houston, Texas, sign up for her first health plan through the Affordable Care Act on January 28, 2015 at a Houston community center. <strong>Courtesy of Iris Galvez<\/strong> <strong>hide caption<\/strong><\/p>\n<\/div>\n<p><strong>toggle caption<\/strong> <span>Courtesy of Iris Galvez<\/span><\/div>\n<\/div>\n<p>There&#8217;s football season, hunting season, and the holiday season. Overlapping all of these is something decidedly less fun and sexy: open enrollment season for health insurance.<\/p>\n<p>&#8220;We&#8217;ve been busy this past month,&#8221; says Iris Galvez, a health insurance navigator with the Houston social services agency <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.changehappenstx.org\/\" target=\"_blank\">Change Happens!<\/a><\/p>\n<p>Galvez helps people navigate the <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.houstonpublicmedia.org\/articles\/news\/2016\/01\/29\/135891\/feds-hopeful-hispanics-will-respond-during-third-round-of-affordable-care-act\/healthcare.gov\" target=\"_blank\">Healthcare.gov<\/a> website and enroll in health plans offered through the Affordable Care Act marketplace.<\/p>\n<p>&#8220;It&#8217;s the holidays, that makes it hard. Because people are like &#8216;Well, we&#8217;ll just put it off,&#8217; &#8221; Galvez says with a laugh. &#8220;But now we&#8217;re getting very busy.&#8221;<\/p>\n<p>Earlier this month, Galvez helped Elisia and Cipriano Saenz, a couple from north Houston, select a plan with Molina.<\/p>\n<p>&#8220;You&#8217;ll have to pay this much per month to Molina,&#8221; Galvez explains in Spanish, before handing over a summary sheet listing the couple&#8217;s monthly premium payment ($363), the federal subsidy ($691), deductible ($2,000), and copays ($20 for the primary care doctor, $55 for a specialist).<\/p>\n<p>&#8220;They&#8217;re pretty good, reasonable,&#8221; Saenz says of the amounts. &#8220;We&#8217;ll be able to afford it.&#8221;<\/p>\n<p>Elisia Saenz thanks Galvez for her assistance.<\/p>\n<p>&#8220;You made our day,&#8221; she says. &#8220;Because we were having a hard time getting in to it.&#8221;<\/p>\n<p>Last year, her husband Cipriano Saenz did try to sign the couple up, but he was confused, and then suspicious when a government worker requested more paperwork and asked him to confirm his Social Security number.<\/p>\n<p>&#8220;Sometimes we have to be careful who we talk to, give our Social Security, ID number,&#8221; Saenz explains. &#8220;He told them &#8216;I&#8217;m very sorry. I can&#8217;t give my information to you all through phone.&#8217; &#8220;<\/p>\n<p>Elisia Saenz says he never followed up, and the insurance lapsed.<\/p>\n<p>&#8220;Something had gone wrong, or maybe he didn&#8217;t understand,&#8221; she says.<\/p>\n<p>Signing up can be a chore. You need to gather financial documents and set aside money for the monthly premium. Not only that, it&#8217;s just unpleasant to think about risk and injury and disease.<\/p>\n<p>Galvez noted that some of her returning clients were angry this year because the insurance networks had become narrower. Almost all the coverage plans on the exchange in Houston are <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2015\/11\/25\/457132534\/premiums-rise-faster-for-flexible-health-plans-than-for-hmos\">now HMOs<\/a>.<\/p>\n<p>&#8220;This year they have taken away the PPO. So a lot of people are not pleased with that,&#8221; Galvez said.<\/p>\n<p>That means they have fewer choices of doctors and hospitals. Still, she tries to focus on the positives \u2013 not only avoiding the <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.healthcare.gov\/fees\/fee-for-not-being-covered\/\">federal tax penalty<\/a> for not being covered (which is either $695 for each adult without coverage or 2.5% of household income), but also the peace of mind that insurance will bring.<\/p>\n<p>&#8220;You never know, you know? You fall and slip and break your leg, that&#8217;s a big bill from the hospital,&#8221; she says.<\/p>\n<p>Elisia Saenz is 56 and Cipriano Saenz is 62. They work as janitors at a <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.thebrazosschool.org\/index.html\">charter school<\/a>, where Elisia also works in the kitchen. She says they can&#8217;t afford the insurance offered at the school.<\/p>\n<p>&#8220;It&#8217;s been years that I haven&#8217;t been to a doctor,&#8221; Elisia says. &#8220;Thank God that I haven&#8217;t gotten sick. Now I can just go and get a whole physical, and he can do the same. So we&#8217;re happy that we got this.&#8221;<\/p>\n<p>The Obama administration has increased its outreach this year to Hispanics, running special ads and targeting cities like Houston, Miami and Dallas with big Hispanic populations.<\/p>\n<p>Across the country, 20.9 percent of Hispanics are <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/kff.org\/uninsured\/fact-sheet\/key-facts-about-the-uninsured-population\/\" target=\"_blank\">uninsured<\/a> in the U.S., compared to 12.7 percent of blacks and 9.1 percent of whites, according to the Kaiser Family Foundation.<\/p>\n<p>There are lots of reasons why. Hispanics are more likely to work in <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.commonwealthfund.org\/publications\/fund-reports\/2001\/may\/running-in-place%E2%80%94how-job-characteristics%E2%80%94immigrant-status%E2%80%94and-family-structure-keep-hispanics-uni\" target=\"_blank\">jobs that don&#8217;t offer health benefits<\/a>. Many are ineligible for the Affordable Care Act, or just don&#8217;t know about the options available.<\/p>\n<p>Of the three states with the biggest Hispanic populations, only one, California, has chosen to expand Medicaid to low-income, uninsured adults. Florida and Texas have not expanded Medicaid, and that&#8217;s affected many low-income Hispanic adults.<\/p>\n<p>In surveys, Hispanics <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.episcopalhealth.org\/files\/1514\/5392\/5799\/Issue_Brief_18_FINAL.pdf\" target=\"_blank\">explain<\/a> the main reason they are uninsured is cost. Health coverage just seems too expensive to fit into a budget.<\/p>\n<p>&#8220;They don&#8217;t make enough money where they work, or they work self-employed, cutting yards and stuff,&#8221; says Elisia Saenz, describing some of her neighbors.<\/p>\n<p>&#8220;Sometimes they can barely, probably make it to pay the rent, feed their kids, clothe them. I know it&#8217;s kind of hard for them, if it&#8217;s just one person working in the household.&#8221;<\/p>\n<p>Federal officials counter that&#8217;s an outdated perception for some Hispanics \u2013 because under the new law, many <em>would<\/em> qualify for subsidies to buy insurance, just like the Saenzs did.<\/p>\n<p>Enrollment in most states for 2016 ends Sunday.<\/p>\n<p><em>This story is part of a reporting partnership with NPR, Houston Public Media and<\/em> <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.kaiserhealthnews.org\/\">Kaiser Health News<\/a><em>.<\/em><\/p>\n<p><em>This entry passed through the Full-Text RSS service &#8211; if this is your content and you&#8217;re reading it on someone else&#8217;s site, please read the FAQ at fivefilters.org\/content-only\/faq.php#publishers.<\/em><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47],"tags":[],"class_list":["post-5451","post","type-post","status-publish","format-standard","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/5451","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/comments?post=5451"}],"version-history":[{"count":0,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/5451\/revisions"}],"wp:attachment":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/media?parent=5451"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/categories?post=5451"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/tags?post=5451"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}