Go through the application on the HealthSherpa, ask the questions and fill out the CRM.
# Play Disclosures
Okay great. You qualify for a $_______ tax credit. This is the monthly credit you will get, to lower down the price of the insurance.
Now, while I look through these options, can you tell me how often you go to the doctors or if you're taking any medications? I wanna make sure I get you the best plan based on your needs. (Always try to find the lowest deductible, $0 monthly payment, doctors with copays)
Ok just give me a moment while I look through these options, theres over XX plans available and I want to make sure we have the best one selected.
*Plan Selection* (IF THERES 2 GREAT OPTIONS GIVE A CHOICE, IF NOT THEN ONLY DELIVER 1 OPTION AND TELL THEM WHY ITS THE BEST)
Alright Mr/Mrs _____, so I have found a great option here, I am looking at a plan with NAME OF CARRIER.
The monthly premium for you is $_______
This plan has a deductible of $________ for major expenses
Now when you go to your doctor the co-pay will be $_______
Specialists co-pays are $_____
and your prescriptions will be $_______
Now I think this will be the best option for you, would you like me to have you enrolled in this plan?
Ok so looking at the income range generally needed to qualify for the help with lower cost insurance, for a single individual, the 2023 income range would need to be between $13,000 and $30,000. Do you think that your income will fall in between this range next year?
If OVER income- let them know they will still qualify for some credits.
Ok so looking at the income range generally needed to qualify for the help with lower cost insurance, for a household size of 2, the 2023 income range would need to be between $18,000 and $40,000. Do you think that your income will fall in between this range next year?
If OVER income- let them know they will still qualify for some credits.
Ok so looking at the income range generally needed to qualify for the help with lower cost insurance, for a household size of 3, the 2023 income range would need to be between $23,000 and $46,000. Do you think that your income will fall in between this range next year?
If OVER income- let them know they will still qualify for some credits.
Ok so looking at the income range generally needed to qualify for the help with lower cost insurance, for a household size of 4, the 2023 income range would need to be between $28,000 and $55,000. Do you think that your income will fall in between this range next year?
If OVER income- let them know they will still qualify for some credits.
Ok so looking at the income range generally needed to qualify for the help with lower cost insurance, for a household size of 5, the 2023 income range would need to be between $32,000 and $65,000. Do you think that your income will fall in between this range next year?
If OVER income- let them know they will still qualify for some credits.
Ok so looking at the income range generally needed to qualify for the help with lower cost insurance, for a household size of 6, the 2023 income range would need to be between $37,000 and $74,000. Do you think that your income will fall in between this range next year?
If OVER income- let them know they will still qualify for some credits.
Ok Great, so it looks like you already have an application on file, lets confirm all the information is correct and we can make sure you have the best option selected.
(Go through HealthSherpa process - close this pop up and proceed)
Ok Great, so I am going to text you over all the info you need, please save my number as you can text me or call me directly on the number I am texting you from and your Subscriber ID and plan info will be included on the text should you need to visit a doctor before you receive your physical card in the mail.
Copy and paste this template in TLD messenger- fill it in with correct info and send
- Doctor copays
- Specialist copays
- Premium
- Deductible
- Out of pocket max
- Subscriber ID (it’s what they have until a card is issued)
- Effective date
- Your name
- Phone number to reach you
If they are not able to receive texts, you can read them off all of the information.
- Common copays
- Premium
- Deductibles
- Out of pocket max
- Subscriber ID (it’s what they have until a card is issued)
- Effective date
- Your name
- Phone number to reach you
The Flex Card is a visa debit card through AmBetter that rewards its members for completing activities like getting a yearly physical or even just reading some health material (or at least just clicking on the article haha). Basically you get paid to take care of yourself. And of course you can you this money on anything you want.
It looks like you make too much to qualify for the subsidy at this point but my system shows you may qualify for coverage through a cost sharing program where, savings are typically 40% or more versus normal health insurance and you are free to see the Dr. of your choice and I can get you over to that department if thats fine.
Transfer to: 855-416-4094