Engaging Hard to Reach Populations Millennial Finances Notes

Engaging Hard to Reach Populations: Millennial Finances: Notes from the Field @Young. Invincibles. org facebook. com/together. invincible

Who is Young Invincibles?

Agenda § Healthy Young America Campaign § Overview of Immigrant Populations § Outreach Best Practices and Messaging § Tips for Assisters and Navigator

Healthy Young America § Campaign goals: ▫ Educate and help enroll 25, 000 young adults nationwide ▫ Train partners to effectively reach young adults ▫ Reach another 1 million young adults through digital engagement ▫ Increase health care literacy through workshops and focus groups

Young Adults In Immigrant Communities § According to the latest US Census data, nearly 47% of non-citizens under the age of 35 years old. § In 2010, Mexico, India, and the Philippines were country of birth for majority of immigrants in the US. § In 2011, the median age for refugees arriving in the US was 24 years old. § Immigrants make up over 31% of the uninsured population.

Looking Ahead to OE 3 Challenges: § Harder to reach populations Advantages: § Experience in OE 1 & OE 2 § “Low hanging fruit” are gone § Strong partnerships § Less media attention § Less political stigma § Timing of open enrollment § 8 million newly insured, 8 million new advocates

Reaching New Partners § Colleges and Universities International Student Depts § Grocery stores and restaurants § Faith Based Organizations § Safety Net Programs § Food pantries § Utility shut off programs § Free tax preparation programs § ESL Programs § Public School Systems § Libraries

Accessing Different Communities § It can be difficult to gain trust as an outsider § Take your time! It may require multiple touches § Solutions: • Have several small events like tabling. Allows you to build trust and consistency • Start slow and secure trusted sources • Allow them to become your advocates.

Best Outreach Practice Tip #1 § Navigators and CACs in VA canvassed local Korean and Latino grocery stores parking lots during high traffic times to inform consumers about upcoming enrollment events

Best Practice Tip #2 § Many times Faith Leaders are open to additional help and can provide you with language assistance § Research the different places of worship in the community you want to reach ▫ Ex. We wanted to reach the Middle Eastern immigrant population in No. VA for OE 2 ▫ Enroll VA held events at ADAMS Center and St Mark’s Coptic Church

Best Practice Tip #3 Outreach during Social Events § Locating places where members of these communities meet for fun. § By building a partnership with these community partners it allows you to speak large audience. § Community fairs and Heritage Celebration days usually have committees and have turnouts hundreds of individuals

Messaging Remains the Same § Top message: “low cost plans are available through the marketplace” § Fine amounts in 2015 & 2016 pushes uninsured to enroll § In-person assistance § Financial help WITH income figures § Affordability as top priority

Other Findings § Willingness to reduce going out to eat, recreation & vacation to afford health insurance § 90% of Focus Group Participants looked online but did not enroll ▫ ▫ ▫ Cost was major barrier 21% - problems with website 21% - too confusing 17% - didn’t find a plan that met my needs 15% rather pay the fine

Top Reasons to Look for Coverage § All health plans will cover preventive care, doctor visits, hospitalization, prescription drugs, maternity care, mental health care and more services § All plans cover preventive care at no additional cost to you § None of the health plans can deny you based on preexisting conditions

Messages: Based on Cost § Most young adults will find a plan that is free or subsidized coverage § Highlight stories of consumers with low cost plans § Ex: VA young mother & her child got covered for $17/month § Free preventive services: flu shots, yearly check ups, contraception, HIV/STI screenings, etc. § Keep it real & relate the cost to other monetary items

How much do I pay… for a broken leg? Without Insurance: With Insurance: You pay the whole cost: § Hospital Stay: $13, 729 § Surgery: $1, 986 § Anesthesia: $849 § First, meet your deductible: $1, 000 § Then. you pay 30% of the costs Total: $16, 564 You pay: $5, 669. 20

How to Tackle Language Barriers § Language • Many organizations struggle to find materials offered in enough languages to serve their diverse communities § Solutions • CMS has materials offered in dozens of languages. • Recruit volunteers through language departments and student groups at local universities

Assisters and Navigators § Immigration SEP § There are several immigration status changes that can trigger a SEP § Citizenship and Permanent Resident Status § Individuals have up to 60 days after they’ve received their citizenship or permanent resident status to enroll in coverage. § Other immigration statuses § Individuals who have other major changes in their immigration statuses are also eligible for this SEP. § Ex. Asylee with Work Authorization

Looking Ahead: Year Three § Open Enrollment: § November 1 st – January 31 st § Stay Healthy! Young America Week: § October 26 th – 31 st • 2016 plans begin: ▫ January 1 st • National Youth Enrollment Day: ▫ January 21 st

Questions? Sade Moonsammy-Gray Sade@younginvincibles. org http: //younginvincibles. org/