Health & Safety

Coverage to Care Miami

Coverage to Care Miami will be an extensive community education and social media initiative targeted to Miami-Dade residents informing them of their health insurance coverage options as well as how to access healthcare once insured. Numerous studies document the poor health outcomes of the uninsured and the significant challenges the newly insured experience navigating the health insurance maze in order to access healthcare services. Many newly insured individuals, who have never before had insurance, are confused about how to actually receive health services once they are insured through an Affordable Care Act (ACA) plan. Additionally, many individuals find it challenging to access healthcare once they are enrolled in a new Medicaid managed care plans (HMO’s), or at community clinics and safety net hospitals. Educating the community about coverage options and how to access healthcare, including valuable preventive treatment, will improve health outcomes in Miami-Dade County.

 

The goals of Coverage to Care Miami are:

 

1) Educate Miami-Dade residents about health insurance options under the Affordable Care Act, Medicaid and Miami-Dade safety net providers; and

 

2) Advise Miami-Dade residents about how to access healthcare provided for by their health insurance, Medicaid and Miami-Dade County safety net providers. Specifically, Coverage to Care Miami will walk individuals through scheduling their initial primary care visit under their coverage plan and will educate uninsured individuals how to access affordable preventive care via Miami-Dade’s safety net providers.

Who are you?

Legal Services of Greater Miami (LSGMI) is a nonprofit and provides free civil legal services to low-income residents in Miami-Dade. To promote access to justice, LSGMI provides community education on issues affecting the low-income community.

How does this project impact the issue you selected?

Numerous studies establish that uninsured people are less likely to receive medical care; more likely to die early; and more likely to have poor health. Additionally, newly insured and uninsured individuals are more likely to be overwhelmed by difficulties accessing medical care. Providing individuals with a personalized road map on how to obtain health insurance, and access care increases the likelihood they will become insured, and access preventive care and ongoing treatment.

What data points from The Our Miami Report does your project address?

30% of Miami-Dade residents are uninsured, and the rate is likely higher among the working poor due to So. Florida’s small business economy and Florida’s refusal to expand Medicaid. Expanding the number of insureds through the ACA is a good first step, but is not enough to guarantee people receive the healthcare they need. The newly insureds and Medicaid recipients also need help navigating the healthcare plan “maze”. Additionally, the uninsured need education on safety net options.

Please give examples of your project's success.

In 2013, LSGMI educated over 4,000 individuals to protect their rights. Our community education is based on best practices: collaboration with partners; focus on practical information; & innovative/participatory instructional strategies. In the past year, LSGMI represented 178 individuals to help them access healthcare or resolve a legal problem associated with insurance. This grant would allow us to use our expertise to benefit Miami-Dade residents & improve health outcomes.

Organization Name (or individuals name) legal services of greater miami, inc.

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