GreatLakes RHEC V – ACA Outreach/Evaluation – Ohio Asian American Health Coalition

GreatLakes RHEC V – ACA Outreach/Evaluation

Purpose of Outreach Activity: Increase enrollment of uninsured or underinsured populations within each HHS Region

Key Objectives of Outreach Activity:

1. Provide target populations with information about insurance options under the ACA and penalties for non-enrollment.

2. Provide target population with opportunities to buy/enroll in insurance plans.

ACA Event Participant Assessment Form

TELL US WHAT YOU LEARNED ABOUT THE ACA

Please rate your knowledge before and after you attended this event:

How to T	Poor	Fair	Excellent	Does not apply
*Health benefits/services available under the ACA*
Before the event	1	2	3	N/A
After the event	1	2	3	N/A
*Types of policies available on the Marketplace*
Before the event	1	2	3	N/A
After the event	1	2	3	N/A
*How health insurance actually works*
Before the event	1	2	3	N/A
After the event	1	2	3	N/A
*Ways to buy insurance on the Marketplace*
Before the event	1	2	3	N/A
After the event	1	2	3	N/A
*Tax credits and other programs that make insurance more affordable*
Before the event	1	2	3	N/A
After the event	1	2	3	N/A

Please indicate what you might do following today’s event:

	at all	Maybe	Definitely
1. Gather more information on health insurance services andpolicies before I enroll in a plan	1	2	3
2. Do more thinking about what options are best for me/my family	1	2	3
3. Make an appointment with a navigator or a health insurance agent to enroll in a health insurance plan	1	2	3
4. Enroll in a health insurance plan on the ACA website or bycalling the 800 number.	1	2	3

	at all	Maybe	Definitely
1. Gather more information on health insurance services andpolicies before I enroll in a plan	1	2	3
2. Do more thinking about what options are best for me/my family	1	2	3
3. Make an appointment with a navigator or a health insurance agent to enroll in a health insurance plan	1	2	3
4. Enroll in a health insurance plan on the ACA website or bycalling the 800 number.	1	2	3

Please tell us about yourself…

oAfrican American/Black o Hispanic/Latino

oAsian/Pacific Islander o Native American

oCaucasian/White o Arab American o Other_________________

What is the primary language you speak at home? _________________________________

Were you aware of language assistance services being offered at the outreach event? o Yes o No
Did you request language assistance (an interpreter or translated written material)? o Yes o No
Do you have access to a computer with Internet service? o Yes o No
How comfortable are you using computers and accessing the Internet? o Very comfortable o Not comfortable
Do you plan to enroll or buy a health insurance plan before the March 31^st deadline? o Yes o No

Thank You for Participating!