GetInsured was founded on the belief that technology could improve access to health care. We have spent almost 15 years building health insurance shopping and enrollment systems, striving to provide easy-to-understand interfaces that help consumers find the plans that best fit their individual and family needs. GetInsured is now the leading provider of health insurance technology and customer service solutions for state governments, employers, and consumers. Since 2010, our execution focus has been on the ACA, and specifically State-Based Marketplaces/Exchanges, their partners and customers. Through constant innovation, evaluation, and improvement, GetInsured exceeds expectations with outstanding customer solutions, reliable delivery, and impeccable quality. Our tools assisted the shopping of approximately two million consumers last Open Enrollment alone and just under eight million to date.
Covered California Individual Shopping and Enrollment
California was GetInsured’s first contract with a state-based marketplace, and the project allowed us to leverage many years of best practices in design and development of our commercial exchange. The Covered California project implementation was rigorous, with hundreds of hours of user acceptance testing and user interface consultation. The end result was an easy-to-use marketplace that passed all CMS gate reviews, accessibility requirements, and the true test of enabling millions of people to enroll in coverage.
Since launching Covered California, GetInsured has implemented a number of new features and upgrades to improve the consumer experience through the shopping and enrollment process. To date Covered California has enrolled more than 7 million Californians.
Your Health Idaho Individual State-Based Marketplace, Migration from FFM
Idaho was the only state-based marketplace to transition from the FFM and launch in 2014. The GetInsured team was awarded a contract to build the marketplace in January 2014 and launched successfully in November—less than 10 months later. The Your Health Idaho launch was described in the media as “flawless” and the most successful rollout of a state-based marketplace to date. The project required extensive integration with external systems, including the Department of Health and Welfare (DHW), the federal data services hub (Hub), IRS for reporting purposes, and issuer systems. Most importantly, we successfully completed all 6 CMS gate reviews.
The GetInsured team attributes much of Idaho’s success to our ability to re-use product and project assets from our previous state implementations, which significantly reduced Idaho’s costs, timeline and project risks, and through ongoing operational improvements implemented jointly with the client, Idaho has become one of the most efficiently run marketplaces in the country.
MNsure Individual State-Based Marketplace, Migration from Connecture
MNSure has issued both an RFI and RFP to procure a replacement for a system of record and enrollment capability in late 2017. In 2018 GetInsured implemented the anonymous shopping, consumer decision support, and eligibility determination system, with the enrollment and system of record going live in 2019 for OEP 2020.
Washington Health Benefit Exchange, Consumer Shopping Experience & Consumer Decision Support Tool (CDST)
Washington Health Benefit Exchange (WAHBE) through a competitive bidding process selected GetInsured and its partner, Better Doctor, to jointly provide a consumer decision support system, now called Smart Planfinder, to assist consumers with plan selection.
Nevada Silver State Health Insurance Exchange, Individual State-Based Marketplace and call center, and transition from FFM
Nevada SSHIX has – through a competitive procurement – selected GetInsured for its end to end platform and call center offering, delivering eligibility determination, connectivity with the NV Medicaid Department (DWSS), QHP shopping and enrollment, agent/agency portal, and migration from FFM with the plan to go live for the OE2020. The system is currently in implementation and on time/on budget.
Pennsylvania Health Insurance Exchange (Pennie), Individual State-Based Marketplace and call center, and transition from FFM
Pennsylvania – through a competitive procurement – selected GetInsured for its end-to-end platform and call center offering, delivering eligibility determination, connectivity with the PA DHS, QHP shopping and enrollment, agent/agency portal, and migration from FFM. Pennie successfully transitioned the accounts of hundreds of thousands of Pennsylvanians from healthcare.gov and launched the exchange platform and call center on time.
Get Covered New Jersey, Individual State-Based Marketplace transition from FFM
The State of New Jersey selected GetInsured for its transition from the Federally Facilitated Marketplace (FFM) to a State-Based Exchange. GetInsured delivers eligibility determination, connectivity with the NJ DMAHS, QHP shopping and enrollment, agent/agency portal.
Get in touch
Want to learn how an SBM can specifically help your state, as well as estimate your savings? Email GetInsured’s Business Development at email@example.com.