Why get WAATME accredited & get insurance for all of your patients-clients?
WAATME's accreditation includes benefits such as access to quality healthcare services for the uninsured and underinsured individuals who otherwise could not afford to pay health insurance premiums or pay for medical services.
Passage of the Affordable Care Act of 2010 allowed some segments of the population to secure health coverage, yet many others remain underinsured or, still yet, uninsured. A large number of patients who had jobs could not afford to pay health insurance premiums; even with the subsidies provided by the Health Insurance Exchange. WAATME has collaborated with an insurance third-party to help these patients by purchasing health insurance for a twelve month period. This helps patients afford the medical care they need without incurring a significant financial burden in the process.
The underprivileged obtain private medical insurance through a premium assistance program in order to receive coverage.
WAATME's third-party insurance focus is to secure commercial health insurance for the uninsured or, underinsured individuals. Patients must meet the following minimum provisions:
- Patients must reside in the United States, Alaska, Hawaii, U.S. Virgin Islands, Puerto Rico, Guam, Northern Mariana Islands.
- Patients must meet the minimum eligibility qualifications for a health insurance policy to
- Patient must have a financial need for insurance premium assistance.
- Provision can be satisfied if the patient meets hospital financial assistance guidelines or, the patient's income is below 400% of the Federal Poverty Guidelines. Note: This is typically under $45,000 (forty-five thousand dollars).
- Patients must agree to work with a primary care physician or healthcare professional and actively participate in the management and treatment of a chronic medical condition(s), to include addiction.
- Patients must notify the provider if their financial situation changes or if they become eligible for other healthcare insurance (i.e. through an employer or family member).
Addiction Treatment Providers Responsibilities
The Provider shall be solely responsible for the following:
- Identify potential participants:
- Providers review existing patient records to identify patients who would benefit the most from this program. They focus on uninsured patients with a high utilization of medical services. Providers also focus on patients without adequate health insurance coverage for certain procedures.
- Provider integrates insurance plans with their own financial assistance program via the provider’s financial counselors.
- Providers ask that representatives be communicate via the phone or internet to assist with patient enrollments.