Ah the challenges! Getting Somalis to sign up for MNsure

Paul Bunyan and Babe the Blue Ox, symbols for MNsure. Immigrants want to know who the heck they are!

MNsure, of course, is Minnesota’s Obamacare exchange.   They are looking for the young, healthy, legal immigrants to make it work.  The part I don’t get is, how is it going to help premiums for all if the immigrant is unemployed and will likely just be pushed onto Medicaid?

Here is the news from Minnesota Public Radio about how to get tens of thousands of Somalis signed up:

The Somali 24 Mall and mosque in Minneapolis is a serpentine maze of stalls, where merchants selling sandals, cell phones, prayer rugs and pots try to lure the throngs of shoppers.

Most days you won’t find health insurance among the wares. But that’s what Asli Ashkir was trying to sell recently — in Somali and English.

Ashkir isn’t an insurance agent. She leads Somali Health Solutions,* an organization designed to introduce people to MNsure, the state’s new online health insurance marketplace.

Minnesota is home to at least 83,000 uninsured immigrants who may be eligible for health coverage through the state’s new insurance marketplace. But convincing them to use the new exchange is proving to be a communications challenge.

“The government will be at your side…..”

Ashkir’s organization has crafted a decidedly Somali outreach plan that includes telephone and in-person assistance in Somali. On her visit to the mall, Ashkir enlisted the imam in the mall’s mosque to talk about the program during the midday prayer.

“Whatever the Imam says is highly respected,” she said. “He is the leader in the religion.”

Setting up shop at the mall also was strategic. On Fridays, when few Somalis work, the shopping center attracts young, uninsured men — a demographic that’s critical to the economics of the exchange.   [They would have to be employed men with a decent salary to make it work! Right?—ed]

Hassan Abdi of Minneapolis followed the imam’s advice and stopped by. Abdi, who is unemployed, dropped his health insurance earlier this year because it cost too much and covered too little. He had not heard of MNsure and wanted to know the cost.

“Sometimes, it’s difficult to get the insurance that covers all of your needs,” he said.

Price is a chief concern among the people she’s talked to about MNsure, Ashkir said.

“But there’s help available from the federal as well as the state, that’s what we keep telling them,” Askir said. “You will be supported if you don’t make enough. The government will be at your side to help you. Then, they like that.”

About the photo:  Minnesota Public Radio says that symbols chosen for MNsure’s logo are unfamiliar to most immigrants.  No kidding!

*By the way, I tried to find some financials for Somali Health Solutions, but could not.  I couldn’t even figure out in my cursory search if they are a non-profit organization.

Mayo Clinic: Somalis should be screened to head off liver cancer

I don’t know what it is lately but, health news is all over the place.

It sure is a good thing we have Obamacare to take care of everyone (see Obamacare for refugees, here).

This is a bit of technical news about a study on Somalis from the Mayo Clinic in Rochester, MN:

Objective

To study the frequencies of chronic hepatitis B virus (HBV) and hepatitis C virus (HCV) infection, and their associations with hepatocellular carcinoma (HCC) in immigrant Somalis seen at Mayo Clinic in Rochester, Minnesota.

[….]

Conclusion

Both HBV and HCV occurred frequently in this sample of Somali immigrants. However, HCV was the major risk factor for HCC. Screening Somali immigrants for HCV infection may enhance the prevention, early detection, and optimal treatment of HCC.

Hepatocellular carcinoma (HCC) is liver cancer which I learned, here.

Hepatocellular carcinomas (HCC) are also known as primary liver cancers, hepatic tumors, or hepatomas.

HCC develops in the liver and affects 20,000 to 25,000 people in the United States each year.

Conditions or diseases associated with HCC include:

Cirrhosis
Heavy and long-term use of alcohol
Chronic infection with hepatitis B or hepatitis C

Step right up! Get your Obamacare for refugees

Sebelius: I don’t give a damn if they eat cake, just get the refugees signed up now! (No, she didn’t say that—ed)

Today I received an e-mail from See Yang at the Office of Refugee Resettlement, if you don’t know, that is in the Department of Health and Human Services headed by the beleagured Kathleen Sebelius.

They are urging refugees to sign up and sign up now for Obamacare!

Here is what Yang says:

Health Insurance – Beyond the First Eight Months

Right now, many refugees get short-term health insurance called Refugee Medical Assistance (RMA).  It is available for up to eight months.  Some refugees may be eligible for Medicaid or the Children’s Health Insurance Program (CHIP) which is available for several years.

Thanks to the health care law, the health insurance landscape for refugees and other Americans is changing for the better in 2014.  Many refugees, who could only get eight months of insurance through RMA, will be able to get ongoing health insurance through the Marketplace.

How to Get Health Insurance at the Marketplace

The Affordable Care Act (ACA) creates the Marketplace to help people shop for health insurance at lower costs.  The Marketplace also helps you find out if you are eligible for programs like Medicaid and the Children’s Health Insurance Program (CHIP).

No matter where you live, you will only need to fill out a single application on the Marketplace.  You can access the Marketplace online at www.healthcare.gov, by phone at 1-800-318-2596, or by sending a paper application in the mail….

ORR wants to make sure that refugees and service providers know how to navigate the health insurance landscape.  ORR developed the following tools to help with outreach and enrollment activities:

The tools are:  a video and a fact sheet.

Click here to watch the video in English ( available also in six other languages: Somali, Karen, Nepali, Arabic, Kinyarwanda, and English).

I don’t want to sound too picky, but is that lady in the opening scene watering artificial flowers?  Or, how about that rather plump lady in a closing scene about to eat some very rich looking cakes? Did they run it by Michelle?  A plate of veggie sticks might have been a more suitable choice don’t you think!   By the way, where is Michelle lately? And, how much did this production cost?

Here is the fact sheet.

ORR created a fact sheet to explain immigration statuses that qualify for Marketplace coverage including Medicaid and the Children’s Health Insurance Plan.

Obamacare applies to legal immigrants—all 150 varieties!

Obama: Have no fear! We’ve got your Obamacare instructions in 150 different languages!

Before you read this, here is my disclaimer:  Like most Americans, I don’t know what the heck Obamacare does or doesn’t do, but this is one supposed expert’s view on whether legal immigrants (although they may be non-citizens) must also sign-up for Obamacare.  Yes! says the expert (with some caveats!).

From About.com:

The Affordable Care Act, popularly known as Obamacare, begins a period of open enrollment on Tuesday, Oct. 1, and immigrants will have to comply with the new law.

Immigrants with legal status — green card-holders, asylees, people with Temporary Protected Status (TPS) — are required to have health insurance coverage just like U.S. citizens.

For immigrants without legal status, nothing changes. Obamacare has nothing to offer unauthorized immigrants other than the status quo. Hospitals are still required to provide emergency room care to anyone who comes through their doors, regardless of immigration status, race or ethnicity.  [Caveat #1:  hospitals will still have to treat everyone and then try to squeeze the patient for payment later—-good luck with that!—ed]

Immigrants who have lived in the United States legally for at least five years and meet income requirements may be eligible to get Medicaid health coverage.  [Caveat #2:  A large number of legal refugees will just sign up for Medicaid, and probably not be truthful about income.—ed]

Are there penalties for immigrants who qualify to participate in the new system but don’t? Yes, immigrants are subject to fines, just like U.S. citizens. [Caveat #3: We keep hearing that the fines are so low that it’s better to pay the fine, but do they even file a tax return on which to be fined?—ed]

Fear not!  If you are a confused immigrant, Obama said two days ago, this is all you need to do:

…. there’s a hotline where you can apply over the phone and get help with the application, or just get questions that you have answered by real people, in 150 different languages.   So let me give you that number.  The number is 1-800-318-2596 — 1-800-318-2596.

If any of you speak another language well, why not call and see what is available in that language!

Obamacare will help mentally ill refugees say California immigrant health advocates

Here are some snips from the story at New America Media (hat tip: Joanne):

….a public health care worker [Mohamed] who helps refugees from African and Middle-Eastern countries says once Obamacare is launched she will no longer have to witness her clients getting bumped off health care benefits eight months after they arrive in the United States, even as they are still trying to navigate the new culture.  [She is referring to the initial health care that comes with each refugee, thanks to the US taxpayer—ed]

[….]

The ACA [Affordable Care Act] will require insurers to treat psychiatric illness like any other. It will also remove many of the obstacles to fair treatment, Muñoz said.

Mohamed [Amina Sheik Mohamed], program director at UCSD’s Department of Family and Preventive Medicine, and active in the African and Middle-Eastern refugee communities, said that if refugees can now enroll in Medi-Cal because of its expansion, they need no longer face the short-term health care their refugee status now limits them to.

That aside, Obamacare will allow refugees to access the mental health services they so acutely need, she said.

“Refugees come to the United States with a lot of anxiety and stress,” she pointed out. “They need mental health care.”

Yes they do!  See our ‘health issues’ category (168 previous posts!) for more on refugee mental illness.  For new readers, to learn what other benefits refugees receive in addition to health care, see our Fact Sheet by clicking here.

The photo is from this March 2013 story about Mohamed at KPBS.