CMS is About to Contact Your ON Exchange Clients

kgmom219

What's Next?
5000 Post Club
6,746
Texas
Heads up if you haven't gotten this already............

WASHINGTON, DC - The Centers for Medicare & Medicaid Services (CMS) is committed to making it as easy as possible for current Health Insurance Marketplace enrollees to renew their coverage for 2015. It is encouraging consumers to come back at the start of Open Enrollment on November 15, update their 2015 application, and compare their options to make sure they enroll in the plan that best meets their budget and health needs for next year. This week, consumers will begin to receive notices from the Federally-facilitated Marketplace in the mail and in their HealthCare.gov accounts, explaining how they can renew their coverage during Open Enrollment.

CMS is working to make sure consumers have the assistance and information they need, this communication is just the beginning of an effort to help consumers stay covered. Importantly, to help simplify the re-enrollment process, when consumers return to HealthCare.gov starting on November 15 and initiate their 2015 application, 90 percent of their online application will already be filled out or pre-populated. In-person assistance will be available to help review an applicant's options and find a plan that best suits their needs. Also, we are staffing up an additional 1,000 call center representatives this year over last year that will be available to answer questions and walk consumers through the coverage process.

"It's important for people to come back to the Marketplace during Open Enrollment, because every year, insurance companies make changes to premiums, cost-sharing and benefits. And with 25 percent more issuers offering coverage in 2015, consumers have more plans to choose from and more issuers are competing to offer a better deal," said CMS Administrator Marilyn Tavenner. "This gives consumers the opportunity to shop and compare plans that may save them more money, offer more services or include more doctors in the network. We want consumers to have the most up-to-date information so they can make the right choice for them and their families."

The notices consumers will begin receiving this week explain the renewal process and how they can return to the Marketplace between November 15, 2014, and December 15, 2014, to update their application for next year, shop for the plan that best meets their budget and health needs, and determine if they are eligible for financial assistance for coverage that begins as early as January 1, 2015.

If consumers do not return to the Marketplace to update their application, they generally will be auto-enrolled in the same plan - with the same amount of advance payment of the premium tax credit and same cost-sharing reductions – as the 2014 plan year. They can change plans during open enrollment through February 15, with coverage in their new plan starting on the first day of the next or second month depending on when they enroll.

To help consumers better understand the renewal process, CMS is releasing today the 5 Steps to Staying Covered – to make it as simple as possible for them to choose the plan that best fits their needs and budget. The consumer tested 5-step process includes:



1) Review: Plans change, people change – review your coverage and look for a letter from your plan about how your benefits and costs may change next year,

2) Update: Starting November 15, log in and update your 2015 application - make sure your

household income and other information is up-to-date for next year,

3) Compare: Compare your current plan with other plans that are available in your area,

4) Choose: Select the health plan that best fits your budget and health needs, and

5) Enroll: The marketplace opens on November 15, make sure to review, update, compare and choose by December 15 to have any changes take effect on January 1. Contact your plan after you've enrolled and make sure you pay your first month's premium.

The first piece of this education material is available at Marketplace.CMS.gov. Also, CMS will continue to adapt and modify its efforts to reach existing Marketplace consumers over the next weeks and months – using a wide range of outreach strategies including directly through mail, email, digital market efforts, and calls. Serving existing Marketplace customers and keeping them covered is a top priority this open enrollment period.

To view the Federal Marketplace notices, visit: http://marketplace.cms.gov/technical-assistance-resources/training-materials/training.html.

To learn more about the 5 Steps to Staying Covered, visit: http://marketplace.cms.gov/outreach-and-education/5-steps-to-staying-covered.pdf

For more information about Health Insurance Marketplaces, visit: www.healthcare.gov/marketplace
 
what CMS intentionally neglected to say is that returning customers will not be able to use the new short form at healthcare.gov. They will have to go through the entire 30+ pages again.
 
what CMS intentionally neglected to say is that returning customers will not be able to use the new short form at healthcare.gov. They will have to go through the entire 30+ pages again.

What are they chances that the general public even knows that there is a "new and improved" version? Or the chances that either one of them is going to work on Nov 15? ;)
 
does the original agent stay as agent of record even if client selects a new plan without agent?
 
What are they chances that the general public even knows that there is a "new and improved" version? Or the chances that either one of them is going to work on Nov 15? ;)

Or that they log into their HC.snub account on a regular basis to see what "important messages" have been posted there for them to read and comply with? Most people never went back after their initial enrollment. Since then, passwords have been reset due to that scary "We're all DOOMED" virus, that was supposed to be worse than Ebola.
ac

----------

does the original agent stay as agent of record even if client selects a new plan without agent?

It's up to the carrier. If they want to keep you attached, they will. If not?...
 
Am I the only one that is disturbed by this little gem of a lie? "...with the same amount of advance payment of the premium tax credit and same cost-sharing reductions – as the 2014 plan year." People are going to read this and end up getting screwed next year. You best be educating your book now!
 
Am I the only one that is disturbed by this little gem of a lie? "...with the same amount of advance payment of the premium tax credit and same cost-sharing reductions – as the 2014 plan year." People are going to read this and end up getting screwed next year. You best be educating your book now!

The email just went out..."I cannot guarantee your subsidy if you do not visit the marketplace between November 15 and December 15".
 
This choice tidbit just into our newsroom: Mass confusion ensues...!

Insurers expressed concern about consumers who choose to leave one health plan and sign up for another offered by a different insurance company. The federal government is not planning to send a notice to the first insurer terminating the consumer's enrollment. As a result, consumers may receive bills or invoices from both companies. And conceivably, insurers said, if premiums are paid from bank accounts by electronic funds transfer, the money could be deducted twice.

http://www.nytimes.com/2014/10/16/us/us-says-consumers-must-renew-policies.html?_r=0
 
This choice tidbit just into our newsroom: Mass confusion ensues...!

Insurers expressed concern about consumers who choose to leave one health plan and sign up for another offered by a different insurance company. The federal government is not planning to send a notice to the first insurer terminating the consumer's enrollment. As a result, consumers may receive bills or invoices from both companies. And conceivably, insurers said, if premiums are paid from bank accounts by electronic funds transfer, the money could be deducted twice.

http://www.nytimes.com/2014/10/16/us/us-says-consumers-must-renew-policies.html?_r=0

In our state it's always been the responsibility of the insured to call their current insurer and cancel the plan, effective _________.

The problem I see now is that all on-exchange purchasers must contact HC.gov to cancel their existing plan. Since HC.gov must inform the insurer that the existing plan is to be cancelled, an entire new set of issues can arise that we've never experienced b4. Especially if the insured is on Auto-Premium deduction/payment(PAC).
-ac
 
In our state it's always been the responsibility of the insured to call their current insurer and cancel the plan, effective _________.

The problem I see now is that all on-exchange purchasers must contact HC.gov to cancel their existing plan. Since HC.gov must inform the insurer that the existing plan is to be cancelled, an entire new set of issues can arise that we've never experienced b4. Especially if the insured is on Auto-Premium deduction/payment(PAC).
-ac

I found out on a few of my clients that tried to cancel their plans in Ohio that their is a 15 day notice of cancellation required. So technically say they are suppose to pick up coverage under a new employer plan October-1-2014 the Marketplace requires they cancel on September-15th or their cancellation will not actually happen until October-15th if they w8 until October-1 to cancel.
They will owe a pro-rated 15 day premium for days covered they did not need.
I can't ask my client to cancel a plan before their actual new benefit plan starts. :1baffled:

I see mass hysteria coming in the next 3-6 months especially when consumers have to justify their estimated income on their 2014 tax returns. :err:
 
Back
Top