- 5,058
I wanna know where the supporting docs go when some creates an account with HS.
Health Sherpa 2016 Open Enrollment
- Thread starter ameneses54
- Start date
Krball
Expert
cadylou - you really need to understand the billing process of each carrier you work with. In our market one needs the initial payment by the last day of the month while another has a deadline 7 days prior to month end. Most will mail bills but one will not mail a single piece of paper until an initial payment gets made. Be careful with the different processes of the on-exchange carriers.
- 948
So where do I find that information? Where is it written? I've not seen communications to that effect to date from any carrier here in this market--KC Metro.
Krball
Expert
None of it is in print here either. Unfortunately we have had to learn over time. Having good contact people at each carrier has helped us.
- 948
Well last year the people who didn't set up payments got a bill. Coventry continues to send paper bills to people I have that cancelled long ago--so, am I supposed to be psychic? What about people just going to healthcare.gov directly? Are they all paying up front? I doubt it. I've told them to pay first paper bill UPON RECEIPT.
WiscBroker
Super Genius
- 133
Perhaps someone can clarify this for me. Family of three. I put in a certain income amount of $61475 and the Sherpa engine warns the child may be eligible for CHiP. I put in 61476 and it leaves the child on the plan. Now, we went ahead with the application and it comes back with 'the child may be eligible for CHiP (Badgercare here in WI). Now it is asking me to approve or remove the application. I chose "remove" because my client adamantly does not want their child on Medicaid.
Two questions: 1. Can I redo the application and if I can, what do I do to avoid this from happening again? 2. By clicking "remove" does this remove the application instantly or does it take a certain amount of time or what am I to expect?
Thanks for your input.
- 2,172
I had the exact same thing happen last week, added $1.00 to income kept child on plan with a little more subsidy.
Actually, Coventry, Humana, and UHC all have payment options before consumers receive a bill and they should be proactive in making the January payment if at all possible.
Here are some links for these carriers (from my own experience, don't ask me where I got the guidance, I didn't, I found out on my own):
- Coventry: go to the Marketplace, look up application, click 'pay premium' and it will take you to a payment page
- Humana: telephone automated system, call 1-800-223-3659, enter social security # or member ID and follow prompts
- UHC: https://uhcexchangebilling.com/Cobraapp/logon.aspx, they can either register their policy and pay online or by phone; UHC is notorious for not having them in their system.
Aetna requires that they send out an invoice before anyone can pay a premium, it is a royal pain.
- 948
Here's what the Eligibility letter tells the client:
" · Enroll by January 31, 2016
· Open enrollment for the Marketplace ends on January 31, so you must enroll in a plan and pay
the first month's bill (the "premium") by then.
· If you miss the deadline, you may not be able to enroll in a health insurance plan through the
Marketplace until the next Open Enrollment Period, unless you qualify for a Special Enrollment
Period.
· You and anyone in your household who doesn't have qualifying health coverage for three
months or longer out of the year could owe a penalty, unless you qualify for an exemption."
so, they say pay by January 31 . . . .
I had no issues last year with anyone that didn't pre-pay - they all got a bill & paid it when they received it.
Also, today when I've gone into the back door on Sherpa to see if we could make a payment, I'm getting an error message with a blank screen. The only thing I can do from there is navigate back to the enrollment site.
Has anyone else had this happen? (p.s. these were all Blue Cross of Kansas City, if that matters)
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They have until January 31st to enroll in a plan but the premium must be paid before the effective date (unless the insurance company provides a grace period, which is different for each of them). For January 1st effective dates, they must pick a plan by the 15th and pay before the 1st.
You can do whatever you want, I just know what works for the companies in my area, don't want anyone termed for non-payment, and don't mind being proactive to make sure everyone is paid and active.
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