Open Enrollment this year will be November 1st-January 31st. During this time, Blue Cross Blue Shield has already announced major network changes. The biggest being the elimination of their broad PPO network. Those with a plan in this network will receive a letter and or phone call from BCBS stating that their policy will expire 12/31. You will need to pick a new plan by 12/15 to ensure there is no gap in coverage.
Those with the Blue Choice, the HMO network, or on an employer plan will NOT be affected by this change.
BCBS has also announced that there will not be a cap on out of network charges, making it extremely important to stay in your plans network. What this means is that a service that costs $10,000 at an out of network facility will cost you $10,000. Nothing will be applied towards your deductible.
Assurant Health just announced they will exit the Individual Medical and Short Term Medical markets effective JUNE 15th. If you have a policy with Assurant Health, contact me to discuss your options.
The tax filing special enrollment period is now open available for plans on and off the Marketplace. In order to qualify for the special election period
*You had to pay a penalty for 2014
*Are not currently enrolled in a plan
Application submitted March 15th-April 15th will take effect May 1st and April 16th-30th will take effect June 1st
A Special Election Period (SEP) for individuals and families that did not have coverage in 2014 and qualify for assistance, can apply for coverage March 15th-April 30th. In order to qualify…
*You must not be enrolled in a plan currently
*Attest that when you filed your 2014 tax return you paid the penalty for not having health coverage (1% of your income or $95/adult in the household and $47.50/child)
If you apply during this time, coverage will take effect May 1st.
Open Enrollment has officially started and will continue through February 15th. Here is what you can expect during this time….
*Some plans purchased before 2014 are still being extended through 2015. Your carrier/agent would have contacted you by now if your plan was being terminated. If you are happy with your plan you do not need to do anything. If you are unsure if your old plan is still the best option contact me for a comparison.
*If you have a 2014 plan without a subsidy (aka assistance) and are happy with this plan you do not need to do anything.
*If you have are receiving a subsidy I strongly recommend that you verify the income information that was originally reported. You may actually qualify for additional assistance!
*Any changes/new enrollment done by December 15th will take effect January 1st. Any changes/new enrollment done after December 15th will take effect February 1st.