Tag: health insurance marketplace
Understanding Special Enrollment Periods, Part 1: A Look at Some Who Will be Out of Luck
Navigators have been fielding a range of questions. One that comes up repeatedly is whether an individual who falls into the so-called Medicaid coverage gap and later gets a job with income that would qualify them for premium tax credits can get a special enrollment period. JoAnn Volk takes a look at the options for these individuals.
New Tools to Help Consumers Compare Health Plans
One of the most difficult elements of enrolling in the new health insurance Marketplaces is plan selection. Consumers are often overwhelmed and confused about their options. In this guest post, former CHIR colleague and ACA expert Christine Monahan discusses a new tool that can help consumers make better plan choices.
People Who Have Tried to Enroll through HealthCare.Gov Get Extension Beyond March 31st
HHS Proposes to Preempt Some State Navigator Laws; Lays Out Federal Enforcement Framework
In a proposed regulation released Friday, March 14, the U.S. Department of Health and Human Services drew a line in the sand for states with laws restricting the ability of Navigators and consumer assisters to perform the jobs required of them under the ACA. Sabrina Corlette has an overview of the proposed rules and what they mean for Navigators and for states.
Time for a Dental Check Up
One challenging question for families as they enroll in health insurance coverage on the new Marketplaces is what to do about kids’ dental coverage. Our colleague at Georgetown’s Center for Children and Families, Joe Touschner, has the skinny and links to some helpful resources to better understand this complex policy area – and how things might change for 2015.
New Medical Loss Ratio Policy Means Consumers Will Receive Less in Rebates – But That’s OK
The Obama administration is proposing to provide insurers with temporary relief from an Affordable Care Act requirement that they maintain a minimum medical loss ratio (MLR). This could mean that consumers will receive lower rebates than they otherwise would. Sabrina Corlette examines the thinking behind the decision.
READ THE FINE PRINT: A New Provision in BCBS of Mississippi Plan Could Mean Huge Unexpected Costs for Plan Enrollees
Blue Cross Blue Shield of Mississippi has included a new provision in its plan description that could mean huge costs for plan participants. The new policy does not cover prescription drugs prescribed by out-of-network providers. How does this policy square with the ACA? And what does it mean for consumers? Elissa Dines discusses.
Help for Consumers Who Faced Marketplace Glitches
The Obama administration recently announced that the health insurance Marketplaces can offer consumers retroactive coverage and financial assistance, if technical problems prevented them from enrolling. But the administration’s guidance also leaves some unanswered questions. Sabrina Corlette takes a look and helps us understand what the new policy actually means for consumers.
Last Call for State-Based Health Insurance Marketplaces
There are reports that at least some formerly reluctant states are thinking of moving from a federally facilitated to a state-based health insurance marketplace. Our colleague at Georgetown’s Center for Children and Families, Sonya Schwartz, walks us through what states need to do to make the transition.