Skip to main content

ACA update: deadline for payment to ensure coverage on Jan 1 extended

Family Voices Indiana shares the following press release from AHIP:


New AHIP Infographic: 5 Steps to Ensuring Coverage Begins on January 1, 2014 

Washington, D.C. – To provide greater peace of mind for consumers purchasing coverage through the new federal and state marketplaces, America’s Health Insurance Plans’ (AHIP) Board of Directors today announced that health plans are voluntarily extending the deadline for consumers to pay their first month’s premium. Consumers who select their plans by December 23 and pay their premiums by January 10 will be able to have coverage effective January 1. 
Under current rules and guidance, consumers who want to begin coverage on January 1 must select a plan by December 23 and pay the first month’s premium by December 31.  The short time period in which to complete these steps, particularly around the holidays, combined with the ongoing technical issues with healthcare.gov have raised concerns that some consumers’ coverage may not be able to begin on January 1.    
Health plans across the country are voluntarily giving individual market enrollees who select a plan by December 23 more time to pay their first month’s premium.  Consumers must still pay their first month’s premium before coverage takes effect, but those who pay their premium by January 10 will now be able to have coverage retroactive to January 1.   
“Our community is taking an important step to give consumers greater peace of mind about their health care coverage,” said AHIP President and CEO Karen Ignagni.    
Health plans are voluntarily making this one-time change to the payment deadline to help protect consumers from potential gaps in their coverage caused by the ongoing technical problems with healthcare.gov.  Significant progress has been made in recent weeks to improve the enrollment process for consumers, but more work needs to be done to resolve the back-end challenges, particularly those related to processing enrollment files, to ensure all consumers who selected a plan are enrolled in coverage. 
This effort also will help to reduce potential consumer confusion in the marketplace. While states have the flexibility to impose different deadlines, consumers all across the country will have more time to pay their first month’s premium, which is necessary for coverage to begin. Consumers should check with the plan they have selected for more details about their specific coverage policy.  

5 Steps

Popular posts from this blog

Pandemic Snap benefits: Free and Reduced Lunch Recipients

Pandemic Snap benefits: Those that have children on free and reduced lunch will receive their EBT card in the mail by the end of May if you are not already receiving SNAP benefits. It will be $319 per school aged child. You do not need to apply for this benefit. The DOE will provide your information to FSSA. https://www.in.gov/fssa/dfr/ 5767.htm?fbclid= IwAR0zhdr9tS1wMovtNNPngc55HCms QSX_4k_E_ GRAjPpNRHWF5ExZgCLUjOE

Sample Medical Order, Letter of Medical Necessity and Appeal Letter for #ABA Services

From The Arc Autism Insurance Project in collaboration with Family Voices Indiana and About Special Kids Feel free to contact Family Voices Indiana at 317 944 8982 or info@fvindiana.org if you need additional resources or support. Sample Medical Order, Letter of Medical Necessity and Appeal Letter for ABA Services – Medicaid under EPSDT (ages 0-21) EPSDT – Early, Periodic Screening Diagnosis and T reatment MEDICAL TREATMENT ORDER SAMPLE FORMAT The prescribing physician should include: Physician’s order for ABA therapy Letter of medical necessity written by the physician or ABA provider, which includes: Patient history Diagnosis and prognosis Description of recommended services and explanation of why the services are medically necessary What the benefit to the patient will be, and Recommended length of time for the services Medical Necessity According to the Health and Human Services website: Medical Necessity under EPSDT   In a rep