Page 28 - 2018 DAN Enrollment
P. 28
Legal Notices Premium Assistance Under
Medicaid and the Children’s
Health Insurance Program
(CHIP)
If you have questions about the annual notices For these enrollment opportunities, you will have 60
available below or about the beneitsPLUS program, days – instead of 30 – from the date of the Medicaid/ If you or your children are eligible for Medicaid or CHIP and www.insurekidsnow.gov to ind out how to apply. If you qualify,
contact the beneitsPLUS Solution Center at CHIP eligibility change to request enrollment in you’re eligible for health coverage from your employer, your state ask your state if it has a program that might help you pay the
1-855-326-7870. the beneitsPLUS group health plan. Note that this may have a premium assistance program that can help pay for premiums for an employer-sponsored plan.
new 60-day extension doesn’t apply to enrollment coverage, using funds from their Medicaid or CHIP programs.
State Provided Health Exchanges opportunities other than due to the Medicaid/CHIP If you or your children aren’t eligible for Medicaid or CHIP, you If you or your dependents are eligible for premium assistance
under Medicaid or CHIP, as well as eligible under your employer
won’t be eligible for these premium assistance programs but you
Individuals without health insurance may sign up eligibility change. may be able to buy individual insurance coverage through the plan, your employer must allow you to enroll in your employer
for standardized coverage through health insurance Health Insurance Marketplace. For more information, visit plan if you aren’t already enrolled. This is called a “special
marketplaces run either by their state, the federal WHCRA Annual Notice www.healthcare.gov. enrollment” opportunity, and you must request coverage within
government, or a combination of the two. Please see Do you know that your plan, as required by the 60 days of being determined eligible for premium assistance.
page 9 for the required health exchange notice. Women’s Health and Cancer Rights Act of 1998, If you or your dependents are already enrolled in Medicaid or If you have questions about enrolling in your employer plan,
provides beneits for mastectomy-related services CHIP and you live in a State listed below, contact your State contact the Department of Labor at www.askebsa.dol.gov or call
Please note that in most cases you won’t be eligible for including all stages of reconstruc¬tion and surgery to Medicaid or CHIP ofice to ind out if premium assistance is 1-866-444-EBSA (3272).
federal inancial assistance under a health exchange achieve symmetry between the breasts, prostheses, available.
plan because the company subsidizes a signiicant and complications resulting from a mastectomy, If you or your dependents are NOT currently enrolled in Medicaid If you live in one of the following states, you may be eligible
portion of the cost of your medical coverage and our including lymphedema? Call the beneitsPLUS solution or CHIP, and you think you or any of your dependents might be for assistance paying your employer health plan premiums.
The following list of states is current as of August 10, 2017.
plans exceed minimum coverage standards. As a result, center at (800) 457-1665 for more information. eligible for either of these programs, contact your State Medicaid Contact your State for more information on eligibility:
in most cases it may be in your interest to keep your or CHIP ofice or dial 1-877-KIDS NOW or
coverage under the beneitsPLUS medical plan.
Statement of Rights under the Newborns’ and
Mothers’ Health Protection Act
Special Enrollment Notice Under federal law, group health plans and health
As you may know, if you have declined enrollment insurance issuers offering group health insurance ALABAMA – Medicaid FLORIDA – Medicaid MISSOURI – Medicaid OREGON – Medicaid
in the lexible beneitsPLUS Program for you or your coverage generally may not restrict beneits for any Website: http://myalhipp.com/ Website: http://lmedicaidtplrecovery. Website: http://www.dss.mo.gov/mhd/ Website: http://healthcare.oregon.gov/
dependents (including your spouse) because of other hospital length of stay in connection with childbirth Phone: 1-855-692-5447 com/hipp/ participants/pages/hipp.htm Pages/index.aspx
health insurance coverage, you or your dependents for the mother or newborn child to less than 48 hours Phone: 1-877-357-3268 Phone: 573-751-2005 http://www.oregonhealthcare.gov/in-
dex-es.html
may be able to enroll in comparable coverage following a vaginal delivery, or fewer than 96 hours Phone: 1-800-699-9075
under the program without waiting for the next following a delivery by cesarean section. However, ALASKA – Medicaid GEORGIA – Medicaid MONTANA – Medicaid PENNSYLVANIA – Medicaid
open enrollment period, provided that you request the plan or issuer may pay for a shorter stay if the The AK Health Insurance Premium Pay- Website: http://dch.georgia.gov/med- Website: http://dphhs.mt.gov/Montana- Website:http://www.dhs.pa.gov/provid-
enrollment within 30 days after your other coverage attending provider (for example, your doctor, nurse ment Program icaid HealthcarePrograms/HIPP er/medicalassistance/healthinsurancepre-
ends. In addition, if you have a new dependent as midwife, or physician assistant), after consultation with Website: http://myakhipp.com/ - Click on Health Insurance Premium Phone: 1-800-694-3084 miumpaymenthippprogram/index.htm
a result of marriage, birth, adoption or placement the mother, discharges the mother or newborn earlier. Phone: 1-866-251-4861 Payment (HIPP) Phone: 1-800-692-7462
for adoption, you may be able to enroll yourself and Also, under federal law, plans and issuers may not set Email: CustomerService@MyAKHIPP.com Phone: 404-656-4507
your eligible dependents, provided that you request the level of beneits or out-of-pocket costs so that any Medicaid Eligibility: http://dhss.alaska.
enrollment within 30 days after the marriage, birth, later portion of the 48-hour (or 96-hour) stay is treated gov/dpa/Pages/medicaid/default.aspx
adoption or placement for adoption. in a manner less favorable to the mother or newborn ARKANSAS – Medicaid INDIANA – Medicaid NEBRASKA – Medicaid RHODE ISLAND – Medicaid
BeneitsPLUS will also allow a special enrollment than any earlier portion of the stay. Website: http://myarhipp.com/ Healthy Indiana Plan for low-income Website: http://www.ACCESSNebraska. Website: http://www.eohhs.ri.gov/
adults 19-64
ne.gov
opportunity if you or your eligible dependents either: In addition, a plan or issuer may not, under federal Phone: 1-855-MyARHIPP (855-692-7447) Website: http://www.in.gov/fssa/hip/ Phone: (855) 632-7633 Phone: 855-697-4347
• lose Medicaid or Children’s Health Insurance law, require that you, your physician, or other health Phone: 1-877-438-4479 Lincoln: (402) 473-7000
Program (CHIP) coverage because you are no longer care provider obtain authorization for prescribing a All other Medicaid Omaha: (402) 595-1178
eligible or length of stay of up to 48 hours (or 96 hours). However, Website: http://www.indianamedicaid.
com
you may be required to obtain precer¬tiication for
• become eligible for a state’s premium assistance any days of coninement that exceeds 48 hours (or 96 Phone 1-800-403-0864
program under Medicaid or CHIP. hours). For information on precertiication, contact your
plan administrator.
28 2018 Benefits Enrollment Dentsu Aegis Network 29
Medicaid and the Children’s
Health Insurance Program
(CHIP)
If you have questions about the annual notices For these enrollment opportunities, you will have 60
available below or about the beneitsPLUS program, days – instead of 30 – from the date of the Medicaid/ If you or your children are eligible for Medicaid or CHIP and www.insurekidsnow.gov to ind out how to apply. If you qualify,
contact the beneitsPLUS Solution Center at CHIP eligibility change to request enrollment in you’re eligible for health coverage from your employer, your state ask your state if it has a program that might help you pay the
1-855-326-7870. the beneitsPLUS group health plan. Note that this may have a premium assistance program that can help pay for premiums for an employer-sponsored plan.
new 60-day extension doesn’t apply to enrollment coverage, using funds from their Medicaid or CHIP programs.
State Provided Health Exchanges opportunities other than due to the Medicaid/CHIP If you or your children aren’t eligible for Medicaid or CHIP, you If you or your dependents are eligible for premium assistance
under Medicaid or CHIP, as well as eligible under your employer
won’t be eligible for these premium assistance programs but you
Individuals without health insurance may sign up eligibility change. may be able to buy individual insurance coverage through the plan, your employer must allow you to enroll in your employer
for standardized coverage through health insurance Health Insurance Marketplace. For more information, visit plan if you aren’t already enrolled. This is called a “special
marketplaces run either by their state, the federal WHCRA Annual Notice www.healthcare.gov. enrollment” opportunity, and you must request coverage within
government, or a combination of the two. Please see Do you know that your plan, as required by the 60 days of being determined eligible for premium assistance.
page 9 for the required health exchange notice. Women’s Health and Cancer Rights Act of 1998, If you or your dependents are already enrolled in Medicaid or If you have questions about enrolling in your employer plan,
provides beneits for mastectomy-related services CHIP and you live in a State listed below, contact your State contact the Department of Labor at www.askebsa.dol.gov or call
Please note that in most cases you won’t be eligible for including all stages of reconstruc¬tion and surgery to Medicaid or CHIP ofice to ind out if premium assistance is 1-866-444-EBSA (3272).
federal inancial assistance under a health exchange achieve symmetry between the breasts, prostheses, available.
plan because the company subsidizes a signiicant and complications resulting from a mastectomy, If you or your dependents are NOT currently enrolled in Medicaid If you live in one of the following states, you may be eligible
portion of the cost of your medical coverage and our including lymphedema? Call the beneitsPLUS solution or CHIP, and you think you or any of your dependents might be for assistance paying your employer health plan premiums.
The following list of states is current as of August 10, 2017.
plans exceed minimum coverage standards. As a result, center at (800) 457-1665 for more information. eligible for either of these programs, contact your State Medicaid Contact your State for more information on eligibility:
in most cases it may be in your interest to keep your or CHIP ofice or dial 1-877-KIDS NOW or
coverage under the beneitsPLUS medical plan.
Statement of Rights under the Newborns’ and
Mothers’ Health Protection Act
Special Enrollment Notice Under federal law, group health plans and health
As you may know, if you have declined enrollment insurance issuers offering group health insurance ALABAMA – Medicaid FLORIDA – Medicaid MISSOURI – Medicaid OREGON – Medicaid
in the lexible beneitsPLUS Program for you or your coverage generally may not restrict beneits for any Website: http://myalhipp.com/ Website: http://lmedicaidtplrecovery. Website: http://www.dss.mo.gov/mhd/ Website: http://healthcare.oregon.gov/
dependents (including your spouse) because of other hospital length of stay in connection with childbirth Phone: 1-855-692-5447 com/hipp/ participants/pages/hipp.htm Pages/index.aspx
health insurance coverage, you or your dependents for the mother or newborn child to less than 48 hours Phone: 1-877-357-3268 Phone: 573-751-2005 http://www.oregonhealthcare.gov/in-
dex-es.html
may be able to enroll in comparable coverage following a vaginal delivery, or fewer than 96 hours Phone: 1-800-699-9075
under the program without waiting for the next following a delivery by cesarean section. However, ALASKA – Medicaid GEORGIA – Medicaid MONTANA – Medicaid PENNSYLVANIA – Medicaid
open enrollment period, provided that you request the plan or issuer may pay for a shorter stay if the The AK Health Insurance Premium Pay- Website: http://dch.georgia.gov/med- Website: http://dphhs.mt.gov/Montana- Website:http://www.dhs.pa.gov/provid-
enrollment within 30 days after your other coverage attending provider (for example, your doctor, nurse ment Program icaid HealthcarePrograms/HIPP er/medicalassistance/healthinsurancepre-
ends. In addition, if you have a new dependent as midwife, or physician assistant), after consultation with Website: http://myakhipp.com/ - Click on Health Insurance Premium Phone: 1-800-694-3084 miumpaymenthippprogram/index.htm
a result of marriage, birth, adoption or placement the mother, discharges the mother or newborn earlier. Phone: 1-866-251-4861 Payment (HIPP) Phone: 1-800-692-7462
for adoption, you may be able to enroll yourself and Also, under federal law, plans and issuers may not set Email: CustomerService@MyAKHIPP.com Phone: 404-656-4507
your eligible dependents, provided that you request the level of beneits or out-of-pocket costs so that any Medicaid Eligibility: http://dhss.alaska.
enrollment within 30 days after the marriage, birth, later portion of the 48-hour (or 96-hour) stay is treated gov/dpa/Pages/medicaid/default.aspx
adoption or placement for adoption. in a manner less favorable to the mother or newborn ARKANSAS – Medicaid INDIANA – Medicaid NEBRASKA – Medicaid RHODE ISLAND – Medicaid
BeneitsPLUS will also allow a special enrollment than any earlier portion of the stay. Website: http://myarhipp.com/ Healthy Indiana Plan for low-income Website: http://www.ACCESSNebraska. Website: http://www.eohhs.ri.gov/
adults 19-64
ne.gov
opportunity if you or your eligible dependents either: In addition, a plan or issuer may not, under federal Phone: 1-855-MyARHIPP (855-692-7447) Website: http://www.in.gov/fssa/hip/ Phone: (855) 632-7633 Phone: 855-697-4347
• lose Medicaid or Children’s Health Insurance law, require that you, your physician, or other health Phone: 1-877-438-4479 Lincoln: (402) 473-7000
Program (CHIP) coverage because you are no longer care provider obtain authorization for prescribing a All other Medicaid Omaha: (402) 595-1178
eligible or length of stay of up to 48 hours (or 96 hours). However, Website: http://www.indianamedicaid.
com
you may be required to obtain precer¬tiication for
• become eligible for a state’s premium assistance any days of coninement that exceeds 48 hours (or 96 Phone 1-800-403-0864
program under Medicaid or CHIP. hours). For information on precertiication, contact your
plan administrator.
28 2018 Benefits Enrollment Dentsu Aegis Network 29
