Coverage
Can I see an out of state provider?
Short term plans have a nationwide network. ACA plans they need to stay in state for providers.
Can we collect payment for other carries?
We cannot collect the payment for other carries.
Can you backdate the effective date?
You cannot backdate an effective date, except for birth of a child as a QLE.
Mother wanting to enroll he child in a health plan to start right away?
ACA can be child only.
Do Mammograms have preventive care?
Breast cancer screening mammogram, with or without clinical breast examination, every 1-2 year
Paying with a card do, we have to stop recording or anything?
UHC ACA you need to use secure pause when collecting card information.
How do I create a child only ACA application?
Parent would be primary on the plan with no coverage.
If customer on Medicaid, can the sign them up for ACA plan?
Send to Medicaid or enroll in ACA at full price.
What does it mean if the plans have orange exclamation points in QuoteConnect?
You are not appointed for that plan. Sell Oscar, Cigna, UHC with the orange icon.
Is the coverage outside of the US with STM or ACA?
No outside US coverage for STM or ACA.
Do I use Secure Pay for ACA calls?
You cannot secure pay with an ACA plan.
Mixed American Indian do we click the box for American Indian / Alaska native?
Yes and ask if they have a tribal card?
Is there a way to send more than 3 quotes for aca plans?
A second proposal in needed.
Can I see an out of state provider?
ACA plans are state coverage only except in case of emergency
When does payment come out of customers account?
Payment is taken on application and applied but it is actually not taken out of her account until the effective date.
Customer lives in two states where do they apply?
He needs to apply for a plan where he files taxes. with ACA plans.
The customers Short Term Plan is ending is that a QLE?
It does not trigger a QLE, STM is not considered MEC.
County is not listed do, we provide them the state number for individual plans.
If no UHC plans in area, sell them a different carrier you are appointed with.
Does a EPO have any non-network benefits?
You must use a network doctor or hospital.
Can one buy a UHC long-term medical plan if income is too high?
They can apply and pay full price.
Customer worked in last year and not now, what income do I use for application?
If for current year plan, report current yearn income or estimate what it will be.
If customer lost Cobra coverage for not payment is that a QLE?
Non payment is not a QLE.
In QuoteConnect only and I don't see UHC plans, I selected appointed only?
Don't choose appointed only - UHC is a just in time appointment carrier in some states.