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Metal levelPremiumDeductibleLimitations Bronze$$$$$LA HAP will NOT cover Bronze premiums Silver$$$$$--- Gold$$$$$No cost-sharing reductions available Platinum$$$$$No cost-sharing reductions available Full plan name Individual yearly deductible In-network/out-of-network portion covered
R I P
To avoid a difficult tax reconciliation, report income and household changes to the Marketplace throughout the year. Notify LA HAP of any premium changes.
If you enroll… Insurance add/change form due to LA HAP… Your coverage starts… November 1 st - December 15 th 2015 December 18 th 2016January 1 st 2016 December 16 th - January 15 th 2015 January 18 th 2016February 1 st 2016 January 16 th - January 31 st 2015 February 16 th 2016March 1 st 2016
Look for correspondence from: MARKETPLACE on basic Open Enrollment information INSURANCE COMPANY on what is happening to existing plan
2015 PLAN STILL BEING OFFERED IN 2016 Re-evaluate needs and update expected household/income info on healthcare.gov Keep plan SEND 2016 INVOICE TO HIP Switch plans SEND INSURANCE ADD/CHANGE FORM TO LAHAP If you do nothing: You will be auto- reenrolled into same plan If premium amount changes and HIP isn’t informed, you risk insurance termination Act by December 15th
2015 PLAN TERMINATING, SIMILAR PLAN BEING OFFERED IN 2016 Re-evaluate needs and update expected household/income info on healthcare.gov Opt for auto-mapping SEND INSURANCE ADD/CHANGE FORM TO LA HAP Switch plans If you do nothing: You will be auto- mapped into new plan You risk insurance termination if LA HAP/HIP is not informed about new plan/premium amount Act by December 15th
2015 PLAN TERMINATING, NO SIMILAR PLAN BEING OFFERED IN 2016 Re-evaluate needs and update expected household/income info on healthcare.gov Switch plans SEND INSURANCE ADD/CHANGE FORM TO LA HAP If you do nothing: Your insurance coverage will terminate January 1 st Then, you still have option to select new plan by January 31 st Act by December 15th
LA HAP Eligibility expiring: LA HAP APPLICATION Adding/changing Insurance: INSURANCE ADD/CHANGE FORM Send LA HAP application AND Insurance Add/Change form if LA HAP eligibility is expiring AND insurance is changing
LA HAP (New Orleans) HIP (Baton Rouge) Insurance Company Case Manager(s) Market- place Client Broker(s) Provider Medicare
HIP Reminders
Payment Information Reminders
All FREE!