Time to renew your health coverage.

Transcription

1 [MONTH] [YEAR] Subscriber ID: [SUBSCRIBER ID] Plan Name: [PLAN NAME] Time t renew yur health cverage. Dear [First name] [Last name], We previusly sent yu infrmatin abut yur health plan changes fr. Rates have been frmally annunced and we are nw able t prvide yur final mnthly premium. We appreciate yur patience during this time. T help yu make an infrmed decisin abut yur new health cverage, which begins January 1,, belw is yur premium infrmatin fr yur health cverage. Yur Blue Shield Plan Summary fr [Yur plan name has changed. Frm: [Current Plan Name] T: [New Plan Name] Yu will receive a new medical ID card with the new plan name.] 2017 (Current plan) (effective January 1, ) Medical Plan Name [[Metal Level] [AV] PPO] [[Metal Level] [AV] PPO] Medical Mnthly Premium $[XXX.XX] $[XXX.XX]* A change f $[X.XX] r [X.XX]% *Yur mnthly premium is based n ur recrds as f [Mnth Day, Year]. This amunt may vary based n any changes t yur situatin, such as age, adding r remving dependents, r mving yur husehld t a new address. [Due t a plan design change, the fllwing change has been made t yur plan benefit effective January 1, : Ambulance service cst share The c-pay fr ambulances service has increased under the Emergency Services and Urgent Care categry. Frm: $250 deductible applies T: $255 deductible applies]

2 There are 3 steps t renew yur cverage with Blue Shield 1. Review yur new premium and benefit changes. Lk at yur plan infrmatin prvided t yu in the previus letter alng with this letter t assist with yur decisin making. 2. Check ut cverage ptins. G t blueshieldca.cm/renewalcenter t view imprtant plan dcuments and brwse plan ptins. 3. Chse yur plan fr. The pen enrllment perid is frm Nvember 1, 2017 t January 31,. During this time, yu can renew yur current plan r chse a different plan. Select yur plan by the enrllment deadline. If yu are happy with yur current plan, g t blueshieldca.cm/renew t renew yur plan and cntinue paying yur mnthly bill. If yu want t explre ther Blue Shield plans, yu can: cntact yur brker, [Jhn Brker at (123) ,] visit blueshieldca.cm/renew, r call us at (888) [TTY: 711] Mnday thrugh Saturday, 8 a.m. t 8 p.m. [Yu can save $[XXX.XX] switching t Tri HMO* (Current plan) Medical Plan Name [[Metal Level] [AV] PPO] [[Metal Level] [AV] HMO] Mnthly Premium $[XXX.XX] $[XXX.XX] * Please refer t the letter yu previusly received with yur plan benefit infrmatin t view the plan cmparisn. G t blueshieldcaplans.cm/trihm t learn mre and enrll.] Thank yu fr chsing Blue Shield. As appraches, we lk frward t prviding yu with healthcare cverage yu can depend n. Sincerely, Jeff Smith, Vice President and General Manager Individual and Family Plans Blue Shield f Califrnia Getting assistance in ther languages Para slicitar asistencia en españl, llame al númer que figura en el revers de su tarjeta de identificación. 需要中文服務,請撥打您的 ID 卡背面的電話號碼 Để được trợ giúp bằng tiếng Việt, gọi và số điện thại trên mặt sau thẻ ID của quý vị. Para sa tulng sa wikang Tagalg, tawagan ang numer ng telepn sa likd ng iyng ID kard. Diné Bizaadjí bee shich'į' haddzih ninízing. Naaltss nanitinígíí bine'déé' béésh bee hane'é bika'ígíí bich'į' hdíílnih. 한국어로도움을받으시려면, ID 카드뒷면에있는번호로전화해주십시오.

3 Answers t frequently asked questins We want t prvide answers t questins yu might have t help yu understand yur updated plan and cntinue yur cverage in. Abut yur current plan Q. My health plan mnthly premium increased? Why did this happen? A. Health plan premiums include estimated csts fr services, administratin, and taxes. Majr drivers affecting premiums are: Changes t certain prvisins f the Affrdable Care Act [<fr n funding nly> and the decisin nt t cntinue federal funding f cst-sharing reductins, which impact [<Silver plans nly>silver plan] [<Gen pp. Only> mnthly] rates]. A federal tax n all health insurers will be reinstated in, s that additinal cst is nce again part f rates. It accunts fr abut 3 percent f the rate increase. Anther 3 percent is attributed t the uncertainty f whether the federal gvernment will enfrce the mandate fr individuals t buy health insurance r pay a penalty. The ther 2 percent is based n changes t the federal risk adjustment prgram, which was created t stabilize the market. The cst f hspital services, physician services and prescriptin drug cverage fr ur individual members cntinues t rise. Thse increases are driven bth by higher payment rates t healthcare prviders, as well as increased utilizatin f services. In additin, premiums can increase every year t factr in yur age. Hwever, premium changes can/will never be raised r lwered based n yur persnal medical expenses r utilizatin. Q. Hw d I keep the same plan in? A. Visit blueshieldca.cm/renew and select keep yur plan, then simply cntinue t pay yur mnthly premium. Yur mnthly premium will be applied starting with yur January bill. Q. I have changes t make, but still want t keep the same plan in? A. G t blueshieldca.cm/renew t make any changes, such as adding r deleting dependents r updating yur address. Any changes yu make may directly affect yur mnthly premium.

4 Plan ptins Q. Can I switch t a different plan? A. Yes. T view ther plan ptins frm Blue Shield, visit blueshieldca.cm/renew. Yu als have the chice t purchase a new plan fr thrugh an authrized insurance brker, Cvered Califrnia r anther health plan prvider. Q. When can I make changes t my plan? Is there a deadline? A. If yu want t change t anther Blue Shield plan r make any revisins t yur plan (i.e., add/delete dependents, address changes), yu can d s starting mid-octber. If yu want t chse a plan thrugh Cvered Califrnia r anther health plan prvider, yu may apply fr a new plan during pen enrllment starting Nvember 1, The last date f pen enrllment is January 31, which is the last day t make changes t yur plan selectin fr. Keep in mind: If yu want a new plan with cverage that starts n January 1,, the deadline t make a change is December 15, Fr cverage that begins February 1,, yu will have until December 16, 2017 thrugh January 15, t make changes. Fr cverage that will begin March 1,, yu will have the remainder f pen enrllment, January 16, thrugh January 31,, t make changes. After January 31,, yu will need t wait until the next pen enrllment perid t get cverage, unless yu qualify fr special enrllment, which takes place all year lng. Fr mre frequently asked questins and ther questins t cnsider as yu evaluate yur ptins fr cverage, visit blueshieldca.cm/[renewal][silvercsr]. Yu can als cntact yur brker, r call (888)

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