OPEN ENROLLMENT November 1, 2015 January 31, 2016
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1 I avoided a tax penalty OPEN ENROLLMENT November 1, 2015 January 31, 2016 In-Person help is available We got covered
2 From Access Health CT s CEO WHAT YOU LL LEARN Dear Access Health CT Member: Thank you for signing up to get health care coverage through Access Health CT in We hope that you and your family are taking advantage of all the benefits that are included in your plan at no extra cost such as annual checkups, shots and others. This year is quickly coming to an end and that means it is time for you to think about your health care needs for As a member, you can renew the coverage you have now or pick a new plan starting November 1, If you have questions about renewing your plan or picking a new one, please read the information in this document or get in touch with us. Remember that all the help offered through Access Health CT, including Certified Brokers, is FREE. So don t wait any longer. Not having health care coverage could result in tax penalty. Please don t let that happen! Visit AccessHealthCT.com or call we want you covered, happy and healthy! Jim Wadleigh twitter.com/jimwadleighahct Options to Renew Tips for Choosing Your Plan Adding a Person to Your Coverage Help Paying for Coverage Avoid a Potential Tax Penalty FREE Help! Questions? About Renewing Your Coverage For Your Insurance Company We re Here to Help Visit AccessHealthCT.com Call Hablas español? Para leer en español visita: AccessHealthCT.com y haz clic en Aprenda Más.
3 LET S GET STARTED! Your current health 31 care coverage through Access Health CT ends December 31, You should have already received a letter in the mail from us about renewing your current coverage for YOUR LETTER SAID... WHAT YOU NEED TO DO You can renew your health coverage without doing anything, AND you have no changes in your family or income YOU DON T NEED TO DO ANYTHING. If your plan still meet your needs, Access Health CT will enroll you in the 2016 version of your plan that will start on January 1, You can renew your health coverage without doing anything BUT you have changes in your family, income, address or others*... OR IF you want to see other available plans... OR IF your letter said you are NOT eligible to auto-renew... * For a complete list of changes you can make, visit Learn.AccessHealthCT.com. Visit AccessHealthCT.com to renew. Can t access your account? If you have not logged in to your account for 180 days or more, please call us at to unlock your account. Want to be able to renew automatically next year? When you are making changes to your application, make sure you select the option that gives Access Health CT permission to check your tax returns. * IMPORTANT: If you make any changes to your plan, please complete your enrollment by 15 December 15, 2015 to be covered January 1,
4 TIPS FOR CHOOSING YOUR PLAN The Right Coverage for You Think about the type of health care coverage you and your family need during the year, and compare with what the plan covers. Essential Health Benefits. ALL the plans include the following: Preventive services - like yearly checkups, shots etc. Lab Tests Prescription Drugs Pediatric services, including dental and vision care for kids Care before and after your baby is born Emergency room visits Mental health and substance abuse treatment Treatment in the Hospital - known as Inpatient Care Services and devices to help you recover after an illness or injury Outpatient Care - the care you get without being admitted to a hospital Get your money s worth! After choosing a plan, take advantage of your preventive benefits at NO ADDITIONAL COST. Learn What s Important Don t just look at the monthly payment (known as a premium), these are also very important: 1. What you owe when you get covered services before your insurance company begins to pay (known as deductible); 2. What you may owe on top of the amount your insurance company pays (known as deductibles, copays and coinsurance); and 3. Which doctors are in your plan s network. Understand What You re Really Buying Plan levels, known as metal levels, go from Bronze (lowest) to Platinum (highest): Bronze: Pay more out-of-pocket for medical services, but may also have the cheapest monthly premium payment. Need Dental coverage? Access Health CT also offers several dental plans to meet your needs. Platinum: Lowest out-of-pocket costs, but may also have the most expensive monthly premium payment. 2
5 ADDING A PERSON TO YOUR COVERAGE If you need to add a member of your family be sure to have the following information: Social Security numbers Visa, green card or other immigration documents Most recent tax return Employer information and any health plans they offer Current insurance coverage For a complete list of documents visit Learn.AccessHealthCT.com. PLEASE NOTE: Not all of the people in your family may be able to be in the same plan together. To learn more about who can be on a family plan, visit Learn.AccessHealthCT.com. GET HELP PAYING FOR YOUR COVERAGE Let s Start With The Basics There are two ways to get help paying for health care coverage through Access Health CT. When you apply, we ask you for your Modified Adjusted Gross Income* (or MAGI), household size and home address. Based on that, when you enroll in a plan, you and other members of your family may be eligible for: Advanced Premium Tax Credits These are paid directly to your insurance company to reduce your monthly payment. You can also wait until you file your federal income taxes to claim these tax credits. Cost Sharing Reduction Plans These are special plans available only to individuals and families who qualify. These plans lower the amount you have to pay out-of-pocket for deductibles, coinsurance and copayments. Not familiar with health insurance terms? Visit Learn.AccessHealthCT.com/Glossary. * The figure used to determine eligibility. 3
6 GET HELP PAYING FOR YOUR COVERAGE continued Reminder: 2015 Federal Tax Filing If you received tax credits, Access Health CT will send you a letter by the end of January 2016, that shows the amount of credits paid to your insurance company to help lower your monthly costs. You will need the information on this letter to complete your 2015 Federal Tax returns. * you IMPORTANT: If your filing status is different than what you applied for in a health plan (example: fewer dependents or higher MAGI) you may have to pay back some or all tax credits received by April 15, 2016 (tax filing deadline). AVOID A POTENTIAL TAX PENALTY You Can Avoid a Tax Penalty If You 1. Have a gap in coverage that is less than 3 consecutive months in a year 3. Have a household income that is below the amount that you need to make to be required to file taxes 2. Apply for and are given an exemption from Access Health CT 4. Have other coverage like Medicaid, Medicare or an employer plan If you do not enroll to get health care coverage in 2016 you could pay a $695 Tax Penalty* * Per person ($ per child under 18), up to a maximum of three people in your tax household, or up to 2.5% of your family s Modified Adjusted Gross Income (or MAGI) if that amount is higher. Make sure you file your 2014 federal income taxes before renewing your coverage for 2016! It could impact the financial help you receive through Access Health CT. Importance of reporting changes and updating your information When you don t update your information, this could mean: Tax credits may be delayed/ canceled You may have to pay a penalty You may have to pay back some or all of the tax credits at tax time Log on to your account at AccessHealthCT.com and click on Report a Change. 4
7 ALL HELP IS FREE! Contact Access Health CT for questions about: Enrolling Finding the right plan Learning about coverage options Accessing your account Account password Contact your insurance company for questions about: Your ID cards Doctors in your network Drugs covered in your plan Your plan benefits and coverage Billing or payments Go to: AccessHealthCT.com Call: Visit Enrollment Centers and Community Partners in: 1. Danbury 2. East Hartford 3. New Britain 4. New Haven 5. Norwich 6. Stamford 7. Waterbury No appointment needed. Go to Learn.AccessHealthCT.com/Locations for hours and directions anthem.com connecticare.com healthyct.org uhc.com/xct Find a Certified Broker: Visit AccessHealthCT.com and click on Get Help to locate one near you. Have questions? Go to Learn.AccessHealthCT.com and click on Glossary or FAQs for definitions and answers to common questions. If you have questions about your Medicaid/ HUSKY coverage contact the Department of Social Services. 5
8 PO Box 2348 Hartford, CT OPEN ENROLLMENT BEGINS NOVEMBER 1, 2015 Renew TODAY! OPEN NOW! Important Renewal Information Enclosed R Brochure - 70,000-10/15
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This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the plan s summary plan description at www.psbenefitstrust.com or by calling (206) 441-7574,
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Health Net Violet 2 (PPO) offered by Health Net Life Insurance Company Annual Notice of Changes for 2018 You are currently enrolled as a member of Health Net Violet Option 2. Next year, there will be some
More information$ 400 person/ $1,200 family; Waived for inpatient and outpatient hospital charges at Centers of Excellence and Hospitals of Distinction.
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.mbpet.net or by calling 1-888-742-3380. Important Questions
More informationSimple answers to health reform s complex issues facing every employer, and what you can do now to protect your business and your future.
Simple answers to health reform s complex issues facing every employer, and what you can do now to protect your business and your future. If you have any questions, please contact: Health Reform: A Guide
More information$0 person/$0 family See the chart starting on page 2 for your costs for services this plan covers.
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.gpatpa.com or by calling 972-962-3686. Important Questions
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Health Net Violet 1 (PPO) offered by Health Net Life Insurance Company Annual Notice of Changes for 2018 You are currently enrolled as a member of Health Net Violet Option 1. Next year, there will be some
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