** We are experiencing a high call and appointment volume. Please be patient as we work hard to help you!!
Special Enrollment Period: Anytime during the year when there is a qualifying event such as relocation, marriage, divorce, losing other coverage. 60 day period from date of event to enroll
How to Get the Lowest Premium: If household size (number of people on your tax return) and total household Modified Adjusted Gross Income(MAGI = AGI on your IRS form 1040 line 37 + non-taxed amounts such as social security, alimony, tax exempt interest) is between 100% and 400% of the 2014 Federal Poverty Level AND you nor your spouse has available "minimum essential" Employer Group Coverage then you can get financial assistance to pay the health insurance premium. This aid is called a subsidy or Advance Premium Tax Credit(APTC). The subsidy is paid directly to the insurance carrier by the government. We can work with you to create your healthcare.gov account and complete the data input so that you get the subsidy applied to the premium options. We don't charge you for this service.
How to Update or Make Changes to Your Marketplace account:
(income changes, household size changes) Call 1-800-318-2596
Payment/Billing: The initial premium for your policy must be made by the 1st day effective date of the first month. You can make that first payment and set up ongoing payments in several ways. You can call the carrier directly to set up your premium payment for bank draft.
BlueCross - 855-404-6752, BlueChoice - 866-569-5933, Consumers Choice - 527-5904, Coventry - 877-477-4103.
Do You Need to Do Anything: If you have received notice that your plan is terminating then you need to pick a new plan. Call for an appointment. If your plan is not terminating and you are happy with your current plan, the you don't need to do anything.
Scheduling An Appointment: Email me at firstname.lastname@example.org or call the office at 864-987-9996. Flexible day and evening times by GoToMeeting, FaceToFace, or just by phone. Generally, 9 AM - 10 PM and some Saturdays.
Benefits: Call Ben to review coverage and discuss networks.
2014 Tax Return:(If getting a subsidy) Remember that the IRS will compare your actual MAGI with your estimated and will make an adjustment to your subsidy, benefits etc. You will need a 1095 A form that the Marketplace sends out. We can sometimes retrieve this but we are not sent a copy of it and don't have it on file.
Other Plan Information: Regarding network providers, formulary for Rx, and other resources can be found at:
Click here for 2015 Federal Poverty Level Guidelines information