Patient Information about The Health Insurance Marketplace
Special Enrollment - open all year
For people with life changes (including marriage, divorce, birth, adoption, change in job status, etc.)
- November 1, 2016: This is your first day to apply for, keep, or change your coverage.
- December 15, 2016: Enroll by this day to keep or get new coverage that begins on January 1, 2017.
- December 31, 2016: The day all 2016 Marketplace coverage ends, no matter when you enrolled.
- January 15, 2017: The last day to enroll in or change plans for new coverage to start February 1, 2017.
- January 31, 2017: The last day you can enroll in 2017 coverage for Open Enrollment for coverage to start March 1, 2017.
||Montana HELP - Expanded Medicaid Insurance Plan - open all year
- For assistance with Special Enrollment for the Health Insurance Marketplace, call our certified assisters at 406-238-2601.
- If any of your information has changed (such as income, address, marital status) be sure to update healthcare.gov right away.
||See if your health plan includes Billings Clinic.
Lunch & Learn about health insurance
Understanding health insurance terms and health insurance options including expanded Medicaid, different plans, and higher penalties. This Lunch & Learn (total running time - 44:11) was presented by Family Medicine Physician Michael Temporal, MD, Health Policy Director JJ Carmody, Payer Relations Director Becky Kelly and Payer Relations Associate Jan Hoy.
1. Should I care about health insurance?
Yes! Health insurance is important for better health. Those with health insurance are more likely to receive preventive health care, such as screenings and annual exams, and are less likely to go to the Emergency Department for non-emergency needs.
In addition, most individuals are required by law to have health insurance every year. Open Enrollment is only available until January 2017. We recommend that you enroll before December 15, 2016, so that coverage will begin on January 1, 2017. (Note that some individuals can enroll later due to “life changes,” which may include death, divorce, birth or a change in employer coverage.)
2. Can I just wait to sign up if I get sick or injured?
No, health insurance is not retroactive and will not cover care that has already been provided. In addition, it could take from two-to-six weeks for a new health insurance plan to become active during the Open Enrollment period. After January 31, 2017 you will not have another opportunity to obtain coverage until November 2016, effective January 2017, unless you qualify for a Special Enrollment Period.
3. Will I save money? Can I get a discount?
84% of Montanans qualify for lower premiums or some financial assistance on health insurance through the Health Insurance Marketplace, in the form of tax credits to offset the monthly premium cost for coverage or discounts on the costs when medical services are received for persons with incomes between 138 and 400% of Federal Poverty Level. For example, one person may qualify for lower monthly premium costs with an estimated household income from $11,770 to $47,080. Learn about more affordable health insurance options at www.healthcare.gov.
4. Can I see my favorite doctor?
Probably, but it’s important to make sure your favorite doctor(s), providers, hospital and pharmacy are in-network in your chosen insurance plan before you enroll. Billings Clinic is in-network with Blue Cross Blue Shield, PacificSource and Montana Health CO-OP Access Care plans. Billings Clinic is out-of-network in Montana Health CO-OP Connected Care plans and you will pay more out-of-pocket costs to see Billings Clinic under these plans.
5. Are my medications covered?
To be sure, we recommend that you check with the insurance company(ies) you are considering to see if your medications are covered by the plan’s “formulary.” The formulary is the list of prescribed medications covered by an insurance plan.
6. Can I pay less for my kid’s health insurance?
It’s very possible. Many children qualify for free or low-cost health insurance through Healthy Montana Kids or your state’s Children’s Health Insurance Program. You can find out if you qualify for Healthy Montana Kids or for financial assistance on a family health insurance plan by going to www.healthcare.gov.
7. If I have Medicare, do I need to do something for the Health Insurance Marketplace?
No, you don’t need to do anything. If you have questions about Medicare, please call.
8. Can I change the insurance plan I already picked?
If you enrolled for 2016, you can change to another plan for 2017, or re-enroll in the plan you are in now. Once you enroll for 2017, it may be difficult to change your plan.
9. This is confusing. How can I get help?
Billings Clinic has Certified Application Counselors (CACs) who can assist you with questions or help you enroll in the Health Insurance Marketplace. Call our Certified Application Counselors at 406-238-2601 or toll-free at 1-800-332-7156, ext. 2601. Scheduled appointments are available.
In addition, there are CACs and Navigators available at many other health care organizations, hospitals and communities in our region. To find local help near you, go to www.healthcare.gov and click on “Find Local Help.”www.coverMT.org
You can also get more information or enroll online at www.coverMT.org.
The Health Insurance Marketplace is located at a website - healthcare.gov - that offers individuals or small employers a place to directly compare and choose private health insurance options.
Patient Information about the Health Insurance Marketplace
Billings Clinic has been designated as a Certified Application Counselor Designated Organization. To learn more about the Health Insurance Marketplace and options for affordable coverage, call Patient Financial Services at 406-238-2601.