IndividualMarketUpdate

IMPORTANT INFORMATION ON MARKETPLACE PRODUCTS

Delayed display of certain plans on-Marketplace for start of open enrollment

 

Open enrollment begins tomorrow, Nov. 15, 2014, and Highmark is working closely with CMS to provide plan options both on- and off-Marketplace. 

 

However, there are some technical issues with the following plans, and they will not be displayed on the Marketplace:

  • Shared Cost Blue PPO 2650, a Community Blue Flex Plan (Zone A) - Silver Plan
  • Balance Blue PPO 1000, a Community Blue Flex Plan (Zone A and B) - *New* Silver Plan

 

Important notes about these plans

Please keep in mind that:

  • These plans are still qualified health plans. 
  • These plans are also available off-Marketplace (off-Marketplace purchases are not eligible for advanced premium tax credit [APTC] or cost-sharing reduction [CSR]).
  • Members who had the Shared Cost plan in 2014 (on- or off-Marketplace) will be automatically re-enrolled for 2015, if they do not actively enroll prior to Dec. 15, 2014.

Next steps

We expect the display issue to be resolved in early December.

  • To ensure that your customers can take advantage of the high value and cost savings of these plans, advise them to enroll in these plans in early December.
  • We will communicate additional details on this issue as soon as they are available.
If you have questions in the meantime, please contact your Highmark individual sales channel consultant.

Producer portal temporarily unavailable starting 11 p.m. tonight

Highmark is making adjustments to the producer portal tonight to support 2015 open enrollment. Thus, the portal will be temporarily unavailable, from 11 p.m. tonight, Nov. 14, to 8:30 a.m. tomorrow, Nov. 15.

Technical support will be available to assist with questions about Highmark's producer portal on Saturday and Sunday, from 9 a.m. to 2 p.m., at 1-866-306-1059. The producer hotline is not available for enrollment and billing questions.

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