A few things to keep in mind!
Do you depend on factor co-pay assistance?
If so, you should know that some insurance plans have changed how you can use these. Now, some plans will allow you to use the co-pay assistance card but when that is exhausted – your accumulator (how the insurance company keeps track of what you’ve paid) is reset to zero and you will still be responsible for paying your full insurance deductible and all copays until you reach your out-of-pocket maximum. In the past, your co-pay assistance card most likely covered your deductible and met your out-of-pocket maximum for the year. Please check with your insurance plan!
Looking for a new plan?
Carefully review the benefits before choosing a plan.
Short Term Limited Duration Health Plans & Association Health Plans
Last year, President Trump issued an Executive Order allowing increased access to Short Term Duration & Association Health Plans. These plans are exempt from Affordable Care Act (ACA) rules including pre-existing conditions exclusions, the ban on annual and lifetime limits, caps on out-of-pocket costs, and minimum coverage standards. If you have a bleeding disorder, your factor may not be covered and you may be required to share more of the cost of care.
Only 44% of Short Term Health Insurance Plans cover prescription drugs in Michigan.
Important Dates
- Marketplace Open Enrollment Period: November 1 – December 15 (If you don’t act, you can’t get 2019 coverage unless you qualify for a special enrollment period.) www.healthcare.gov
- Medicare Open Enrollment Period: October 15-Dec 7 Make sure your factor is covered. Contact your HTC social worker if you have questions.
- Qualify for Medicaid? You can receive coverage right away, any time of year. www.michigan.gov/mibridges If you’re not sure if you qualify contact your HTC social worker.
