Increasing Access to Care Through a Special Enrollment Period

Florida Blue has announced two offerings for their fully-insured groups:

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“Florida Blue announced in a May 12 press release that they are increasing financial support for members during the COVID-19 health crisis, including:

UnitedHealth Group will provide more than $1.5 billion in initial assistance, including customer premium credits, to its UnitedHealthcare customers as many people have been unable to access routine or planned care due to the COVID-19 pandemic. Consequently, UnitedHealthcare has seen a lower volume of medical care being delivered than was anticipated when pricing was initially established.

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We’ve extended the time you have to pay your premium for individual members and groups. So even if your payment becomes past due or is already late, you’ll have additional time to make payments, at least through May 31 unable to pay premiums as a result of the COVID-19 health crisis that would otherwise have been subject to termination of coverage.

Centers for Medicare & Medicaid Services (CMS) recently released a bulletin that will extend their policy in which CMS will not take enforcement action against certain non-grandfathered health insurance coverage. These plans are often considered “grandmothered” plans.

Many of our clients have Teladoc telemedicine services embedded in their health program, while offering an HSA compatible health plan. There has been much discussion over whether the HSA plans would remain compatible if Teladoc were to pay 100%/no copay for Covid-19 services.

Florida Blue is actively engaged in the COVID19 fight and is committed to supporting its members and their communities as this difficult situation evolves. To further support our members, the company is waiving member cost-sharing for all COVID19 treatment services – including inpatient hospital admissions – for its fully insured commercial insurance plans, including Affordable Care Act (Marketplace), individual and Employer Group coverage, and for its Medicare Advantage health plans.