CID: Health Care Reform

Health Care Reform

The federal Affordable Care Act, was signed into law on March 23, 2010. The law provides for a number of new consumer protections and while many provisions have already gone into effect, most consumer protections become effective January 1, 2014. Insurance companies can no longer refuse to insure someone because of a pre-existing condition. Other protections include no lifetime limits on certain benefits, no out-of-pocket costs for preventive and wellness services. Some consumer may also qualify for tax credits and lower premiums by shopping through Connecticut’s state-based exchange – Access Health CT. The Insurance Department has provided many resources below to help all consumers understand their options and the law’s impact on their health insurance plans.


 ACA Consumer Alerts & Tips

Consumer Alert: Anthem Provides Customer Service E-Mail For Enrollment Status

The Connecticut Insurance Department is offering the following information for customers of Anthem Blue Cross Blue Shield of CT awaiting confirmation of coverage and payment from Anthem whose policies they chose during the Affordable Care Act open enrollment that began October 1, 2013.

Anthem has established a customer service email for questions or comments related to:
  • Application status
  • Payment status
  • Prescription benefits
  • Provider Participation status
  • Other issues
Click here to email Anthem with questions or comments (Note: Membership ID# is NOT required)

Or
  1. Go to www.anthem.com
  2. Click on the “In the News” link that reads “Customer Service Options – for members who selected  a plan on their states Exchange website”
  3. Click on Send a message to Customer Service: Send us your questions or comments.
  4. This will bring up the form – complete form and click submit. (Note that Membership ID is NOT a required field)

Other Anthem resources:




Anthem Contact Information
1-855-738-6644
www.anthem.com

The Department has been working with the carrier to ensure it meets the needs of its customers as swiftly as possible. Consumers are encouraged to contact the Department’s Consumer Affairs Division with questions or complaints.


Connecticut Insurance Department
Email: cid.ca@ct.gov
Ask a question or file a complaint online
Consumer Helpline: 800-203-3447 or 860-297-3900

Previous Consumer Alerts & Tips

How the ACA reforms the way insurance is priced:
Insurance Department Legislative Presentation on Rate Reforms

Department updates Legislature’s Insurance & Real Estate Committee on 2014 rating reforms

{Ask Question}
Questions or Complaints?
Contact the Department's Consumer Affairs Unit

By Phone: 800-203-3447 or 860-297-3900
By E-mail: cid.ca@ct.gov


Where Can I Buy Insurance?

In Connecticut, consumers can purchase insurance from the state Exchange - Access Health CT, the only marketplace that offers federal tax credits for eligible applicants.

{Access Health CT}
Click the icon or call:
1-855-805-HEALTH
(1-855-805-4325)

Outside the Exchange, consumers in Connecticut can choose from:
Other Healthcare Resources (based on income eligibility):


Essential Health Benefits (EHB):
What is covered under the ACA?

Beginning January 1, 2014,insurance plans must have the following EHBs:
  • Ambulatory Patient Services
  • Emergency services
  • Hospitalization
  • Maternity and newborn care
  • Mental health, substance abuse disorder services
  • Prescription drugs
  • Rehabilitative and daily assistance services and devices
  • Laboratory services
  • Preventive, wellness services, chronic disease management
  • Pediatric services, including oral and vision care


ACA Implementation Timeline - An interactive calendar







Content Last Modified on 3/31/2014 11:40:05 AM