1. If you are on Med-QUEST and have not received the letter, it may be because the Department of Human Services has an outdated or incorrect address for you, or because you are NOT enrolled. If you did not get a letter, but believe you should have, CALL (877)628-5076 to verify your enrollment and SIGN UP FOR HEALTH INSURANCE COVERAGE if necessary (note that federal tax penalties --over $300 for 2015-- may apply to uncovered individuals pursuant to the Affordable Care Act, and a lack of health insurance may result in substantial medical fees and expenses, as well as possible denial of services, should you visit the doctor).* YOU MUST CALL BY NEXT TUESDAY, FEBRUARY 24, 2015, TO ENSURE YOU ARE ENROLLED WITH YOUR PREFERRED PROVIDER BY THE MARCH 1, 2015 MED-QUEST TERMINATION DATE!
2. If your letter states that you have been enrolled with HMSA or Kaiser and you are fine with this selection, you do not need to do anything. NOTE: Kaiser enrollees will only be eligible for services from a Kaiser provider; this excludes community health centers and clinics (i.e. Kōkua Kalihi Valley, Kalihi-Pālama Health Center, etc.). To see plan details, click here.
3. If you received a letter stating that you are enrolled with KAISER BUT you want HMSA (or if you are enrolled with HMSA but want KAISER) you need to call the phone # below and ask to change to HMSA: CALL (877)628-5076 to confirm insurance plan selection and to switch plans.
If you switch BEFORE NEXT TUESDAY (February 24, 2015), the new plan will be effective 3/1/2015.
If you switch later you won't be with the new plan until at least April 1, 2015 (meaning you will be on whichever plan the state has chosen for you, until this date).
You can only switch UNTIL 4/15/2015. After that, there will be NO SWITCHING ALLOWED (until the next open enrollment period).
*REMINDER: Med-QUEST termination means that those Med-QUEST enrollees whose incomes are between 100% and 138% of the federal poverty level (including many of those working 2 or more part-time minimum wage jobs) will now have to pay any premium costs for their new insurance plans above the federal subsidy for these "silver plans," and all silver plan enrollees will be required to pay out-of-pocket costs of AT LEAST $750 for medical services and prescriptions. See here for plan details: click here.
(COFACAN, MHAC, and a large number of community groups and service providers are working to alleviate the harm of this potential burden on indigent families, and ensure meaningful access to timely medical intervention -- click here to see how you can help!)
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