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HHS announces auto-enrollment plans for current Marketplace consumers for 2015

health insurance marketplace

Today, the U.S. Department of Health and Human Services (HHS) expects to announce its plans for helping existing Marketplace consumers get auto-enrolled for next year. These plans would give existing consumers a simple way to remain in the same plan next year unless they want to shop for another plan and choose to make changes. “As…

CMS Announces Opportunity to Apply for Navigator Grants in Federally-facilitated and State Partnership Marketplaces

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“Navigator” program will continue to help consumers understand health coverage options as they enroll in coverage The Centers for Medicare & Medicaid Services (CMS) today announced the availability of funding, totaling $60 million, to support Navigators in Federally-facilitated and State Partnership Marketplaces in 2014-2015. Navigators provide unbiased information to consumers about health insurance, the Health Insurance…

Medicare Will Cover Hepatitis C Screening in Primary Care Settings

Michelle Moses-Eisenstein

On June 2, 2014, the Centers for Medicare & Medicaid Services (CMS) announced its determination that hepatitis C virus (HCV) screening will be covered by Medicare for adults in primary care. Specifically, the determination stated that CMS will cover HCV screening when ordered by a beneficiary’s primary care physician or practitioner within the context of…

Protect Yourself from Hepatitis B

Viral Hepatitis

Did you know that 1.2 million people in the U.S. have chronic Hepatitis B, but many more people don’t know they’re infected because they have no symptoms? Hepatitis B is a contagious liver disease that can range in severity from a mild illness lasting a few weeks to a serious illness that can lead to…

Opportunity for Public Comment: Proposed Additions to the List of Conditions Captured by Centers for Medicare and Medicaid Services’ Chronic Conditions Warehouse Include HIV/AIDS

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On April 17, 2014, the Centers for Medicare and Medicaid Services (CMS) issued a request for public comment on a list of conditions and their related identification algorithms, which CMS proposes to add to its Chronic Conditions Warehouse (CCW). The public comment period will close on April 25, 2014. The CCW is a database designed…

HHS announces important Medicare information for people in same-sex marriages

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Today, the Department of Health and Human Services (HHS) announced that the Social Security Administration (SSA) is now able to process requests for Medicare Part A and Part B Special Enrollment Periods, and reductions in Part B and premium Part A late enrollment penalties for certain eligible people in same-sex marriages. This is another step…

CMS Shares Information & Tools Regarding ACA Enrollment Deadline and Complex Cases

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Special Enrollment Periods in the Marketplace The deadline for open enrollment is March 31st. As the Administration said previously, those consumers who are in line by the March 31st deadline to complete enrollment, we will make sure you get covered. Just like Election Day, if you are in line when the polls close, you get…

HHS Publishes Rule Requiring Health Plans to Accept 3rd Party Payments from Ryan White

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On March 19, 2014, HHS published an interim final rule in the Federal Register that requires issuers of qualified health plans (QHPs), including stand-alone dental plans (SADPs), offered through the ACA’s Health Insurance Marketplaces to accept premium and cost-sharing payments made on behalf of enrollees by the Ryan White HIV/AIDS Program, other Federal and State…

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