Marlene

Hey Eric,

I have gone through the Individual tab of the portal, this is what I can identify.

  • I am working with BBSTX regarding the onboarding link, the previous one we had was through Susan and it has not yet been updated
  • We may want to mention the CMS requirement regarding the authorization form somewhere on this site.
  • Under Eligibility – I heard that the shortened OE won’t change until 2026 for the 2027 plan year. Need to update this.
  • Explain that if the prospect does not qualify for a subsidy, they can still purchase coverage off exchange at the full cost
    • They can quote & enroll on Healthsherpa, be certain to indicate Off-Exchange on Healthsherpa
  • Under Post Approval
    • Provider Confirmation – maybe we could indicate that the PCP selected can be change monthly should they not be happy with the PCP selected
  • Renewals
    • Make certain that the plan the client is enrolled in is not being discontinued, if it is they do have to re-enroll
    • For the 2026 plan year, 2025 OE, if the client has a $0 premium, they do have to update their income information