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