Changing Health Plans and Carriers

What to expect when you are changing insurance carriers or health plans.  Here are few steps to take in order to prepare you and your employees for a seamless transition to the new insurance health plan:

• Notify your employees that the health plan and/or insurance carrier will be changing.
• Provide employees new health plan and/or carrier information.
  (ie. Plan Summary, Network type, Rx info, Carrier website and Resources)

• If you are changing health plans, continue to use your current ID card until the new one arrives.

If you are changing carriers,

• Make sure employees fill prescriptions for the upcoming next month.
• Advise employees to inform their healthcare providers of the new insurance.
• If an employee has a pre-authorization for a procedure, the employee will need the new carrier to pre-authorize the procedure.  Notify your doctor of the pending change so the procedure can pre-authorized by the new insurance carrier.
• Once you have your Group # or Individual ID #, you can contact Member Services at the insurance carrier for Member Service questions.
• Once your policy is approved ID cards take 10-12 business days by mail.  It is recommended to access your new online Member Service portal to print off temporary ID cards online. 
• And as always, I'm available to answer your questions.