Month: November 2013

Update on the Missouri Health Insurance Marketplace

The Missouri Health Insurance Marketplace has now been open for 8 weeks. We can all agree that the troubled roll-out of the website has been frustrating. However, there is good news to know and share:

  1. The website is getting better. While contractors work to fix the remaining bugs in the system, we are hearing that most people are now able to access the site and shop their options. We expect the system to continue improving over the next few weeks.
  2. The plans in the Marketplace are good plans, with good prices and good coverage, and multiple choices in all markets. And hundreds of thousands of Missourians qualify for financial help to bring down the costs even further.
  3. Hundreds of people statewide have been trained to provide in-person help in navigating the Marketplace and purchasing a plan. To find in-person help near you, go to localhelp.healthcare.gov or www.covermissouri.org.
  4. We are starting to hear of successful enrollment stories in Missouri. We hope to share these stories with our supporters soon.
  5. The health care law’s new protections remain: No more denials for pre-existing conditions. No more being charged more for being a woman. No more cancellations when you get sick. These new protections will dramatically change the way the health insurance market works.

There is much work left to be done to make the promise of the new law a reality for Missourians. Most critically, our legislature needs to expand Medicaid for the 200,000 Missourians who don’t qualify for any help until we pass expansion. But at this season of thanksgiving, it is also worth pausing a moment to be grateful for the progress we’ve made.

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Provider Networks in the Missouri Health Insurance Marketplace

One of the questions we hear most frequently is which health care providers and hospitals are covered by the insurance plans in the Marketplace. This information has been hard to access through the Marketplace website and other sources, in part because it is still in flux.

While we have heard that there are still being changes made to the provider networks in the insurance plans, we do have information about the networks for the Coventry plans being sold on the Marketplace.

To find out which providers are currently covered by the Coventry plans being sold on the Missouri Health Insurance Marketplace:

  1. Go to http://chcmissouri.coventryhealthcare.com/services-and-support/members/locate-a-provider/index.htm
  2. Click “Enter Provider Search” in the middle of the page.
  3. Select the plan you are looking at to search for physicians and hospitals. Coventry offers Marketplace plans with two different networks:
    1. “Carelink from Coventry Network.” These are lower-priced plans with narrower networks. In St. Louis, these plans do not cover Washington University/BJC physicians; they do cover Mercy and SSM physicians and hospitals.
    2. “CoventryOne PPO Network.” These are higher-priced plans with larger networks, including Washington University and BJC physicians in St. Louis.

Another way to find out whether your favorite provider will be covered is to call their office and ask. Most offices know which insurance plans they will be accepting.

For as long as there have been insurance plans, there have been provider networks that change, and that is the case today. Please remember that these networks may change. However, we hope the information we have will make it easier for people who have doctors they like to select a plan that is likely to include those providers.

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