Let’s say if you are one of the millions of Americans who recently received health insurance through Medicaid, the new Health Insurance Marketplace, or the Children’s Health Insurance Program (CHIP). In that case, the “Coverage to Care tools” can help you maximize your coverage. The following are some of the things covered:
- Recognize your health-care coverage: Make sure you understand how your health plan or coverage works before beginning. Learn about the services that are covered and how much you will be charged. You may also find out what any new phrases mean and how they relate to your policy.
- Staying healthy through prevention: Your coverage is intended to help you in more ways than simply when you’re sick. You can ask questions about the steps you can take to get healthier at regular check-ups. After all, prevention is a critical component of keeping fit, and the Affordable Care Act covers many preventive therapies with no copays or out-of-pocket expenses.
- Knowing the difference between primary care and emergency care: You’ll see your primary care physician for routine check-ups as well as when you’re sick. You’ll go to the emergency room if you’re feeling ill or if you’re in a life-threatening situation. For emergency care visits, you may have to pay a higher copay or coinsurance.
- Follow up after appointments: It’s important to remember that good treatment doesn’t end when you leave your doctor’s office. Make sure you follow your doctor’s directions, make follow-up appointments if necessary, and fill any medications you may need.
Contact your insurance company directly or call us at 1-800-318-2596 if you have any questions regarding your new health care coverage (TTY: 1-855-889-4325). Our professional representatives are accessible at the Marketplace Call Center 24/7 if you need assistance. If you have any issues with your Medicaid or CHIP coverage, you can contact your state agency for further information.