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Old 12-05-2013, 05:09 PM   #721
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Originally Posted by MRG View Post
Just received a robo-call from Healthcare.gov. 'We need more information to complete your application please call us at 1-800-318-2596.' When I did I said yes to survey and got queued. Within a minute the survey started. So I did what you did. Talking to a human, he had no idea which of my applications they called about. I mentioned I gave someone there my information to enter back in middle October. He took that and 'oh yes sir, that must be why we called, if you're happy with your last application ignore the call'. I asked him to verify my last application was IGO (in good order). He claims it is. MRG
Had a very similar situation .... When calling, the person i spoke with said that "we are getting a lot of these calls. You're enrollment is just fine. I don't know why all of of those automated calls are going out like that."

And so it goes.....
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Old 12-05-2013, 09:59 PM   #722
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Originally Posted by bpgdeg1234 View Post
Thanks, I spoke to a supervisor who told me to wait for app change. I'm thinking I may have to proceed with a new email, id, etc. but not sure what happens if already have a completed application out there for Medicaid?

I "supposedly" spoke to an Advanced Resolution Specialist today who was also of no use and the final determination was that since the system somehow incorrectly enrolled us in Medicaid that we would have to de-enroll through the state agency before I could get back and redo the application so can shop for healthcare plans.

The problem in speaking with the state Medicaid office of course is that they haven't and won't likely see the application information from heathcare.gov for a while and she indicated it usually takes 30-45 days for the Medicaid office to review, process and ultimately deny the coverage. Until then it sounds as though I likely won't be able to do anything with this enrolled Medicaid application the system incorrectly created for us.

So I'm not sure if creating another email account, ID, etc. under my SS# would work or not since the system may see me/us as having a completed Medicaid application but am curious if I were to create another new application with my wife SS# as primary and the rest of us as family members under her whether that would potentially work? Any thoughts?
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Originally Posted by jflynn4 View Post
Seems the worst that could happen would be it rejecting. No harm in trying!
Want to provide an update on this in case others experience something similar.

First I did the new email with wife as primary, etc. which resulted in the eligibility of my wife and me to shop on the exchange with a subsidy but one of my children was completely declined for any coverage whatsoever while the other was indicated as being eligible for Medicaid.

Decided then to create a new email, id, etc. back with my SS# as primary again to see what will happen and whether we would even be allowed to resubmit a new application since they already had a completed one for all of us indicating we qualified for Medicaid. This time though, I got the same eligibility as above with my wife's primary SS# with me and my wife being eligible for the exchange with a subsidy but one child completely declined for any coverage whatsoever and the second eligible for Medicaid. I tried various applications with both SS#'s as primary with different insurance options and all resulted in the same eligibility determination.

I have nothing unique in my family case of four and we all should be eligible for the exchange and family subsidy as was initially determined in our original app from early Oct that got stuck which was also substantiated by an number of subsidy calculators such as Kaiser and others.

All I can think is that something must now be screwed up with the algorithm for our state. I saw a similar situation posted from someone on the site blog (not sure if our state or not though) so think not just me but have no idea what to do at this point other than wait and hopefully gets resolved. Calling the 800# as I did initially will result in a CS rep indicating the need to file an appeal that can take 90 days for resolution. What a PITA!!!
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Old 12-06-2013, 03:16 PM   #723
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Finally received my PEAK (Medicaid) denial letter 11/21/.... but it has incorrect info about my kids. Called PEAK they said it was their fault and they would have to re-evaluate the application which would take another seven days. I called PEAK today to see if there was any update... nope they said call back tomorrow. Connect For Health Colorado sent a letter saying I can complete my application for "ACA" and also called while I was out of town last week.
Connect for Colorado called on 12/4 so I went ahead and explained what was going on. They wanted to go ahead and sign me up so I did. My subsidy increased, $777, but I am not confident it will stay there since my kids might again be found to be CHP+ eligible. When I get the bill from Kaiser will I be really done with this at least until next year? It will be interesting to see what this ACA morphs into in the next few years and what the next administrations/congress do with it.
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Old 12-07-2013, 09:08 AM   #724
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We had a great experience with the Website!!!Was able to log on to the Market Place and set up account with no problem about 20 minutes Thursday. Was verified in about a minute. Me 52 DW 55 live in Columbus Oh. Stated income $28,500 to come from dividends cap gains and rollover to Roth. Prior to ACA for 2014 we have $10k family deductible and Max Out of Pocket expense of $7000. $ 45 Copay on Scipts. So if we had a bad health year we would have been out $17K plus premium . We pay $634.00 month and was scheduled to go up about 50 bucks a month in 2014. This Policy had Life time max of $7.5 Mil. We enrolled this AM for a Bronze Plan on the Market Place with a $12K family deductible with Zero Out of Pocket. So max exp is $12K per year plus premium. No Life time limit. It is a National coverage PPO plan and all of our doctors and preffered hospitals are in network. Our cost after $667 mo subsidy is ONLY $147.00 mo. WOW!! We qualified for a cost share silver plan for $133.00 mo with low deducts and max out of pocket. but it was an HMO that had very limited choices of local hospitals and Docs, no national coverage. Not one of our doctors or preferred hospitals in network on this plan. I checked on the insurer and found they are a large Medicaid administrator here in Ohio. We usally only need annual checkups and screen tests thus decided bronze and have choices when we need them. This savings seems to good to be true I would imangine at some point down the road a means test will be put in play not just income. The next step is insurer to conact us to arrange billing. I am glad it is the same insurer I currently have.
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Old 12-07-2013, 09:20 AM   #725
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The next step is insurer to conact us to arrange billing. I am glad it is the same insurer I currently have.
Other than the broken account problems in Oct, I had very easy signup as well. The one thing I would say at this point is to not wait on the insurer to contact you, go ahead and contact them if you have all your eligibility confirmed. The reason is mine has never contacted me, but when I went to their site, I was able to create an account for sign up and they actually got my eligibility info. That is really what they need to sign you up. I then completed the enrollment/payment on their site.
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Any Success with Covered CA?
Old 12-07-2013, 11:26 AM   #726
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Any Success with Covered CA?

Has anyone here who signed up on California's exchange actually received anything from their chosen insurer?

I reported earlier this week that I called Anthem since Covered CA said I'm enrolled and that I should be hearing from my insurer about making payment.
I hadn't received anything, so I called.

Anthem could not confirm that I am in their system because "the system just went down," but the Anthem rep assured me that invoices had been mailed out.
To date, nothing has arrived. Maybe in today's mail....
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Old 12-07-2013, 03:25 PM   #727
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Has anyone here who signed up on California's exchange actually received anything from their chosen insurer?
I got mine! I signed up Nov 1. The letter saying I was in provisionally (pending income verification) was posted Nov 15. I've sent them the requested documentation. Meanwhile, my selected insurance provider (Kaiser Permanente) sent out the welcome letter and initial bill Nov 26, which I received and paid Dec 2.

I'll probably hear back on the income verification in late February or early March. If I don't get the subsidy then, I'll probably get it as a tax credit when I file 2014 taxes, as I bought the coverage through the exchange to qualify.
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Old 12-07-2013, 03:56 PM   #728
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Originally Posted by Accidental Retiree View Post
Has anyone here who signed up on California's exchange actually received anything from their chosen insurer?

I reported earlier this week that I called Anthem since Covered CA said I'm enrolled and that I should be hearing from my insurer about making payment.
I hadn't received anything, so I called.

Anthem could not confirm that I am in their system because "the system just went down," but the Anthem rep assured me that invoices had been mailed out.
To date, nothing has arrived. Maybe in today's mail....
Live in Calif. San Francisco - bay area.

Completed Covered Ca, application, Nov. 12.

Wife called Blue Shield, Dec. 6. Blue shield, said, they are still waiting
for Covered CA to send them our information.

Wife called Covered Ca today, was told information was being sent out.
(not sure if this was just talk or fact).

Blue shield cannot issue insurance policy until
Blue shield receives our application from
Covered California.

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Old 12-07-2013, 05:37 PM   #729
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Live in Calif. San Francisco - bay area.

Completed Covered Ca, application, Nov. 12.

Wife called Blue Shield, Dec. 6. Blue shield, said, they are still waiting
for Covered CA to send them our information.

Wife called Covered Ca today, was told information was being sent out.
(not sure if this was just talk or fact).

Blue shield cannot issue insurance policy until
Blue shield receives our application from
Covered California.

Boy, this makes me nervous, I completed mine last week and waiting for Blue Shield to contact me so I can pay them. What number did you call to verify with Blue Shield?
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Old 12-07-2013, 06:54 PM   #730
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When I 'sleuthed' around and found a number for Anthem Blue Cross Health Keepers plan, in Virginia, and called it, on Thursday (supposedly was approved for my subsidized plan about 4am Monday), the very nice man, told me that all packets were to be mailed out by Dec 15th. If I don't receive mine, then DON'T PANIC. But call them then, and they would WORK IT OUT. He understood my panic over this whole thing, but said for me to wait until that date..and they WOULD work it out. So....that is what I am doing.
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Old 12-08-2013, 07:06 AM   #731
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When I 'sleuthed' around and found a number for Anthem Blue Cross Health Keepers plan, in Virginia, and called it, on Thursday (supposedly was approved for my subsidized plan about 4am Monday), the very nice man, told me that all packets were to be mailed out by Dec 15th. If I don't receive mine, then DON'T PANIC. But call them then, and they would WORK IT OUT. He understood my panic over this whole thing, but said for me to wait until that date..and they WOULD work it out. So....that is what I am doing.
Blue Cross plan in VA? The Marketpalce here in NC only had plans from Blue Cross, no other insurance companies competing. Is your new rate lower than before?
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Old 12-08-2013, 10:21 AM   #732
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Originally Posted by Accidental Retiree View Post
Has anyone here who signed up on California's exchange actually received anything from their chosen insurer?

I reported earlier this week that I called Anthem since Covered CA said I'm enrolled and that I should be hearing from my insurer about making payment.
I hadn't received anything, so I called.

Anthem could not confirm that I am in their system because "the system just went down," but the Anthem rep assured me that invoices had been mailed out.
To date, nothing has arrived. Maybe in today's mail....
Finally got around to choosing my plan on coveredca yesterday. Will let you know when I hear something from Blue Shield.

Hey fellow Californians--in the Verification stage on coveredca, it says I'm provisionally approved for subsidies, and states that I need to submit documentation by January 31st. When I click on the link "Submit documents", however, I get an Error message. Have any of you tried to submit documentation to verify income and get the subsidies? Thanks!
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Old 12-08-2013, 11:29 AM   #733
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Well I hit the 'Enroll' button. System now says I'm completed. The application is set to ' initial enrollment'. I'll call BCBS tomorrow to see if they have my application. Only thing that seemed odd is the broker that I told I'd enter her name and FFMID ID, didn't see anyplace to do that.

MRG
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Old 12-08-2013, 01:28 PM   #734
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Hey fellow Californians--in the Verification stage on coveredca, it says I'm provisionally approved for subsidies, and states that I need to submit documentation by January 31st. When I click on the link "Submit documents", however, I get an Error message. Have any of you tried to submit documentation to verify income and get the subsidies? Thanks!
The submission online option was disabled last week.

For the latest request (images of Social Security cards; The SSA computers stopped talking to the exchange...) I'll be using a novel approach called Certified Mail. These nice folks in an actual building downtown say that they'll get the documents to CoveredCa for me for a small fee, and provide proof the documents were delivered.
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Old 12-09-2013, 09:49 AM   #735
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I contacted BCBSLA about our new policy. She asked for the application ID#. She then said to send in a payment and this would start the policy up. They would then send out our cards and info package.

This wasnt' the way I figured it would play out, but I guess it will work.
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Old 12-09-2013, 09:51 AM   #736
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I contacted BCBSLA about our new policy. She asked for the application ID#. She then said to send in a payment and this would start the policy up. They would then send out our cards and info package.

This wasnt' the way I figured it would play out, but I guess it will work.
The hold times for BCBSTX are currently well over an hour. I don't know if it's much better next door, but in terms of making sure you can get paid up the clock is ticking and it's getting really unnerving.
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Old 12-09-2013, 10:19 AM   #737
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The submission online option was disabled last week.

For the latest request (images of Social Security cards; The SSA computers stopped talking to the exchange...) I'll be using a novel approach called Certified Mail. These nice folks in an actual building downtown say that they'll get the documents to CoveredCa for me for a small fee, and provide proof the documents were delivered.
Thanks, M--how nice that they have a link that they disabled and didn't bother to mention it!

How did you learn which documents were required? I couldn't find any mention of required documents.

I suppose I could call the 800 number and be on hold while watching a movie....
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Old 12-09-2013, 11:16 AM   #738
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Want to provide an update on this in case others experience something similar.

First I did the new email with wife as primary, etc. which resulted in the eligibility of my wife and me to shop on the exchange with a subsidy but one of my children was completely declined for any coverage whatsoever while the other was indicated as being eligible for Medicaid.

Decided then to create a new email, id, etc. back with my SS# as primary again to see what will happen and whether we would even be allowed to resubmit a new application since they already had a completed one for all of us indicating we qualified for Medicaid. This time though, I got the same eligibility as above with my wife's primary SS# with me and my wife being eligible for the exchange with a subsidy but one child completely declined for any coverage whatsoever and the second eligible for Medicaid. I tried various applications with both SS#'s as primary with different insurance options and all resulted in the same eligibility determination.

I have nothing unique in my family case of four and we all should be eligible for the exchange and family subsidy as was initially determined in our original app from early Oct that got stuck which was also substantiated by an number of subsidy calculators such as Kaiser and others.

All I can think is that something must now be screwed up with the algorithm for our state. I saw a similar situation posted from someone on the site blog (not sure if our state or not though) so think not just me but have no idea what to do at this point other than wait and hopefully gets resolved. Calling the 800# as I did initially will result in a CS rep indicating the need to file an appeal that can take 90 days for resolution. What a PITA!!!

I am in that boat now as detailed in another thread I started called Enrolled then denied. I wish you luck. I have filed the paper appeal as I have not had a call back on the other account that worked then was denied by BCBS. They say you will get a call in 2-5 days but its been over 30 and I call once a week to escalate. It seems we are in the computer confused states and they only real options is an identify change to be able to start fresh which I am not doing.

I wonder if we can sue the government over the money we will lose each month until they get it fixed?
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Old 12-09-2013, 12:22 PM   #739
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The hold times for BCBSTX are currently well over an hour. I don't know if it's much better next door, but in terms of making sure you can get paid up the clock is ticking and it's getting really unnerving.
I may have waited 5 minutes if that much.
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Old 12-09-2013, 12:37 PM   #740
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I may have waited 5 minutes if that much.
I'm north BCBSKC.
I waited 20 minutes, then they were going to bring on an underwriter to check if they received my application. That transfer ened up in someone's voice mail. So another 20 minutes on hold. This young lady says it takes a week to get from the exchange to them. I had to ask jokingly, if there were horses involved in that process? She agreed to transfer me to marketing. The marketing person says it a nightly feed, but thinks the weekend is batched up till tonight.

She said she'd put in a request for information today, at COB. She'll call me tomorrow.

MRG
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