|
 |
|
 |
|
Your Opportunity to Enroll in PacifiCare has been Extended to June 15th !!! (for a June 1st Effective Date) To: Blue Shield Subscribers being cancelled May 31st Subject: Qualifying Event
Whenever coverage is cancelled, this is known as a "qualifying event" and entitles you to enroll in another plan, such as PacifiCare.
To do so, you must include/attach a copy of your "cancellation letter" from Blue Shield.
Review the following information and visit the "PacifiCare Association Plans" webpage for information on the PacifiCare plan options.
If you need new premium information, please fill out the “Free Quote” form and we will respond within 24 hours.
HOW TO ENROLL Website address: www.BenefitsStore.com Look for: "Free Quote!!!" tab Enter information: E-mail addressName of your Local Realtor Association (from drop down list) Type of information requested - Medical, Dental, Vision, etc. Response time: 24 hours or less to receive quote What to look for: PacifiCare Information includes benefits, premiums for three (3) HMO and two (2) PPO plans. Doctor Availability: Call PacifiCare customer service at (800) 624-8822 for HMO directory and (866) 316-9776 for PPO directory. (Recommended) You can also do a search by zip code at our website, click on the PacifiCare page, scroll down to the "Find A Doctor" link. Click on the link, select California region, type of plan is "Signature Value" HMO or "Signature Option" PPO. Search for physicians, medical groups and hospitals in your area by entering your zip coded address. Then print the results for reference and review. General Questions: Review the Question/Answer information available on the website. You will be able to locate answers for a significant number of questions there.. Specific Questions: You can e-mail specific questions not answered in the Q&A information by e-mailing them to Questions@BenefitsStore.comENROLLMENT PROCEDURES You should enroll as early as possible and avoid the month-end. Read/Re-read the Instructions for Enrollment to familiarize yourself on how to complete the enrollment form. Verify Premium amount. Remember you need to locate the plan type, then the Member's premium column. Premiums are based upon the Member's age. If the member's dependents are enrolling as well, their premium (Spouse, Child(ren) or Family) are based upon the member's age and are located on the same line directly to the right of the Member's premium amount.Remember, for the total premium (for Member + Dependent(s)), you need to add the Member premium and the Dependent premium together for the total premium. Completion of Forms: We complete the Employer section for you. You need to complete the Employee section, plan selection (Signature Value HMO or Signature Option PPO) then sign, date the forms and forward them with the proper premium amount. (Important) Remember, if you are enrolling in a PPO plan, you will need to provide proof of prior, credible coverage for the previous 12 months to make sure "pre-existing" conditions are covered. If this proof (in the form of a HIPAA letter or certificate of credible coverage) is not available, you will need to enroll in an HMO plan to make sure "pre-existing" conditions are covered. This would be the very best plan option for anyone without current coverage. After re-establishing your coverage for 12 months, you will be able to move to a new PPO plan (if you choose) and have "pre-existing" conditions covered. HMO plans do not require proof of prior, credible coverage. HMO plans do not have "pre-existing" condition exclusions. HMO plans cover pre-existing conditions. Premiums: (Important) Prior to the 15th of the current month, submit one month's premium with a complete EFT (electronic funds transfer) form.After the 15th of the current month, submit two month's premium with a completed EFT form. Note: Enrollment forms cannot be processed without the correct premium payment. Receipt of Enrollment: We will send an e-mail confirmation of receipt of your enrollment materials Coverage Effective Date: Coverage is always effective the first of the month. Use of Plan: You will be notified of your policy number in the e-mail confirmation. This number is to be used for your reference should you need to use your coverage prior to receipt of your Medical I.D. Card. CHECKLIST FOR ENROLLMENT 1) Instruction page: Complete the section at the top of the form with your e-mail address, Local Realtor Association name, etc. and include with your enrollment form. Review this page for help in completing the Enrollment Form. 2) Enrollment Form: Verify you have complete all of the information in the Employee section, Plan selection, signed and dated the form currently (Example) When enrolling for a June 1st effective date, enrollment forms need to be signed and dated in May only. 3) Qualifying Event: To enroll, proof of a Qualifying Event (such as having a letter stating that your coverage will be/has been cancelled) must accompany your enrollment form. 4) Time requirement: Enrollees must enroll within 30 days of the cancellation of their prior coverage. 5) Premium: Verify amount is correct to avoid delays in processing.
:: Welcome :: Association Benefits :: Kaiser Association Plans :: PacifiCare Association Plans :: Anthem Blue Cross Individual Plans :: Dental Plans :: Vision Plans :: Disability Income Protection :: Life Insurance :: Long Term Care :: Medicare Supplements :: Accident Plans :: Critical Illness Plans :: Cancer Plans :: My HSA :: HSA Administrators :: Health Savings Administrators :: HSA for America :: HMO Help Center - You and Your Doctor :: Insurance 101 :: Insurance Tools :: Prescription Drug Data :: Health Care Facilities :: Finding A Physician :: Health Care News and Reports :: Specific Disease Resources :: Traveler's Resources :: Insurance and Consumer Ratings :: Nutrition and Safety Tips :: For Your Good Health :: Resource Services :: Alternative Medicine :: Information Request Form :: © 2009 Myers Internet, Inc. All Rights Reserved Powered by: Myers Internet, Inc. | Admin Login |
