Below is a selection of important product updates, coverage changes, and business tips from Medical Mutual:
- Medical Mutual’s off-exchange application now includes Individual Coverage Health Reimbursement Arrangement (ICHRA) as a Special Enrollment Period (SEP). If you have a group offering an ICHRA or a new employee enrolling in an ICHRA, he or she can select this new SEP. Members can submit this ICHRA form for proof of SEP. They can also submit proof of hire and ICHRA eligibility as SEP documentation. Please refer to the SEP grid for additional SEPs and documentation requirements.
- Medical Mutual has extended the timeframe during which cost sharing for all treatments related to COVID-19 will be waived through July 24, 2020. Treatments include hospitalizations and ground ambulance transfers for individuals with a positive COVID-19 diagnosis.
- Members losing Medical Mutual group coverage due to COVID-19 can consider an individual ACA health plan or Medical Mutual short-term plan. Medical Mutual will allow a deductible credit toward a new Medical Mutual individual plan and may be able to help expedite the new plan’s effective date to help eliminate or minimize gaps in coverage for members.
- As a reminder, the grace period for non-subsidized individual business has been temporarily extended to 60 days.
Contact your Cornerstone representative with any questions.