FAQ

Frequently Asked Questions

Resources for Agents and agents during the medical insurance Marketplaces

Resources for Agents and agents during the medical insurance Marketplaces

Welcome

This is the agencies and Brokers methods website. These pages may be the main outlet for agencies and brokers to receive info from CMS about doing work in medical insurance rates Marketplace plus the small company Health choices plan (SHOP).

Background

On extent authorized by says, licensed agencies and brokers may aid customers set their eligibility for insurance rates value applications, including advance payments associated with the superior taxation credit and cost-sharing reductions, and register them in skilled fitness systems (QHPs).

Agents and agents bring a crucial role in teaching buyers concerning the medical health insurance market, both during yearly Open registration and throughout the insurance coverage 12 months. Agents and agents may also help employers comprehend their unique choices for searching for SHOP insurance coverage and aid all of them as well as their workers through SHOP program and enrollment processes.

Some states have actually developed unique State-based person and business Marketplaces, whilst the federal government works the Individual market through and/or STORE in other states. You will discover if a state are running a unique Marketplace at medical.gov and selecting the condition from the drop-down checklist. Agents and brokers can help buyers submit an application for and pick insurance coverage options in almost any county where the agents and agents have actually a working county permit this is certainly recommended for a health-related distinctive line of authority, whether or not the market is actually controlled because of the state or federal government.

Agents and agents who would like to assist buyers from inside the person market on HealthCare.gov and/or SHOP must conclude subscription and required instruction on a yearly basis—prior to assisting buyers sign up for an idea.

Arrange 12 months 2021 subscription and knowledge has become readily available

Strategy season 2021 market enrollment and classes for representatives and brokers is available on the CMS business webpage!

For more information and budget on registration and classes, visit the strategy seasons 2021 enrollment and education webpage.

Latest Information

Program published your program 12 months 2022 Federally-facilitated industry Agent and specialist seller training curriculum

The facilities for Medicaid & Medicare providers (CMS) is actually continuing the vendor training program for Marketplace agents and brokers for program 12 months 2022. Under this product, the division of Health & Human solutions (HHS) acknowledges an agent’s or broker’s winning achievement of an industry training program from an accepted https://hookupdate.net/lovevoodoo-review/ vendor as enough to satisfy the necessity to see learning the number of certified health plan alternatives and insurance coverage affordability software.

The seller program will be completed by organizations asking for approval to coordinate Federally-facilitated change (FFE) instruction for agencies and agents your 2022 strategy year. Entities enthusiastic about hosting Marketplace education for program seasons 2022 must comply with all requisite defined in 45 C.F.R. § 155.222. Last affirmation regarding vendor is contingent on signing an Agent Broker seller Agreement with CMS, acceptance of vendor’s last tuition content, endorsement of vendor’s information technology and data storage procedures, adequate technical support, and conformity with appropriate system criteria as well as other regulatory needs, like the necessity available continuing studies devices in at the very least five FFE or State-based Exchange throughout the Federal program (SBE-FP) shows.

The plan year 2022 seller software (PDF) is readily available. Potential vendors must upload all program content to AgentBrokerVendor via email by 11:59 PM Eastern energy on January 15, 2021. Unfinished software are not evaluated and the customer would be refused. For additional information towards seller training program and application procedure, be sure to reference the inquiries and Answers your Plan season 2022 supplier Instruction program (PDF)..

Future Webinars and Workplace Hours

CMS offers webinars and workplace time over summer and winter to aid representatives and brokers assist market consumers. For home elevators future happenings, subject areas, and subscription, be sure to log on to REGTAP and register for Health Insurance Marketplace changes for Agents and Brokers under education happenings.

Manage their E-mail Needs

Agents and agents can select different email they would like to obtain through the market by updating customer needs. Click here to learn just how. To get going:

  1. Log on to the customer needs website with the email of which you get e-mails from CMS as well as your password, should you’ve put one up
  2. Find the E-mail Regularity loss
  3. Close to submit me personally a lot fewer e-mails, select the Yes broadcast key
  4. Choose the Salvage option

Agent and Dealer Publication

Information for Agents and Brokers are an electronic way to obtain records for representatives and agents assisting customers in the Marketplaces on medical.gov. Take a look at the latest version here.

Further Methods

For a collection of sees like qualifications, specific registration cycle Pre-enrollment Verification, Cross-Issuer, facts Matching, and levels Transfer notices, check out the market Notices webpage.

Whenever assisting consumers sign up for coverage of health, the market may inquire about papers to confirm info on the applying. Representatives and agents can access more information regarding ideas on how to publish paperwork on the internet or by mail by pressing here.

The reasonably priced attention operate include individual shared responsibility provision as well as the premium income tax credit score rating that’ll upset your clients’ tax returns. For additional info on cheap practices Act taxation conditions for Individuals and family members, just click here.

What is Telemedicine?

Telemedicine is a service which allows health care professionals to evaluate, diagnose and treat patients using telecommunications technology.

Why should I use GoLiveDoc?

GoLiveDoc offers 24/7 medical consultations with board-certified doctors. You can use our platform from where you live, work or when you travel in the US. We also offer 24/7 behavioral health counseling for no additional fee. Health records are kept private and secure in order to protect your personal information.

How does GoLiveDoc Help?

GoLiveDoc gives you 24/7 access to board-certified doctors through secure online video or phone consultations – anytime, anywhere. GoLiveDoc is a low-cost, convenient alternativ e to Urgent Care visits or waiting several days to get an appointment with your Primary Care Physician for non- emergency medical conditions. Our doctors can diagnose your symptoms, recommend treatment […]

What happens after I complete the checkout process?

Once you have selected your plan and completed the checkout process, you will receive an email with your login credentials for the customer portal. You can use the customer portal to schedule appointments, update your electronic health records, see your consultation history or add dependents to your account.

How much does GoLiveDoc Cost?

The monthly membership fee ranges from $9.95 to $39.95 (depending on the plan you choose). The consultation fee is only $35. You can cancel your membership at any time for any reason.

If I have insurance, do I still need to pay the membership fee?

GoLiveDoc charges all members a small monthly fee.

How do I cancel my membership?

You can cancel your membership at any time for any reason. To cancel your membership, please call (888) 386-1037 or send an email to [email protected]

Does a patient have to meet with a provider in-person before a telemedicine consultation can be scheduled?

No, an in-person visit is not required before a visit can be conducted via telephone or video.

What does GoLiveDoc Treat?

We treat a variety of medical conditions. Common conditions we prescribe medication for are Cold & Flu, Pink Eye, Skin Irritation/Rash, Urinary Tract Infection, Diarrhea, Stomach Virus, Fever, Headaches and Sore Throat.

Are there Medical Conditions GoLiveDoc Cannot Treat?

There are some medical conditions that our doctors are unable to treat, including but not limited to: Broken Bones, Chronic Diseases, Erectile Dysfunction, Genital Herpes, Hair Loss, Hot Flashes, Premature Ejacuation, Smoking Cessation, STD Testing.

Can I be turned down for a pre-existing condition?

No, members are not turned away because of pre-existing conditions. GoLiveDoc is not an insurance.

Can GoLiveDoc Treat Emergencies?

GoLiveDoc Is Only For Non-Emergency Medical Issues Members Should Not Use It If They Are Experiencing A Medical Emergency. Please Dial 911 If You Are Having A Medical Emergency. GoLiveDoc Is Also Not Intended To Replace A Member’s Primary Care Physician.

Is GoLiveDoc For Emergency Situations?

GoLiveDoc Is Only For Non-Emergency Medical Issues Members Should Not Use It If They Are Experiencing A Medical Emergency. Please Dial 911 If You Are Having A Medical Emergency. GoLiveDoc Is Also Not Intended To Replace A Member’s Primary Care Physician.

Can I use it for my family?

The primary member and 7 immediate family members or household members will have access to consults. 

Do I talk to “real doctors”?

Yes. Members only talk to actual doctors who are state-licensed family practitioners, primary care physicians, internists and pediatricians. When members request a consult, they will be connected with a doctor licensed and practicing in their state.

What Type Of Doctor Or Specialist Can I Speak With?

Members Can Talk To A Doctor Directly. Our Doctors Are Licensed In Internal Medicine, Family Medicine And Pediatrics. A Doctor May Also Provide Guidance On The Type Of Specialist A Member Should See.

Can GoLiveDoc prescribe medications?

Yes, GoLiveDoc can prescribe medication for non-controlled substances. A list of controlled substances can be found here.

Are there Medications GoLiveDoc Cannot Prescribe?

We do not prescribe controlled substances and medications that would require in-person examinations, e.g. Antidepressants, birth control, medical marijuana, stimulants such as Adderall and Ritalin, narcotics or sedatives. Our Counselors cannot prescribe medications for mental health purposes.

Does GoLiveDoc Offer Access To Mental Health Professionals?

All Membership Plans Include 24/7 Behavioral And Mental Health Counseling. All Of Our Counselors Have A Master’s Degree And At Least 12 Years Of Experience.

Is there an extra fee to access mental health professionals?

There is no additional fee to speak with mental health professionals.

How does GoLiveDoc handle bloodwork, imaging, labs and other tests?

You can upload all bloodwork, imaging, labs and other tests to our secured portal for our doctors to view to help with diagnosing and treating your medical conditions.

Is My Electronic Health Record Kept Private?

Health Records Are Kept Private And Secure In Order To Protect Members’ Personal Information. Only Members Can Determine Who Can See The Information In Their Records.