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Monday, March 17, 2014


U.S. doctors are having a tough enough time integrating into their practice patients covered by the Affordable Care Act (ACA) marketplace health plans. They don’t need to be operating in the dark as to whether those patients have actually paid their premiums. That’s the message TMA, AMA, and 80 other medical societies delivered in a letter to the feds. We demanded that the Centers for Medicare & Medicaid Services require insurers who offer those ACA marketplace health plans to provide immediate notice when patients enter the first month of the 90-day grace period. If patients go 90 days without paying their premiums — after paying at least the first month’s — they are dropped from the plan. The insurance company has to eat the cost of any services provided in the first 30 days of the grace period. But physicians and providers are responsible for the next 60 days. Here are some resources that can help you make the best of a potentially bad situation: 

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