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Employers: call us for help cutting costs to get through “stay at home” orders

As of Monday, March 23, 2020, the Ohio Governor issued a mandatory “stay at home” order. It comes on the heels of previous business closures because of social distancing guidelines. Like in many states, the order will continue until the beginning of April. It’s all in hopes of stopping the spread of the novel Coronavirus.

But for many businesses it’s already causing severe financial pain.

Remember, ClaimLinx’s primary concern is savings clients money on health insurance. We know how important health coverage is, especially at a time like this. Our consultants are ready to talk you through how to cut employers’ health insurance costs. We know it’s more important now than ever.

Please contact service@claimlinx.com or call (513) 985-4465 to set up a meeting if you are considering laying off employees or cutting their hours.

Changes to Claimlinx’s Service

The mandatory “stay at home” order in Ohio, where Claimlinx’s main office is located, began on Monday, March 23 and will continue until April 6. Claimlinx employees are able to continue working remotely, but we are making some adjustments to our mailing services.

Because we are an Insurance Institution, we are considered an essential business, as outlined in the order. So we will still have some employees going to our office to maintain services. But we are limiting this as much as possible. For that reason, we do anticipate some delays in mailing. 

We expect this primarily to impact mailing explanations of benefits (EOBs) and member ID cards. Temporarily, we will be sending all member ID cards digitally first and sending a hard copy later. Members can always contact help@claimlinx.com if they need a copy of an EOB.

Related post: Changes for members during Coronavirus “stay at home” order

Contact us before cutting employees’ hours

Already we have had clients who are considering placing employees on furlough or moving them to part time. Our consultants already have strategies for how to use this time to cut costs while still providing benefits.

We are here to help companies get through this trying time. Many employers are worried about how long the pause in the economy will last and what affect it will have on their bottom line. We know, too, they are worried about their workers.

Contact service@claimlinx.com or call (513) 985-4465 to set up a meeting. Our consultants will go over your immediate options and any other long-term planning that may be needed.

Some employers may be able to take advantage of already existing rules on coverage to save on insurance premiums in the coming months. Some employers may need to stop providing insurance for any employees who are laid off. We would like to be there to offer our services to help these people navigate the marketplace so they don’t experience any lapses in coverage.

ClaimLinx is here for all of its clients, especially when trying to cut costs because of financial strains.

 

Changes for members during Coronavirus “stay at home” order

As of Monday, March 23, 2020 a mandatory “stay at home” order was issued for the state of Ohio, where ClaimLinx’s main office is located. To help prevent the spread of the novel Coronavirus, Governor Mike Dewine has mandated all nonessential businesses close their offices until Monday, April 6, 2020. Claimlinx employees are able to continue working remotely, but we are making some adjustments to our services.

Because we are an Insurance Institution, we are considered an essential business, as outlined in the order. So we will still have some employees going to our office to maintain services. But we are limiting this as much as possible. For that reason, we do anticipate some delays in mailing. 

Mailing is Changing

It’s a priority for us that our clients and members can access their health coverage services, especially during this time. But it’s also a priority for us to protect our employees. So at this time, we expect delays when it comes to mailing out member ID cards and explanations of benefits (EOBs).

When it comes to member ID cards, we will be sending first a digital copy for the member to use. Then we will send a printed version later. If any member would like a copy of his or her member ID, please contact help@claimlinx.com or start a conversation with a team member now using our Live Chat feature.

Because we do not want too many people in our offices at once, we do expect to have some delays when it comes to mailing documents to members. If you have any questions about a claim or would like to receive a copy of your EOB, you can email help@claimlinx.com or start a conversation with a team member now using our Live Chat feature.

Contact and Processing Will Continue

As employees are able to work remotely and take turns going to our office, we are not anticipating any delays in claims processing at this time. We have worked hard in the last two years to make this process mostly digital. So our claims processors are expected to be able to continue without much interruption.

Related post: Claims processing continues during Coronavirus outbreak precautions

There will continue to be service team members available if you have questions about coverage, a prior claim or if you need a copy of your member ID. As is always the case, if you are sick or in need of medical attention, please contact your provider first.

We would also like to remind our members that local cases of the virus may be putting a strain on the healthcare system in your area. This may have an affect on your regular care. Please be proactive about checking with your provider about changes to any necessary upcoming appointments.

Your local pharmacy may also be experiencing limited hours or delays in filling regular prescriptions. Please check your stock of any regular prescriptions. Be sure to have them filled as early as possible to avoid any interruptions.

Please also remember that members still have access to the member portal for the remainder of March. That means you can still check on claims or print any important EOBs. Starting April 1, 2020, all members will need to reach out to our team directly to get these documents.

Related post: Member portal will be unavailable temporarily

ClaimLinx will continue to communicate with members via email and through our website. Please look for any updates there. Stay healthy and we hope these interruptions in service for all of us are as short as possible.

Claims processing continues during Coronavirus outbreak precautions

It’s an unprecedented time for all of us, but Claimlinx will continue business processes without interruption. There are a lot of changes to daily life for many across the country because of the national outbreak of Coronavirus. Our service teams would like all of our clients and members to know that we will continue to be available during regular business hours.

No Changes to Regular Processes

At this time, ClaimLinx employees are prepared to continue service to clients and members as usual. Our teams are able to work remotely or in offices distanced from each other so as to comply with the social distancing rules outlined by the Center for Disease Control.

That means claims will continue to be processed on schedule. Team members will also continue to be available by phone, email and live chat. We will be maintaining our regular office hours for questions about claims, coverage or other issues.

Related post: How a claim is processed

However, we will be suspending any in-person education or renewal meetings with the service team until further notice. Administrators may contact service@claimlinx.com, if they have not heard from our team already, to talk about alternative options for any upcoming meetings already scheduled.

Changes to in-person meetings are the only adjustments to our services anticipated at this time, though.

Other Precautions You May Need to Take

We encourage all members to be aware of the strain an increase in local Coronavirus cases would put on the healthcare system. That may include both hospitals and providers’ offices. That may mean you may have to reschedule appointments or other planned procedures.

Related post: Avoid surprises on medical bills by preparing for visits

Please also think about any regular prescriptions you or your family members may need in the coming weeks. Many stores have more limited hours, or may be experiencing a higher than normal number of customers.

The healthcare providers in your local area are likely to be changing their approaches quickly as this situation evolves. Please be proactive about any regular services you or your family members may need. Contact your provider’s office about any changes they may be making in the coming weeks.

Resources Are Available

You may to the Center for Disease Control for any guidance on symptoms, protecting yourself and number of cases in your area.

We know this may be a challenging time for many of our clients. But the one thing they will not have to worry about is claims processing. There should be no interruption in our services, but please look out for any future communications from our team members.

 

 

Member portal will be unavailable temporarily

ClaimLinx is making some big changes when it comes to its digital offerings for customer service. Our current member portal has been around for years and has served our clients well. But we have some exciting changes that will require the member portal to be temporarily unavailable.

What to Do About the Change

Starting April 1, 2020, the member portal will not be available. During this time you can reach out to our team by email or using the new chat feature on our website to check on a claim or receive a copy of an explanation of benefits (EOB). Please login to your member portal before March 31, 2020 to prepare for the transition. You may print any reports or other items you need before they become unavailable.

Once the member portal is unavailable, you must contact our team directly to receive anything you would normally get through the member portal. You can reach us by email, online chat or phone.

We apologize for any inconvenience, and our service team is prepared to help with any issues that may occur because of it.

Why We’re Making the Change

It’s important to know we think this change will greatly improve service in the future. The new portal will have improved features that will enhance service. One example is it will send email notifications when claims are processed and EOBs are ready.

If you would like to add your email to our records, to make sure you are immediately enrolled in this new features, fill out the online contact form. More additional features will be coming so please look for these updates.

The new member portal will have all the same features you have grown to depend on. You will be able to view any processed claims and see any EOBs. We also know how important it is for members to see their basic information, including their address and dependents. These details will be available for members in the new system, too.

You Can Still Chat with Us

Don’t forget that during this transition period, you can contact our service team with the new chat feature on our website. Click the orange button in the bottom right corner of the website to start a conversation.

Messaging is available during our regular business hours — Monday through Friday, from 9 a.m. to 5 p.m. EST. If someone is not available on the chat, you can send a message for someone on our team to respond to via email.

We appreciate your patience and understanding during this transition period. Please be aware there are no changes to the claims processing because of this. Claims will still be processed in the same time frame and in the same way. This applies only to members’ access to the member portal.

Man Next to Doctor

You Missed Open Enrollment, Now What?

It’s a sinking feeling many people have had — the open enrollment period for health insurance has ended, and they forgot insurance to purchase a plan for the year. If you missed open enrollment and are now in need of a health insurance plan, ClaimLinx is here for you. There are still options out there for employees, and especially employers.  

 

The 2020 Open Enrollment period for the individual marketplace through Healthcare.gov was November 1st, 2019 to December 15, 2020. Some states, especially those that do not use Helathcare.gov have extended enrollment periods, but most finish by the beginning of February. For future reference, Open Enrollment is on the same dates each year, unless specific extensions are made.

If you did not enroll during this time, individuals can still qualify for a Special Enrollment Period with a Qualifying Life Event. Aside from this option, short-term plans are available throughout the year. They are not perfect, but they are a great alternative to having no coverage at all. 

 

Special Enrollment, or a Qualifying Life Event 

Some people may quаlіfу for a ѕресіаl enrollment реriod to ѕіgn uр fоr hеаlth іnѕurаnсе. Certain lіfе еvеntѕ, lіkе lоѕіng hеаlth соvеrаgе, moving, getting married or a change in income can trіggеr a special enrollment period, which lasts up tо 60 dауѕ. Lіfе changes thаt quаlіfу fоr a special еnrоllmеnt реrіоd gеnеrаllу fаll into three саtеgоrіеѕ: сhаngеѕ in thе household, сhаngеѕ in residence оr losing hеаlth іnѕurаnсе.

 

Qualifying сhаngеѕ іn hоuѕеhоld саn іnсludе:

  • Getting mаrrіеd
  • Hаvіng a bаbу оr adopting a child
  • Getting divorced оr legally ѕераrаtеd аnd losing health іnѕurаnсе
  • Hаvіng ѕоmеоnе in your hоuѕеhоld dіе

 

Qualifying changes in residence саn іnсludе:

  • Moving to a new home in a new ZIP соdе оr county
  • Moving tо thе U.S. from a fоrеіgn country
  • If уоu’rе a student, moving to or from the рlасе you attend school
  • If уоu’rе a ѕеаѕоnаl wоrkеr, mоvіng to or frоm thе рlасе уоu lіvе аnd work
  • Moving to or from a ѕhеltеr or trаnѕіtіоnаl hоuѕіng

 

Qualifying lоѕѕеѕ of health аvеrаgе іnсludе:

  • Lоѕіng jоb-bаѕеd соvеrаgе
  • Losing individual hеаlth coverage
  • Lоѕіng eligibility for Mеdісаіd or CHIP
  • Lоѕіng eligibility fоr Medicare
  • Lоѕіng соvеrаgе thrоugh a family mеmbеr

 

Short-Term Health Insurance Plans

These are a special type of plan that can be purchased when a person is between health plans, outside of open enrollment. Short-Term Health Insurance plans provide temporary coverage for certain situations and can be a chance for some coverage in case of emergency. 

Short-term plans come with a wide range of coverages because they are not required to comply with Affordable Care Act (ACA) guidelines. That means they typically include some coverage for preventative care, doctors visits, urgent care and emergency care. It may also have some discounts on prescription drugs. But because it is not an ACA plan, be sure to read the plan limitations before enrolling on a plan. That will tell you what is covered and can help you decide if it’s the right coverage for you. 

You can shop for a short-term plan now by going to the ClaimLinx marketplace. On the site, you can request a quote and someone will reach out to you to talk about your options. 

 

What Happens Without Health Insurance

As of January 1, 2019, there is no tax penalty for not having a health insurance plan. Technically the individual mandate is still in effect but there is no penalty to enforce it. So it may seem to some like going without health insurance is not a big deal. After all, health insurance plans are expensive and if you don’t use many medical services through the year, it can feel like a waste. 

Health insurance is still important to have, for all those unforeseen moments. No one expects to need their insurance plan. People buy it every year because there’s always a chance that an accident, or even a small medical issue, could cause huge financial damage. 

Shop for a health insurance plan at any time at ClaimLinxMarketplace.com. You can purchase short-term plans or, if you qualify for a special enrollment period, you can also take a look at plans through a regular carrier.