HealthyCT Order of Rehabilitation – Frequently Asked Questions
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Is HealthyCT going out of business?
HealthyCT is under an Order of Rehabilitation from the Superior Court in Hartford, Connecticut which names Connecticut Insurance Commissioner Katharine Wade as Rehabilitator. An Order of Liquidation will be sought in December as the next progression in the orderly runoff of HealthyCT with the primary goal of protecting policyholders. We are not selling new policies or renewing existing policies. But we continue to provide service and pay claims to our existing members until their coverage ends, and financial obligations to healthcare providers will be met.
How long will HealthyCT continue to provide coverage to existing members?
HealthyCT coverage for individual members ends December 31, 2016, as long as they continue to pay their premiums. Group member coverages with contract end dates in 2017 will now terminate January 31, 2017. Please remember that you are responsible for any non-covered health care goods and services, deductibles and/or copayments.
If you have problems with a provider who states they no longer accept HealthyCT insurance, please call customer services at 1-855-458-4928. If the provider was a contracted provider as of November 1, 2016, the provider is required by the Rehabilitation Order to continue to provide services to HealthyCT insurance policyholders and the provider is prohibited from balance billing members.
Can I buy a new HealthyCT plan?
No. We cannot sell new policies.
I have an individual/family plan. Do I still have coverage?
Yes. We will continue to provide service and pay claims for our members until their coverage ends, as long as they continue to pay their premiums.
Are there changes in my coverage?
No. The Order of Rehabilitation does not affect your coverage, claims handling or customer service. Claims paid in 2017, regardless of their incurral date, will be subject to a $500,000 limit.
Can I renew my HealthyCT coverage for January 1, 2017?
No. Individual members need to choose a new insurance company during open enrollment. In order for individuals to have coverage starting January 1, 2017, they need to enroll by December 15, 2016. Please visit AccessHealthCT.com or contact your insurance agent to enroll in coverage.
I have insurance through my employer. Do I still have coverage?
Yes. We will continue to provide service and pay claims for group members until all coverage ends January 31, 2017. Please contact your employer for questions about your plan.
If I get married or have a baby, can I add my spouse or baby to my policy?
Yes, you can add them as long as your policy is still in effect. Please complete and return an Application & Change Form or call Member Services at the number on the back of your ID card.
Does my group still have coverage?
Yes. We will continue to provide service and pay claims for our group members until their coverage ends, January 31, 2017 as long as they continue to pay their premiums.
Can new employees be added to an existing group policy?
Yes, as long as the policy is still in effect.
Are there changes in my group coverage?
No. The Order of Rehabilitation does not affect your coverage, claims handling or customer service.
Can I renew my HealthyCT group plan at the end of the contract year?
No. You must work with your broker to choose a new insurance company and have coverage in place by February 1, 2017.
Will HealthyCT continue to provide service and pay member claims?
Yes, we will continue to provide the high level of service we are known for. We also will process and pay claims according to the member’s benefit plan and the provider’s contract.
Under the terms of the Rehabilitation Order, all contracted providers are enjoined from terminating their contractual relationship with HealthyCT without the Rehabilitator’s and Court’s consent. Providers are prohibited from pursuing a HealthyCT policyholder for payments for health care goods and services that are covered by a HealthyCT insurance policy and from balance billing members. Policyholders are still responsible for deductibles, non-covered services or copayments.
Will claims processing take longer now?
No. We will continue to process claims in a timely manner.
Can I still join HealthyCT’s provider network?
HealthyCT is no longer accepting new contracts. However, if you are joining an existing participating/contracted group, you must complete the “Add Provider” form located at: http://www.healthyct.org/providers/manual. We will proceed to process it and bring you through the credentialing process.