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For consumers that need to combine accounts (recently married), will they be able to apply at the same time as the individual accounts are open? Some exchanges require you to do it the month after terminating the individual plan and try to get retroactive
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Can a client who is under 65 but qualified for Medicare due to a disability purchase an Exchange policy even though he/she has Medicare parts A & B?
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Do consumers have the option of opting out of Medicaid, especially children whose parents do not want them to have Medicaid?
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What is the process to determine if someone is eligible for the Marketplace or for someone who is eligible for group coverage, but the premium exceed the or federal affordability standard?
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If we have a change to an application (address or some other change), does it require you to go through the whole application again?
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Where can a client add an agent?
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Can agents help a new consumer without having them need to send a designation request?
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As of June 18, 2023, per CMS, agents and brokers are required to get written or "recorded" verbal consent from clients before assisting them with their application. What will be the rules in Virginia?
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Who will handle appeals?
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Is there a location where we can see the communications you are sending to the consumers?
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Will agents be able to see correspondence that is being sent to their clients through their portal?
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How will the exchange communicate with enrolled consumers who don't have an email?
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Submitting application for families with mixed eligibility- Can agents submit a single application for families with mixed eligibility (i.e., parents who are qualified for APTC and children who are qualified for FAMIS)? Do family members have to enroll
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Can consumers use less than the full amount of the APTC?
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Will agents be able to see all aspects of a consumer’s application if they are designated as the Agent of Record, including partially completed applications, viewing and submitting required documents for DMIs, whether initial payment was made, etc.?
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How can agents do a quick quote for plans prior to going all the way through the application?
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Can the agent set up the consumer’s account for them and do a complete enrollment?
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Can consumers have a dental plan with a different carrier from the health plan?
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Will consumers who take no action to make changes to their account be auto-reenrolled each year?
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Is the VAHBE application available 24 hours/day?
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Can consumers enroll over the phone?
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Will the client be emailed or mailed the Eligibility Notice? Can we also pull the Eligibility notice in their account?
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Does the Pay Now feature allow for both credit cards and EFT for the first month premium?
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Will uploading a copy of a photo ID be required for all applications or only when unable to verify an applicant's ID via questions or Experian?