As you may know, health insurance co-operative Health Republic ended their operations on November 30, 2015. Thousands of Western New Yorkers have been affected by this and had to select a new plan for December 1. They will also have to select a new plan for January 1, 2016. Below are some additional notes regarding the Health Republic change:
- New York State of Health (NYSOH) auto-enrolled members who did not select a new plan by Nov. 30 into a plan offered by Fidelis.
- The State has advised Health Republic members that their new health plan will not charge them for any deductible amounts they have met already. Members should keep their EOBs they have received from Health Republic. The State and the health plans are working out the details on how the deductible amounts from Health Republic members will be accordingly accounted for.
- Transitional care rules apply: Members who meet certain criteria in a current course of treatment or who are in the second or third trimester of pregnancy whose provider may not be part of the new health plan’s network are allowed to continue care with that provider for up to 60 days.
Refer to the Q&As on the NYSOH website for additional information.