Open Enrollment Starts Nov. 1 on the Federally Facilitated Marketplace

Nashville, TN (2015-10-29) The Tennessee Department of Commerce & Insurance (TDCI) reminds Tennesseans that Open Enrollment for insurance coverage on the Federally Facilitated Marketplace (FFM) begins Sunday, November 1, 2015.

Since the conclusion of the last enrollment period, there have been several changes related to Tennessee insurance carriers. The Department wants consumers to be aware of those changes and make informed choices when it comes to choosing insurance coverage.

For 2016, Blue Cross Blue Shield of Tennessee and United Healthcare will provide coverage across Tennessee. Cigna will provide coverage in Nashville, Memphis and Johnson City, and Humana will provide coverage in Nashville, Memphis and Knoxville. Copies of presentations from carriers describing their 2016 plans are available on the department’s website.

Community Health Alliance (CHA) will not offer insurance coverage on the FFM in 2016. The company voluntarily entered runoff, and its coverage will end on Dec. 31, 2015. CHA policyholders will keep their insurance through Dec. 31, 2015, if they continue to pay premiums. CHA consumers have until Dec. 31, 2015 to enroll in a new healthcare plan in order to have coverage effective Jan. 1, 2016. Click here for details about CHA’s runoff and a list of frequently asked questions (FAQs).

Consumers should remember they face an increased federal tax penalty for being uninsured next year. Consumers must pay either $695 per person ($347.50 per child under 18 with the maximum penalty per family of $2,085) or 2.5 percent of your yearly household income in 2016, whichever penalty is greater.

The Department emphasizes the need for consumers to carefully review plan networks. If you like your physician, make sure he/she is included in the plan network. Also, consumers should review networks for their nearest and/or preferred hospitals. Several plans provide tight networks and/or limited out-of-network benefits. To avoid unexpected and unpleasant balance bills, always see network providers.

Important dates:

  • November 1, 2015: Open Enrollment starts for 2016.
  • December 15, 2015: Enrollees who want coverage to be effective on January 1, 2016 must act by December 15.
  • December 31, 2015: Coverage ends for 2015 Marketplace plans. CHA members must act by Dec. 31 to have coverage effective on Jan. 1, 2016.
  • January 1, 2016: Coverage can begin for 2016 Marketplace plans.
  • January 31, 2016: Open Enrollment ends.

If you have questions about Open Enrollment, TDCI can help by calling 1-800-342-4029 or (615) 741-2218.  Locally, Mountain Peoples Health Councils, Inc. has two trained enrollment specialists to assist.  Anyone, not just patients of Mountain Peoples, can call for assistance.  You many call Tina Claxton at the Oneida clinic at (423) 286-4141 ext 27 or Melissa Bowlin at the Highland Health Center in Elgin at (423) 627-2782 ext. 31.