In September Mary is billed for a doctor’s appointment she had at the end of February.
FPOS may be backdated up to three months from the month of application.
Editor’s note: The open enrollment period for 2017 coverage started on November 1 and ends January 31, 2017.
If a member has incurred a bill from a Badger Care Plus certified provider during a backdate period, instruct the member to contact the provider to inform them to bill Badger Care Plus.
The member may be eligible to receive a refund, up to the amount already paid to the provider.
That means you won’t need a qualifying event or special enrollment period until February 1, 2017. There, off-exchange carriers are required to offer year-round enrollment, but they can impose a waiting period of up to 90 days before benefits become effective.