Virgin Islands Notice of Special Enrollment Rights

State:
Multi-State
Control #:
US-AHI-014
Format:
Word
Instant download

Description

This AHI form is a notice of special enrollment rights for the employee or their dependents under the group health plan.

How to fill out Notice Of Special Enrollment Rights?

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FAQ

Travel within the U.S.If you have Original Medicare, you have coverage anywhere in the U.S. and its territories. This includes all 50 states, the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands.

All of the popular international travel destinations for US citizens like Canada, Mexico, the Caribbean islands, Latin and South American nations, Europe, Australia and Asia are not covered by regular Medicare coverage.

You qualify for a Special Enrollment Period if you've had certain life events, including losing health coverage, moving, getting married, having a baby, or adopting a child, or if your household income is below a certain amount.

A discount that lowers the amount you have to pay for deductibles, copayments, and coinsurance. In the Health Insurance Marketplace®, cost-sharing reductions are often called extra savings. If you qualify, you must enroll in a plan in the Silver category to get the extra savings.

Normally, coverage is only available for purchase during the annual open enrollment period, but a special enrollment period allows people to sign up for coverage outside of that annual window, as long as they have a qualifying event.

Medicare supplement insurance (Medigap) policies may cover emergency care when you travel outside the U.S. Because Medicare has limited travel medical coverage outside the U.S., you may choose to buy a travel insurance policy to get more coverage.

If you get married, you're eligible to get coverage effective the first of the following month, regardless of how late in the month you enroll. If you have a baby, adopt a child, or receive a court order for medical child support, the coverage can be backdated to the date of the birth, adoption, or court order.

If you fall ill or get hurt while visiting the U.S. Virgin Islands, your health insurance may cover your care. But if you need special medical transportation to a hospital or back to your home (repatriation), you may be out of luck.

Why do we have an open enrollment period? The open enrollment period was put into place to discourage adverse selection which happens when sick people sign up for health insurance and healthy people don't. It greatly skews the amount of financial risk a health plan takes when insuring customers.

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Virgin Islands Notice of Special Enrollment Rights