Our Account Management and Eligibility staff efficiently process your enrollments and changes; however, we do not receive copies of your billing statements. It is very important that you reconcile your billing statements each month to ensure eligibility is accurately reflected when changes have been submitted.

If you find discrepancies, please let us know immediately as most carriers have a 30-day limit to make corrections. Ensuring accuracy at the time of processing is always a top priority for us, and billing statements are the most effective way to confirm the information reflected in the carrier's system.

As contracts change due to streamlining to adhere to new Affordable Care Act (ACA) requirements and typical renewal changes, members should not assume what was covered before is still covered or covered in the same manner. For example, Kaiser recently reduced their plans' Durable Medical Equipment (DME) benefit, which has completely removed coverage for CPAP equipment and attachments. This is a complete exclusion, so the member would be responsible for the cost with no member discount.

The need for awareness extends to all aspects of a plan. Members need to read their plan summaries and any materials sent to them by the insurance carriers after renewal because the game plan is very different these days.