(800) 383-6590

HealthCare. gov Suffering Supply Chain Issues: Please note that due to supply chain issues, Healthcare. gov (The Marketplace) may also be using brown or white envelopes for the official notices. As always, if you receive a notice from Healthcare .gov, please let us know if anything is needed so that we may help address the issue.

Treasury Department Releases 2023 Health Savings Account Contributions & Affordable Care Act Plan Out-of-Pocket Limits:

Health Savings Account Contributions
Individual: $3,850
Family: $7,750

Affordable Care Act Out of Pocket Maximum
Individual: $9,100
Family: $18,200

Wellmark Blue Cross Request Rate Increase From IID: Wellmark Blue Cross has requested a 2023 plan year rate increase from the Iowa Insurance Division. See more information below.

Hawk I & Medicaid Renewals To Begin:

On March 3, 2022, the Centers for Medicare & Medicaid Services (CMS) provided states with additional guidance and tools as they plan for whenever the COVID-19 Public Health Emergency (PHE) does conclude. When the PHE does eventually end, states will be required, over time, to redetermine eligibility for all people enrolled in Medicaid and CHIP. This is especially notable for parents with children enrolled in Hawk I.

  1. Update your contact information – Make sure the state Medicaid or Hawk I program has your current mailing address, phone number, email, or other contact information. This way, they’ll be able to contact you about your Medicaid or CHIP coverage. 
  2. Check your mail – The state Medicaid or Hawk I program will mail you a letter about your Medicaid or Hawk I coverage. This letter will also let you know if you need to complete a renewal form to see if you still qualify for Medicaid or Hawk I. 
  3. Complete your renewal form (if you receive one) – Fill out the form and return it to the state Medicaid or Hawk I program right away to help avoid a gap in your Medicaid or Hawk I coverage.

Medica COVID-19 Vaccine Website and Information

As the U.S .Department of Health & Human Services recently announced an extension of the COVID Public Health Emergency, Medica has extended the following COVID-19 services through July 31, 2022.

  • 100% coverage for COVID-19 FDA-approved diagnostic and anti-body testing and services for COVID-19 testing.
  • 100% coverage for COVID-19 monoclonal antibody treatment.
  • 100% coverage for telehealth/virtual health services.
National General has typically been offering the lowest priced 3 year plans for those age 55 and younger. Contact us if you are interested in quotes.

COVID-19 Updates from National General.
Pivot Health is now offering 3 year plans in Iowa.
Wellmark will be sending formulary changes notices effective July 1st, 2022. Formularies dictate how and what prescriptions are covered. This change will mostly affect the specialty drugs that have extremely high prices. Please keep an eye out for this.

Wellmark Blue Cross has requested the following rate increases for the 2023 plan year from the Iowa Insurance Division:

  • Wellmark BCBS of Iowa PPO Pre-Affordable Care Act Plans: 4.5%
  • Wellmark Health Plan of Iowa HMO Premier Affordable Care Act Plans: 7.8%

Similar to prior years, this population continues to require more health care services to treat high-cost and complex conditions. While several factors add to the rate increase, the following are key drivers:
  • A 7.2 percent increase in cost and use of medical services and prescriptions.
  • A 9 percent increase in high-cost claimants — the number of members who have greater than $100,000 in claims increased.
  • A 15 percent increase in retail pharmacy costs.

UHC has is currently offering both 2 and 3 year plans. While they are similar in price, the 2 year plan has substantially easier underwriting. If you would like to see these options, please let us know.

Don't forget the valuable discounts with your FACT Membership through the United Health Care plans.
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3600 1st ave NE, Cedar Rapids, IA 52402.(800) 383-6590

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