Open Enrollment Highlights Typically, employers hold open enrollment for benefit plans during the fall. Use these tips to get the most from your insurance and choose the right plan for you and your family. OPEN ENROLLMENT
CHANGING HEALTH PLANS
Make your insurance work for you and your family by asking these questions:
Verifying insurance coverage: When employers change group coverage guidelines, your benefits could be affected. It’s important to work with your human resources group to understand insurance changes. Be sure to send copies of your new insurance cards to your provider to reverify benefits.
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Is your current home infusion provider contracted with this new plan, or will you have to switch to a new company?
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Do you have more than one insurance plan? If so, which one is primary?
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Does your insurance cover your brand of factor?
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Do you have any restrictions based on diagnosis?
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What are your deductibles, copays, and out-of-pocket responsibilities?
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Does your plan have a flexible spending account that lets you deduct pre-tax dollars from your paycheck to save for medical expenses?
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Are your physicians and other health care providers covered?
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Do you have Medicare Part D coverage? Have you compared plans for the best coverage and copay? Learn more at medicare.gov.
CONTACT US Phone: 866.442.4679
diplomat.is/specialtyinfusion
Fax: 877.588.8470 The information herein is for educational purposes only and may not be construed as medical advice. Diplomat Pharmacy Inc. takes no responsibility for the accuracy or validity of the information herein, nor the claims or statements of any manufacturer. Copyright © 2017 by Diplomat Pharmacy Inc. Diplomat and Diplomat Specialty Infusion Group are either trademarks or registered trademarks of Diplomat Pharmacy Inc. All rights reserved. DSIG-117454-0917
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Gaps in coverage: Some insurance plans require the infusion provider to obtain authorization to provide factor and other IV medications. If an authorization is needed, notify your provider as soon as possible. This will prevent interruption in services or private pay obligation.
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Coordination of benefits: Changing your health care coverage or designated primary plan might require you to coordinate benefits. If you have primary and secondary insurance plans (or a supplemental plan), it will need to be determined what each plan will pay for. Your health care providers must contact each plan’s provider services department to coordinate benefits.
If you are uninsured and seeking coverage, visit healthcare.gov/get-coverage, call 800.318.2596, or TTY 855.889.4325.