January 22, 2016
Maine Insurance Superintendent Eric Cioppa is reminding Mainers who purchase health insurance through the individual market that Open Enrollment ends January 31st. The next open enrollment period will be in the fall.
Superintendent Cioppa is also reminding people enrolling in a new health insurance plan to clarify whether or not their providers of choice are part of the plan’s network, before finalizing their purchase.
“People should call both the insurance company and their health care provider to verify that the provider will be covered under the specific plan being considered,” Superintendent Cioppa said. “It’s possible that a provider may be contracted by an insurance company under one plan, but not under another.”
Cioppa noted that charges for medical services from a provider that is not in the plan network do not apply to the annual out of pocket maximum of $6,850 for individuals (or $13,700 for families). He emphasized that this may add expenses for enrollees who use out of network providers.
Individuals in Maine may call the Bureau of Insurance at 1-800-300-5000 with questions or concerns about their insurance options and the networks offered under the various plans sold in Maine. Information is also available on the Bureau’s website (www.maine.gov/insurance).
Last Updated: January 22, 2016 2:16 PM