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The Centers for Medicare & Medicaid (CMS) has made a special enrollment period (SEP) available for consumers who bought health insurance plans from Simple Health Plans LLC. The SEP will run from July 1, 2019 until September 4, 2019. Eligible consumers should have received a notice from Health Insurance Innovations advising them of the availability of this SEP. CMS will evaluate an individual’s eligibility for the SEP using Simple Health Plan enrollment information that has been provided by Health Insurance Innovations.
Simple Health claimed to offer comprehensive health insurance or PPOs that would cover many medical needs, but instead sold only medical discount memberships, limited benefit plans, and other products that provide a small reimbursement or discount for a few services.
Consumers enrolled with Simple Health Plans do not have comprehensive health insurance. If they get sick or need to go to the hospital, they may have to pay almost all their medical bills.
Please alert your clients you helped enroll in a plan through Simple Health Plans LLC, or those who have received a notice, that they may qualify for a SEP and they may reach out to you for assistance in canceling their plan and obtaining comprehensive health coverage through the Marketplace.
To learn more about SEPs, follow this link.
To learn more on the Federal Trade Commission lawsuit against Simple Health, follow this link.
Have questions? Contact the Agent/Broker Email Help Desk at FFMProducer-AssisterHelpDesk@cms.hhs.gov.
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