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July 13, 2017

3 tips to prepare for your first doctor’s visit

Now that you have Marketplace health insurance, here are three things to remember before you visit your doctor:

Image: {Man greets new doctor}

Gather what you’ll need

  • You may be asked to provide your insurance card, photo ID, completed forms they may have sent you before the appointment, and your copay, if you have one.
  • You may need to fill out other forms and read over their privacy policy after you check in.

Know your health history

  • So your doctor better understands your health and lifestyle, consider sharing your family health history and medical records, and any medications you’re taking.
  • You may want to bring someone with you, like a friend or family member.

Prepare questions

  • Before the appointment, write down any questions or concerns you may have, so you don’t forget to ask.
  • If you don’t understand what your doctor is saying, don’t hesitate to ask for clarification. They’re there to help!
  • See if your doctor has any written materials you can take home and read, and if there’s a phone number you can call if you come up with questions later.

Get more information on preparing for your first doctor’s visit (PDF).

July 6, 2017

Submit documents to confirm your Special Enrollment Period

If you applied for Marketplace coverage through a Special Enrollment Period because you moved or lost other health coverage, you may be asked to submit documents to confirm you qualify.

Image: {Submit Special Enrollment Period documents}

After you pick a plan, you have 30 days to send the documents.

How do I know if I need to submit documents?

  • After you submit your application, you’ll get details and instructions on your eligibility results screen and in a notice you can download or receive in the mail.
  • These will include information if you have to submit documents.

If you’re losing health coverage

If you moved to a new address & had prior coverage

  • You must provide documents that confirm you moved in the last 60 days AND had health coverage at least one day during the 60 days before your move.
  • See a list of accepted documents.

Ready to submit? You can submit documents 2 ways:

June 29, 2017

4 steps to find the right doctor for you

Most health plans give you the best deal on services when you see a doctor who has a contract with your health plan. You may be able to see doctors who don’t contract with your plan, but visiting an "in-network" provider usually means you'll have lower out-of-pocket costs.

Image: {Four steps to find the right doctor for you}

  1. Identify "in-network" providers that meet your needs.

    • Review your health plan’s provider directory — a list of the doctors, hospitals, and other health care providers that your plan contracts with to provide care.
    • If you're looking for something specific, like a doctor who speaks a language other than English or can accommodate a disability, your insurer should be able to guide you in the right direction.
  2. Ask your friends for recommendations.

    • You can ask people you trust if they have any doctors they like.
    • Sometimes you can look up providers online to see what other people in the community say about them.
  3. Pick a provider.

    • Call the provider's office, and ask any questions you may have to help you decide if they’re the right fit.
    • You may also want to know if the office is close to your house or work, and if the appointment times work with your schedule.
  4. Give them a try!

    • Sometimes it takes more than one visit to figure out if a provider is the right one for you.

Get more information on picking a provider (PDF).

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