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FROM 2015 Evidence of Coverage Get to know your plan: Covered Services Pharmacy Benefits Emergency Services Wellness Programs Effective: January 1, 2015, For more information, visit Am better.CeltiCareHealthPlan.com
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How to fill out certificate of creditable coverage
How to fill out certificate of creditable coverage:
01
Obtain the certificate from your previous health insurance provider. They should provide you with the necessary form.
02
Fill in your personal information, including your full name, address, and contact details.
03
Provide your previous health insurance information, such as the name of the insurance company and policy number.
04
Indicate the duration of your coverage by mentioning the start and end dates of your previous health insurance plan.
05
If you had any gaps in coverage, make sure to declare those periods accurately.
06
Sign and date the certificate of creditable coverage.
07
Keep a copy of the completed certificate for your records and submit the original to the relevant party, such as your new insurance provider or employer.
Who needs certificate of creditable coverage:
01
Individuals who are transitioning between health insurance plans.
02
Employees who are changing jobs and need to show proof of prior coverage.
03
Retirees who are enrolling in a new health insurance plan after retirement.
04
People who have experienced a qualifying event for a special enrollment period, such as marriage or birth of a child, and need to provide evidence of prior coverage.
05
Anyone who wants to avoid a gap in coverage and wants to ensure continuous health insurance protection.
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What is certificate of creditable coverage?
Certificate of creditable coverage is a document that proves an individual's prior health insurance coverage and ensures uninterrupted coverage under a new plan.
Who is required to file certificate of creditable coverage?
Health insurance providers or employer-sponsored health plans are required to file certificate of creditable coverage.
How to fill out certificate of creditable coverage?
To fill out a certificate of creditable coverage, individuals must provide their name, coverage period, and details of the previous health insurance plan.
What is the purpose of certificate of creditable coverage?
The purpose of a certificate of creditable coverage is to protect individuals from being subject to pre-existing condition exclusions when switching to a new health insurance plan.
What information must be reported on certificate of creditable coverage?
Information such as the individual's name, health insurance carrier, coverage period, and any gaps in coverage must be reported on a certificate of creditable coverage.
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