Marketplace Plans
Health insurance plans are available to the general public through the Marketplace, sometimes called the Health Insurance Marketplace, the Federally Facilitated Marketplace or the Exchange. Below you’ll find information that may be useful to you as you shop for a Marketplace plan that’s right for you.
- Out of Network and Balance Billing
- Enrollee Claims Submission
- Grace Periods and Claims Pending
- Retroactive Denials
- Recoupment of Overpayments
- Medical Necessity and Prior Authorization Timeframes and Enrollee Responsibility
- Drug Exception Timeframes and Enrollee Responsibility
- Explanation of Benefits
- Coordination of Benefits
