Individual Health Insurance

How to Submit Immigration Status

February 21, 2023 // by kevin

If you receive a letter from the state health insurance marketplace about uploading proof of immigration, please do so before the deadline or you will lose the government subsidy to pay the full premium or even lose your coverage.

Types of documents accepted by state

I-551 resident alien card (green card)
Temporary I-551 resident alien card (temporary green card)
I-766 employment authorization card
Proof of current visa status (for example, a stamp in your passport, or an approval letter from United States Citizenship and Immigration Services (USCIS))
Proof of resolution in immigration court (all pages)
Notice of hearing from the Executive Office for Immigration Review
“Documents (all pages) you provided to or received from USCIS or Immigration and Customs Enforcement (ICE), such as
- Confirmation that your application for an immigration status was received
- Letters to or from USCIS
- I-797 USCIS Notice of Action
- Order of Supervision from ICE
- Other documents to or from USCIS or ICE that show your current status”

I-94 arrival/departure record
An approved immediate relative I-130 petition
Refugee Travel Document (I-571)
Re-entry Permit (I-327)
SEVIS ID (I-20 or DS 2019) (all pages)
Office of Refugee Resettlement (ORR) or Office on Trafficking In Persons (OTIP)
Certification or eligibility letter (all pages)
“Immigration or other official document showing grant of:
- Withholding of Removal
- Asylum
- Cancellation of Removal
- Administrative Closure
- Administrative Order Staying Removal
- Order of Supervision
- Proof that you lived continuously in the U.S. before 1972 (for example, your lease agreement or proof of employment)”

To ensure that your submission is accepted, please use the following format as a reference, fill in your application ID, name, and document enclosed

View Sample Template

There are 3 ways to upload the proof of immigration:

1. Send your proof of immigration to us via Wechat (ePro2158258435), text message(215-825-8435) or Document Drop Box. We’ll upload it for you.

2. Mail a copy of the documents to the address they gave.

- Make sure to write your name and Application ID, which would be included in your eligibility notice, on all your documents. You should keep the original documents for your records.
- Include the notice’s cover sheet with the barcode when mailing your documentation.

3. The fastest option is to upload documents online.

Please go to Marketplace, enter your zip code and select the site in your region. Once you are logged in, you can upload files.

If you can’t upload by yourself please choose the first way. Please contact us at 215-825-8435 if you have any questions.

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How to pay your bill?

December 19, 2022 // by kevin

Insurance Payment Guide

Dear customers:

If you have received a bill from your insurance company, please pay your premiums in full as soon as possible. If you do not pay your premium by January 1, 2023, your coverage may be cancelled by your insurance company, so please hurry! ePro Associates has compiled a list of ways to pay your premiums quickly.

1. Pay with major insurance companies' apps

Use your cell phone to pay your premiums anytime, anywhere by downloading the insurance company’s app through the app store or google play store. Download, register, and login to view your monthly statement, add your card information, click Manage Account, and then click Pay My Bill.

2. Pay by using major insurance company web pages

Go to the websites of the major insurance companies in your browser, register and log in to your account. Prepare your insurance card, bank card account information and click on Manage Account in the upper left corner to make your payment. We have listed the links to the websites of the different insurance companies below, just click on them.

UnitedHealthCare(UHC)

Cigna

Friday

BlueCalifonia

3. Payment by personal check or money order

The insurance company sends you a bill that includes a detachable payment slip with your bill number, payment address and other required information. Please make sure that you fill out the check correctly before sending it back.

4. If you still have difficulty with this, please call us to complete the payment

Our phone number is: 215-825-8435. ePro Associates’ professional team can help you with your payment, but since we have to handle a large number of calls from our customers every day, please have your bank card information (card number, expiration date, and CCV) ready before you call for our efficient service.

ACA Individual Market Update – Pennsylvania

November 4, 2020 // by wellspring

From Highmark,

Pa members will see a december premium reduction

Highmark is giving Pennsylvania ACA Individual Market members a 25% reduction to their pre-APTC premium total for the month of December. The one-time rate reduction will be provided since the COVID-19 pandemic has prevented members from accessing regular care, which has resulted in less health care utilization. Members will receive notification of this in their December invoice that will be received in mid-November.

Action required for pa on-exchange members who enrolled after 9/9/2020

Highmark on-exchange PA members who submitted enrollment applications after 9/9/2020 will not be renewed into a 2021 Highmark plan. Pennie was not able to provide Highmark with2021 auto-enrollment files for these members. If they don’t submit an active enrollment for 2021, they will lose coverage at the end of December. If you are submitting a Special Enrollment Period application, please ensure you also submit a 2021 application for your client so that they are covered. Pennie indicated that they will be sending communications to these members. In addition, Highmark will also be sending out communications and directing them to you if we have your phone number on file in Litmos. These members will not receive a Highmark renewal package or an early 2021 member ID card. We appreciate your patience as we work through this. We will follow up as we receive more information.

Provider directory search issue – central and northeastern pa only

There is a current issue with the Highmark provider directory. This issue is not impacting the provider directories on Pennie and HealthSherpa and is confined to Highmark’s online provider directory. We are working to address the issue as soon as possible.

Please review the information below regarding the errors for impacted plans:

NEPA – my Priority Flex Blue EPO

Some Lehigh Valley Health Network facilities are returning as Standard when they should be Enhanced
Berwick is not returning but should be Enhanced
Geisinger is not returning but should be Standard

CPA – my Direct Blue EPO and my Direct Blue Major Events EPO

The following hospitals are showing as in-network but they are out-of-network:

St. Luke’s Health Network
Reading Hospital
Easton Hospital

Please use provider directories on Pennie or HealthSherpa when reviewing CPA – my Direct Blue EPO, my Direct Blue Major Events EPO, and NEPA – my Priority Blue Flex EPO plans with customers. Please also refer to the network guides on the Producer Portal and Litmos. We’ll let you know when this issue has been resolved.

Obamacare Enrollment 2020-2021

November 1, 2020 // by eprostaff

Open ENROLLMENT PERIOD

As of November 1st, the enrollment for 2020 health plans through Marketplace (Obamacare) has begun in all 50 states. For most states the time for enrollment will continue until December 15th and the plan would be effective beginning the first of January, 2021. This is called the open enrollment period. During this period, people are free to enroll or make changes to their health coverage for the next year (2021). Once this period is over, people can no longer make changes to their health coverage.

Special enrollment period

There is a special enrollment period which extends before and after the open enrollment period that allows people to continue making changes but they must meet certain qualifying life events (QLEs).

For information on QLEs please visit:

https://www.healthcare.gov/glossary/qualifying-life-event/

State exchanges

There are some states that have established their own Marketplace or exchange, therefore people would have to register for health coverage through the state’s exchange and not through the federal Marketplace. The open enrollment dates can also vary. The states continue to open on November 1st, however the closing date could vary and extend as late as January 31st, 2021. It is important to remember that if you do NOT enroll by December 15th, the plan will not be effective until February 1st. Otherwise it would be effective from January 1st.

State Based Marketplaces:

California, Colorado, Connecticut, District of Columbia, Idaho, Maryland, Massachusetts, Minnesota, Nevada, New Jersey, New York, Pennsylvania, Rhode Island, Vermont, and Washington.

Below is a chart that lists the last day to enroll for each State-Based Exchange:

12/15	12/22	1/15	1/23	1/31
Connecticut	Minnesota	Pennsylvania	Massachusetts	New Jersey
Idaho		Colorado	Rhode Island	New York
Maryland		Nevada		District of Columbia
Vermont				California
Washington

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