Do you have unopened or trashed bills from Maestro? Do you have a large bill from January or February that you have not gotten around to checking or paying? If this is you, you need to reach out to Maestro immediately or the entire bill could become YOUR RESPONSIBILITY. That's right, the entire bill, not just your portion of the copay, deductible or coinsurance rate. Call the 800 number on your Maestro card today if you feel like there is even a possibility you might be affected by this message. The deadline for reconciliation is August 31.
A different hang-up that has caught our attention is that we need notification of a life event or request for a change of status within 30 days. Sure, we own and operate the plan, but our fiduciary responsibility and contracts with third party administrators and insurers require us to adhere to this guideline. For review, those qualifying events that allow you to make changes outside of open enrollment fall into the following categories: loss of health coverage, changes in household, changes in residence, or other qualifying events.
Loss of health coverage: losing individual health coverage (including job-based, individual and student plans), losing eligibility for Medicare, Medicaid, or CHIP, turning 26 and losing coverage through your parents' plan.
Changes in household: getting married or divorced, having a baby or adopting a child, death in the family.
Changes in residence: moving to a different zip code or county, a student moving to or from a place they attend school, a seasonal worker moving to or from the place they both live and work, moving to or from a shelter or transitional housing.
Other qualifying events: changes in your income that affect the coverage you qualify for, gaining membership in a federally recognized tribe or status as an Alaska Native Claims Settlement Act (ANCSA) Corporation shareholder, becoming a US citizen, leaving incarceration, AmeriCorps members starting or ending their service.
Additionally, you will be required to provide documents that prove your eligibility to enroll based on the life event you experience.