Some Newberg providers have expressed that may no longer accept patients insured through Moda Health Plans. OEBB has provided a Q&A (below) that provides assurances that coverage will be continued for OEBB members.
OEBB states that:
On Monday, Feb. 8. 2016, the Oregon Department of Consumer and Business Services issued a consent order today that outlines a plan for Moda Health Plan, Inc. to stabilize its financial position and continue to serve its customers. As a result, the department has lifted the Jan. 27 order of supervision and Moda Health Plan, Inc. will resume selling and renewing policies to both individual and group customers in Oregon and Alaska. Link to press release
Q: How does this affect my coverage?
A: This does not affect OEBB members’ coverage in any way. Only Moda’s individual plans are affected. OEBB coverage is not provided through individual plans. All OEBB coverage remains in place, and all OEBB claims will continue to be paid as usual.
Q: Will this affect my access to care or quality of care?
A: No. All OEBB contracts include quality and performance standards that the carriers are obligated to uphold.
Q: Can the Board choose to offer other carrier options for the upcoming plan year?
A: OEBB’s current contracts are in effect through September 30, 2017. The OEBB Board had already planned to release an RFP (Request for Proposals) later this year to evaluate medical plan options for 2017-18. This plan remains unchanged.
Q: How will this affect OEBB rates for 2016-17?
A: We don’t know at this time. Renewal discussions have not yet begun. The OEBB Board will be making renewal decisions for the 2016-17 plan year in a public meeting in late April or early May.
Q: Can I change my plan selections?
A: Not until the next Open Enrollment, or if you experience a Qualifying Status Change (QSC). The IRS requires a QSC to change a plan election outside the Open Enrollment period, and this situation does not qualify as a QSC.
Direct further questions to the consumer advocates at Oregon Department of Consumer and Business Services (DCBS) Financial Regulation Division at 1-888-877-4894.
