Forgot password

Not a Member?
JOIN TODAY

HIV and Enteropathy
Advertisement
Delaware State Insurance Exchange
Exchange:
The Delaware Insurance Exchange (Marketplace) is called the ChooseHealth Delaware.
ChooseHealth Delaware is a Partnership Marketplace jointly administered by the State and the federal government, under the Department of Health and Human Services (HHS).
General information about the ChooseHealth Delaware can be found at: http://www.choosehealthde.com/Health-Insurance.
Learn more: Background

Patients:
The ChooseHealth Delaware is essentially a marketplace for individuals to shop for health insurance if they do not already have insurance coverage from another source. If individuals have insurance from another source such as employment, retirement benefits, or spousal benefits, they do not need to obtain it from the Marketplace.
HIV Providers:
Providers must contract with each of the Qualified Health Plans offered in the marketplace individually to participate fully in the ChooseHealth Delaware.

This process is similar to enrolling in insurance or managed care organization provider networks. See below the list of insurers participating in the ChooseHealth Delaware, and information about contacting them.
As an HIV provider, you may qualify for designation as an “Essential Community Provider (ECP).” The Qualified Health Plans participating in the Insurance Exchange (Marketplace) are required to contract with a minimum number of ECPs and Specialists to ensure network adequacy.
Visit our Provider Resources Section for more specific instructions to assist you in contacting health plans.

Learn More: Health Reform & My Practice
Report Problems:
The state office of insurance is primarily responsible for examining and addressing issues with the plans offered within the state Exchange (Marketplace), and the companies that offer them. If you are experiencing problems as a medical provider with the plans or companies in the state exchange, or if your patients are experiencing problems with the plans or companies in the state exchange, including trouble with access to medications, access to preferred providers, navigating the appeals process, excessive costs, or possible discriminatory policies, or any other problems related to the Affordable Care Act, please report these problems to the state office of insurance: 
 
Delaware Department of Insurance
841 Silver Lake Blvd.
Dover, DE 19904
302-674-7300

www.delawareinsurance.gov/
Complaints: www.delawareinsurance.gov/services/filecomplaint.shtml
 
Additionally, if you are experiencing these or other problems, please report these problems to AAHIVM, so that we may track issues affecting our members, and seek additional policies remedies. 

 
Qualified Health Plans Participatin in the Exchange:
Below is a list of the Qualified Health Plans that have publically announced that they will offer plans in the ChooseHealth Delaware.

Delaware has established Highmark- Blue Cross Blue Shield of DE as the “benchmark” plan.
This list is being routinely updated, and may change as insurers join or drop out of the exchange. Please check back for updates.


Aetna

Plan Website: http://www.aetna.com/
Provider Enrollment:
Plan types offered: Individual
 
Aetna Health, Inc.
Plan types offered: Individual, SHOP
 
Aetna Life Insurance Company
Plan types offered: Individual
 
CoventryOne
Plan types offered: SHOP
 
Highmark BCBSD Inc.
Plan types offered: SHOP
 
Highmark Blue Cross Blue Shield Delaware
Plan types offered: Individual, SHOP

 

 

 
Bookmark and Share