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HIV and Enteropathy
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Washington State Insurance Exchange
Exchange:
The Washington Insurance Exchange (Marketplace) is called the Washington Health Benefit Exchange. The State of Washington administers the Washington Health Benefit Exchange.
General information about the Washington Health Benefit Exchange can be found at: http://www.wahbexchange.org/.
Learn more: Background

Patients:
The Washington Health Benefit Exchange is essentially a marketplace for individuals and small businesses with up to 100 employees to shop for health insurance if they do not already have insurance coverage from another source. If they 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 plans in the marketplace individually in order to fully participate in the Washington Health Benefit Exchange.
This process is similar to enrolling in insurance or managed care organization provider networks. See below for a list of insurers participating in the state marketplace, and information on contacting them.
As an HIV provider, you may qualify for the designation, of 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.
 
 
 
Reporting 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:
 

5000 Capitol Blvd SE

Tumwater, WA ‎ 98501

800-562-6900
 

http://www.insurance.wa.gov/

Complaints: http://www.insurance.wa.gov/complaints-and-fraud/file-a-complaint/insurance-company/

 

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 Participating In the Exchange:
Below is a list of the Qualified Health Plans that have publicly announced that they will offer plans in the Washington Health Benefit Exchange.
 

This list is being routinely updated, and may change as insurers join or leave the Exchange. Please check back for updates.

 

 
Asuris Northwest Health
Provider Enrollment: https://www.asuris.com/web/asuris_provider     
Plan types offered: Individual
 
BridgeSpan Health Company
Plan Website: https://www.bridgespanhealth.com/      
Plan types offered: Individual
 
Columbia United Providers
Plan Website: https://www.cuphealth.com/                     
Provider Enrollment: https://www.cuphealth.com/info-for-providers                   
Plan types offered: Individual
 
Community Health Plan of Washington
Plan Website: http://www.chpw.org/                                   
Provider Enrollment: http://chpw.org/for-providers/welcome/                               
Plan types offered: Individual
 
Coordinated Care
Plan Website: http://www.coordinatedcarehealth.com/                                             
Provider Enrollment: http://ambetter.coordinatedcarehealth.com/for-providers/                                          
Plan types offered: Individual
 
Group Health Cooperative
Plan Website: http://www.ghc.org/       
Plan types offered: Individual
 
Group Health Options
Plan Website: http://www.ghc.org/       
Provider Enrollment: https://provider.ghc.org/open/index.jhtml                            
Plan types offered: Individual
 
Kaiser Foundation Health Plan of the Northwest
Provider Enrollment: http://www.kaiserpermanentejobs.org/default.aspx                        
Plan types offered: Individual, SHOP
 
LifeWise Health Plan of Washington
Plan Website: https://www.lifewisewa.com/    
Provider Enrollment: https://www.lifewisewa.com/provider/join-our-network/             
Plan types offered: Individual
 
Moda Health Plan, Inc.
Plan types offered: Individual, SHOP
 
Molina Healthcare of Washington
Plan Website: http://www.molinahealthcare.com/        
Plan types offered: Individual
 
Premera Blue Cross
Provider Enrollment: https://www.premera.com/wa/provider/               
Plan types offered: Individual
 
Regence BlueCross BlueShield of Oregon
Provider Enrollment: https://www.regence.com/web/regence_provider/         
Plan types offered: Individual
 
Regence BlueShield
Provider Enrollment: https://www.regence.com/web/regence_provider/home             
Plan types offered: Individual
 
Time Insurance Company (Assurant Health)
Plan Website: http://www.assuranthealth.com/             
Provider Enrollment: http://www.assuranthealth.com/
Plan types offered: Individual
 
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