The Arkansas Insurance Exchange (Marketplace) is called the Arkansas Health Connector. The Arkansas Health Connector 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 Arkansas Health Connector can be found at: http://www.arhealthconnector.org/.
PATIENTS
The Arkansas Health Connector 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 Arkansas Health Connector.
This process is similar to enrolling in insurance or managed care organization provider networks. See below the list of insurers participating in the Arkansas Health Connector, 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.
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:
Arkansas Insurance Department
1200 West Third Street
Little Rock, AR 72201-1904
800-282-9134
www.insurance.arkansas.gov/
Complaints: www.insurance.arkansas.gov/csd-complaint.htm
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 HEALH 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 Arkansas Health Connector.
Arkansas has established Health Partners 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.
Ambetter of Arkansas
Plan Website: http://www.ambetterofarkansas.com/
Provider Enrollment: http://www.ambetterofarkansas.com/for-providers/join-our-network/
Plan types offered: Individual, SHOP
Arkansas Blue Cross Blue Shield
Plan Website: http://www.arkansasbluecross.com/Default.aspx
Provider Enrollment: http://www.arkansasbluecross.com/providers/
Plan types offered: Individual, SHOP
QualChoice
Plan Website: https://www.myiqchoice.com/OnMarketPlans.aspx
Provider Enrollment: https://www.qualchoice.com/providers/default.aspx
Plan types offered: Individual
QualChoice Health Insurance
Plan Website: https://www.myiqchoice.com/OnMarketPlans.aspx
Provider Enrollment: https://www.qualchoice.com/providers/default.aspx
Plan types offered: Individual