American Academy of HIV Medicine | Connecticut State Insurance Exchange

Connecticut State Insurance Exchange

The Connecticut Insurance Exchange (Marketplace) is called Access Health Connecticut. Access Health Connecticut is administered by the State of Connecticut.
General information about Access Health Connecticut can be found at:http://www.ct.gov/hix/site/default.asp.
Learn more: Background

PATIENTS

Access Health Connecticut 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 Access Health Connecticut.

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 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:
Connecticut Insurance Department
153 Market Street, 7th Floor
Hartford, CT 06103

www.ct.gov/cid/
Complaints: cidonline.ct.gov/ccf/
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.