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This transition will be an easy one if you review the steps below and gather the requested information prior to your consultation. Doing so ensures you will be accurately and efficiently enrolled in the plan that best fits your needs and budget.

For Pre-65 Retirees

For Medicare Retirees

STEP 1: REVIEW THE ENROLLMENT GUIDE

Review the enrollment guide you received by mail. If you have misplaced it, you can download a copy from this site, or contact us to have a new one mailed to you.
If you are Medicare eligible, be sure you have enrolled in coverage for Medicare Parts A and B. You must have already enrolled in both in order to enroll in health care coverage with Aptia365. Contact the Social Security Administration at www.ssa.gov or by calling 1-800-772-1213 (TTY 1-800-325-0778) if you have not yet enrolled in Medicare Part B.

STEP 2: SCHEDULE YOUR CONSULTATION

Consult with a licensed benefits counselor

There are two ways to schedule a consultation:

Schedule a consultation online any time by using the online scheduling tool. Select "Schedule a Consultation" and follow the instructions.
If you prefer, you can also call Aptia365 Monday through Friday from 8:00 am to 5:30 pm EST to schedule your one-on-one consultation with a benefits counselor.

Whichever way you choose to schedule a consultation, it is important to do so NOW to select your date and time. Don’t wait until the end of your enrollment period approaches before making this appointment; doing so may leave you with a short amount of time in which to make a decision. If you have signed up for text messages or email updates, you will receive a text/email confirmation once you have scheduled your consultation. Please schedule this important consultation now.

STEP 3: PREPARING FOR YOUR CONSULTATION

Start by keeping track of your individual healthcare coverage needs. Providing correct and complete information will help your benefits counselor analyze your health plan coverage specifics:

Download and complete the Healthcare Provider & Prescription Drug form to list your important healthcare providers and prescription drugs
Think about plan features that are important to you.
Prepare any questions you may have for your benefits counselor.
Have your Medicare insurance card handy, but do not mail or fax this information.
Gather any documentation that pertains to a Power of Attorney, if applicable to you.
If you have signed up for text messages or email updates, you will receive a text/email 24 hours before your consultation with a reminder of the steps listed above.

STEP 4: EXPLORE YOUR NEW PLAN OPTIONS WHEN YOU CONSULT WITH YOUR BENEFITS COUNSELOR

Please take this opportunity to utilize your benefits counselor and his or her health insurance expertise. He or she will present you with all of your options so you can feel confident about the decision you are making.

STEP 5: ENROLL IN YOUR NEW PLAN WITH YOUR BENEFITS COUNSELOR

When you are ready to enroll in your new plan(s), you will:

Have your benefits counselor complete your enrollment over the phone; online self-enrollment is available only with certain carriers.
Provide information to set up payment for your premium.
Be sent any forms that are required; please review, sign, date, and return promptly.

STEP 6: EFFECTIVE DATE

Begin coverage in your new medical plan(s).

STEP 7: AFTER ENROLLING IN YOUR NEW PLAN(S)

After your effective date, you:

May be contacted by your new insurance carrier in order to verify your enrollment; please do not ignore this request, as doing so could delay or nullify your coverage.
Will receive your new insurance cards by mail from your insurance carrier(s) after your enrollment has been processed; please review them for accuracy.

STEP 8: SET UP YOUR SUBSIDY ACCOUNT

Utilizing your subsidy account is an easy process, but you must take action by:

First, paying for your premium or out-of-pocket health care expenses to your insurance carrier or provider
Then, submitting a claim for reimbursement from your subsidy account

The Reimbursement Instructional Guide provides greater detail about the entire process you should follow in order to submit your claims and receive reimbursement for eligible expenses.

STEP 9: ONGOING

Retain your enrollment guide as it will serve as an ongoing reference for your health insurance transition.

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