Reminder: Covered Connecticut Program began July 1, 2021
In June, we announced the new Covered Connecticut Program which became effective on July 1, 2021. The Program was created by the State of Connecticut to provide healthcare coverage for certain Connecticut residents who meet specific eligibility requirements. Covered Connecticut members pay $0 cost shares for their healthcare coverage.
In this new program, the State of Connecticut pays the member portion of the monthly premium payment directly to Anthem, and also pays for the cost sharing amounts (deductibles, co-pays, co-insurance and maximum out-of-pocket costs) – members have no cost sharing for services received.
Below is a sample member ID card for Covered Connecticut members. Note that these members are enrolled in Anthem’s Silver PPO Standard Pathway 87% CSR Plan using the Pathway provider network. Additional individuals will continue to be added to this Program going forward as eligibility requirements are met.
Due to the importance and urgency to create the Covered Connecticut Program to provide these individuals with health coverage effective July 1, we were not able to complete certain system updates necessary to allow for digital verification of member eligibility and coverage. Although we normally recommend verifying member eligibility and coverage via Availity.com, for Covered Connecticut members, please instead contact us via the Provider Service number located on the member ID card at 1-800-676-2583. At this time, Availity.com will not have updated information regarding the $0 cost sharing benefit. Should you collect any cost sharing from a Covered Connecticut member in error, those monies will need to be returned to the member. We will notify you in a future update when Availity.com has been updated to provide the applicable benefit and eligibility for Covered Connecticut members.
August 2021 Connecticut Provider News