Central Health Assistance Program (CHAP)

MAP Transition to Sendero IdealCare

OPEN ENROLLMENT FOR 2022 COVERAGE:

The next open enrollment period will be: November 1, 2021-December 15, 2021

• ALL clients who are identified as eligible for ACA Marketplace coverage will be required to attend an enrollment appointment:
  • ACA Marketplace Screening and enrollment with Foundation Communities (up to 3 hours)
    • Clients who do not attend this appointment will not be eligible for CHAP coverage OR MAP coverage due to non-compliance.
• ALL current CHAP clients who wish to re-enroll in CHAP for 2020 will be required to attend an ACA Marketplace re-enrollment appointment with Foundation Communities
  • Clients who do not attend a re-enrollment appointment with Foundation Communities will not be eligible for CHAP due to non-compliance and will be responsible to pay their 2020 insurance premiums

Current  CHAP Clients Update

• Clients need to report any changes to the Marketplace in regards to income, address, and family size.
• As long as clients continue to be enrolled in an IdealCare Silver 87 or 94 plan, their CHAP coverage will be extended.
• A new card will be mailed to all CHAP members who continue to be enrolled in an eligible plan.

Reference Points:

• Clients have been identified as being potentially eligible to receive tax credits and cost sharing subsidies through the Health Insurance Marketplace.
• Clients must continue to meet MAP eligibility requirements in order to remain eligibile for the Central Health Assistance Program.
• Clients will no longer be eligible for MAP medical benefits.
• Clients will remain eligible for MAP BASIC dental benefits.
• Client MUST file an income tax return in order to qualify for tax credits and cost sharing subsidies  through the Health Insurance Marketplace.
• Client must apply and qualify for tax credits and cost sharing subsidies through the Health Insurance Markerplace in order to be eligible for the new Central Health Assistance Program.
• If client chooses to enroll into Sendero Health Plans’ IdealCare Silver Plan; and qualifies for a health plan with reduced insurance deductibles.
  • The Central Health Assistance Program will assist qualified clients with monthly insurance premium.
• There will be different term dates for everyone depending on when they are eligible for Medicaid, Medicare, or reach their 5 years as an LPR.
• If a client wants to cancel their Sendero Idealcare coverage please refer them to the Marketplace 1-800-318-2596. Do not refer to Sendero.

Invoices

• IdealCare Members who were transitioned from MAP will have a $0 balance on their monthly invoice.
• If clients are receiving invoices with a balance other than $0, ask them for the Invoice # located on the top right hand corner of the invoice and email this information to bpteam@centralhealth.net

All member service questions about the IdealCare product will be answered by the Customer Service Representative at IdealCare Customer Service at 1-844-800-4693.

These include:

• Claims
• Deductibles
• Formulary
• Idealcare ID Cards

Questions about the Central Health Assistance Program will be answered by the Central Health Customer Call Center at 512-978-8130.

• Premiums
• Dental Benefits
• Enrollment Assistance
• Providers
• Copays