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Affordable Care Act: I have coverage, now what?


Now that you have secured coverage for 2015 through the Affordable Care Act (ACA), what do you do now?

Step 1: Find a doctor in your plan

You will likely wish to begin by finding out if your prior doctors and other health care providers are covered by your new ACA compliant plan. If you do not wish to use your old providers, or if you know they are not part of your new coverage network, then you will need to find a covered provider.

How do I find out what doctors/health care providers are in my plan?

There are several ways to determine what providers are in your new coverage plan.

  • If you like your prior doctor, begin by calling their office. They can tell you if they accept your current health plan.
  • If you want to see who is covered on your plan, you can go to your health plan’s provider directory. You can get this by contacting your plan, visiting the plan’s website, or using a link that you’ll find on the plan description in your Marketplace account.
  • If you don’t feel comfortable researching the providers on your own, you can call your insurer to ask about specific providers. This number is on your insurance card as well as on the insurer’s website.
  • If you do not have your insurer’s contact information call the Marketplace Call Center at 1-800-318-2596 (TTY: 1-855-889-4325). A trained representative can help you find your insurer’s number.

What happens next?

It is important to know who you will be visiting with your new coverage, but once you have that information you should research and find out what hospitals to use in the event of an emergency, and where the closest urgent care center for your new provider is located.

Partner Agency Insurance Services, Inc. can provide you with professional expertise in understanding your health care options, guidance in application and eligibility process plus offer you affordable health care coverage through Covered California or directly with medical insurance carriers for Individuals and Families or Employer Group coverage for groups of any size.  Please feel free to contact us for a complimentary quote from various companies for almost any kind of insurance at (714) 482-9500.


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