||Temporary health coverage is available to Oregon Medical Insurance Pool members who do not have new coverage for January 1, 2014. More information will be mailed to members the week of December 16. Please respond immediately to ensure coverage.|
Oregon Medical Insurance Pool (OMIP) members who have not yet enrolled in new health care coverage for January 1 have more time. The Oregon Health Authority created a temporary insurance program to make sure OMIP members do not lose coverage if they have not been enrolled in a new plan by January 1. The program is called the Temporary Medical Insurance Plan (TMIP), and provides an insurance safety-net so that members do not have a gap in care when OMIP ends on December 31, 2013.
OMIP members who need coverage will be automatically enrolled in the temporary plan (TMIP). Members will receive more information in the mail during the week of December 16. Members must pay their January premiums to keep the new TMIP coverage.
TMIP will only be offered to OMIP members who have not been enrolled in a new plan. It is a short-term emergency plan that will provide coverage while members are completing their enrollment into the Oregon Health Plan, a Qualified Health Plan through Cover Oregon or a commercial direct market plan. TMIP coverage is on a month-to-month basis.
The Oregon Health Authority will work closely with TMIP members to help facilitate successful transition out of TMIP and into new coverage as soon as possible. Any members remaining in temporary coverage on March 31, 2014 will lose coverage when the temporary program ends.
How do I enroll in the Temporary Medical Insurance Plan (TMIP)?
We will automatically enroll everyone into TMIP who does not have new coverage for January 1, 2014. The January premium must be paid to keep your new TMIP coverage.
How long will TMIP last?
TMIP coverage is only a short-term safety net healthcare plan that will provide coverage for 90 days from January 1 to March 31, 2014.
When do I have to pay the first month’s premium? How much will it be?
You must pay your first month’s premium to keep your TMIP coverage. You will be dropped from TMIP if you do not pay your first month’s premium. This means you will not have health care benefits after December 31, 2013, unless you have enrolled in other coverage. TMIP premiums will be the same as your current 2013 rates. A bill for your first month’s premium will be mailed the week of December 16.
Do you already have health coverage starting on January 1?
Please fill out the online Health Care Coverage Questionnaire if you are enrolled or are in the process of getting a new health plan that starts on January 1, 2014. This questionnaire will help us determine who will have coverage on January 1, 2014, and who will need to obtain coverage between January 1 and March 31, 2014, when TMIP ends and ACA open enrollment closes. The website is HIPAA compliant and will keep your personal information secure.
- The Temporary Medical Insurance Plan (TMIP) is a short-term health plan that will provide coverage up to 90 days. (January 1 until March 31, 2014).
- We will send you a bill for your January premium. Your bill will be mailed the week of December 16. You must pay your first month’s premium to keep your coverage.
- If you do not pay your first month’s premium, you will not have coverage. Any benefits you used will not be paid by TMIP and you may have to pay the claim yourself. Enrollment in the TMIP will be on a month-to-month basis, so that members can move out of temporary coverage as soon as they enroll in a new plan.
- Any members remaining in TMIP on March 31, 2014 will lose coverage when the temporary program ends.
Temporary Plan Information
Questions? Please call 1-800-848-7280.
- Regence BlueCross BlueShield of Oregon will administer TMIP for OHA.
- Your benefit plan will stay the same as your current OMIP plan.
- Premiums will be the same as your current 2013 rates.
- There will be no change in your provider (doctor) network.
- You will be required to meet a new deductible or max-out-of-pocket limitation.