The Supplemental Trust does not provide medical insurance. Please refer to your Plan Booklet, pages 11-20 for more information. If you are eligible to enroll in Medicaid, please visit your applicable State’s Medicaid website. You can apply for Medicaid at any time throughout the year. If you are unsure if you qualify for Medicaid, you can check on healthcare.gov. If you are enrolled in Medicare, please visit the Medicare Page for more information.
The information provided on this page assumes you are eligible to receive Supplemental Trust assistance. If you are unsure if that is true for you, please refer to your Plan Booklet. If you are looking for information regarding coverage for 2018, please visit the 2018 Enrollment Materials Page until October 31, 2018. Beginning November 1, 2018, you will not be able to make changes to your 2018 Marketplace enrollment.
Information on this page will be updated as more information and guides become available. Last updated: October 17, 2018.
Open Enrollment for 2019 begins on November 1, 2018, for coverage beginning January 1, 2019.
There are opportunities to meet with the Healthcare Enrollment Team in person at an education event or education seminar. Call the Trusts' Healthcare Enrollment Team at 503-303-5668 (Portland Metro Area) or toll free 1-855-437-2694 to learn more and RSVP!
If you have experienced life changes, such as loss of previous job based-coverage or experienced a change in income that makes you no longer eligible for Medicaid, you may qualify for a Special Enrollment Period. To see if you qualify for a Special Enrollment Period, visit the screener at Healthcare.gov.
For medical coverage, you can enroll into any insurance plan you would like to on the Marketplaces. However, if you are a Supplemental Trust eligible participant, in order to receive benefits from the Trust, you must select one of the Trust-Approved plans applicable to your State.
As Trust-Approved Plans are decided for 2019 they will be listed here. Last Updated: October 3, 2018. Check back in late October of 2018 for more information.
- For participants that reside within the 2018 Oregon or Washington Kaiser Service Area: Kaiser Permanente $2,500 Deductible Silver 2500/30 HMO Plan will be the Trust-Approved Plan for 2019. The Oregon plan ID is 71287OR0420011, and the Washington plan ID is 23371WA1760002.
Regardless of how and when you enroll, to include Special Enrollment Periods, the process and paperwork are listed below. If you are already enrolled in medical coverage, but need to finish the steps, the process and paperwork are the same as listed below. If you need to report changes to the Marketplace, please remember that you will need to complete steps three (3) through eight (8) below.
Complete these steps to enroll into medical coverage through the Marketplaces Oregon Checklist Guide PDF -English, Spanish, Russian, Vietnamese, Chinese or Washington Checklist Guide PDF - English, (more languages coming soon).
- Review the Trust-Approved plans and find the Trust-Approved plan for your area. (COMING SOON) Note the plan name and plan ID number.
- Fill out the required annual pre-enrollment paperwork securely using DocuSign. If you need assistance using DocuSign, please use this guide.
- Oregon and Washington Inside the Kaiser Service Area: English, Russian, Spanish, Chinese, Vietnamese
- Oregon and Washington Outside the Kaiser Service Area: English, Russian, Spanish, Chinese, Vietnamese
- California and Idaho: English, Russian, Spanish, Chinese, Vietnamese
- If you still need to submit paperwork, please visit the Additional Materials Pre-Enrollment section and select the link the applies for you.
- Choose and complete an option to enroll.
- Oregon internet option: COMING SOON
- Washington internet option: COMING SOON.
- Oregon and Washington: If you are enrolling for the first time and have questions about the best Trust-Approved plan for you, set up an appointment with Valley Insurance Professionals.
- Idaho and California: refer to your State Exchange for proper steps.
- Make sure the Trust Administrative Office gets your new premium information through the Enrollment Information Form to start processing or to update your benefits. If you need assistance filling out the information, please refer to the Guide to Fill Out the Enrollment Information Form.
- Pay your medical premium.
- Pay your first month's premium to your insurance carrier to activate your insurance.
- If you are re-enrolling into the same carrier, you should receive your January premium to pay in mid-November. If you do not, reach out to your medical insurer to make sure everything is ok.
- Review your eligibility notice from the Marketplace and respond to any Marketplace requests for information.
- Get your new medical ID card.
- Do not lose coverage - set up recurring payments for your monthly premiums.
Additional Materials you may find useful to assist your Marketplace enrollment.
- If you still need to submit previous paperwork, please select the link(s) that applies for you:
- 2018 Oregon and Washington Inside the Kaiser Service Area: English, Russian, Spanish, Chinese, Vietnamese
- 2018 Oregon and Washington Outside the Kaiser Service Area: English, Russian, Spanish, Chinese, Vietnamese
- 2018 California and Idaho: English, Russian, Spanish, Chinese, Vietnamese
- 2017 Oregon and Washington Kaiser Service Area: English, Spanish, Vietnamese, Russian
- 2017 Oregon PacificSource plans: English, Spanish, Vietnamese, Russian
- 2017 Oregon BridgeSpan plan: English, Spanish, Vietnamese, Russian
- 2017 Washington plans, California Anthem plan and Idaho PacificSource plan: English, Spanish, Vietnamese, Russian
Additional Materials to assist you after your Marketplace enrollment.
- Benefit Convenience Card Frequently Asked Questions - Revised October 2017 - English, Spanish, Russian, Vietnamese, Chinese
- Benefit Convenience Card Affidavit: PDF versions - English, Spanish, Vietnamese, Russian or DocuSign versions: English, Spanish, Vietnamese, Russian, or Chinese
Below are answers to several common questions about the enrollment process and receiving benefits from the Trust.
Q: How do I set up automatic payments?
A: Your premium is due by the first of the month for that month’s insurance, so it is highly recommended you set up automatic payments to make sure your premium is paid on time. If you don’t make your premium payment on time, your insurance carrier can cancel your insurance for the rest of the year.
For Kaiser, once your first premium payment has been processed, Kaiser will create a new online member account for you that will allow you to set up automatic payments for the rest of the year. Visit kp.org for more information.
For PacificSource, you can set up automatic payments through the PacificSource website. More information about payment options, including setting up automatic payments online, is available from PacificSource’s website.
For Moda, once your first premium payment has been processed, you can call Moda customer service at 1-503-265-4709 or toll-free at 1-888-786-7509, identify yourself as a homecare worker and let them know you need to pay your monthly premium. Moda does not currently accept automatic payments, and you will need to remember to call in to make your payment every month no later than the due date. Many participants set up calendar reminders to make sure they do not miss making a premium payment.
For Providence, once your first premium payment has been made you can set up automatic payments by calling Providence billing at 503-574-5791. You can also pay your premium online - first time premium payment use this link and select New individual & family applicants. Once your account is set up you can pay through your Providence account.
Q: Where do I find my monthly premium bill?
A: To make sure your premium payments are made on time, make sure to check your mail for monthly bills and information from your carrier. If you are not receiving a paper copy of your bill from your carrier every month, you may be receiving your bill in an online account. For assistance in finding and monitoring your monthly bill, you can contact your carrier; see the additional contacts page on the Trust website for the best contact information for your carrier.
Q: There are no phone appointments available on the website scheduler. What should I do?
Please call the Healthcare Enrollment Team at 503-303-5668 (Portland Metro Area) or toll free 1-855-437-2694 right away.
Q: Am I required to enroll in one of the Trust-approved plans?
A: No, you can select any plan on the Marketplace. However, if you are eligible and would like to be eligible for premium assistance and out-of-pocket assistance under the Supplemental Trust, you must enroll in one of the Trust-approved plans on the Health Insurance Marketplace. Refer to your Plan Booklet--available in English, Spanish, Vietnamese, or Russian--for more information.
Q: I am currently receiving the Average Premium Reimbursement, what should I do if I want to receive Supplemental Trust benefits?
A: To continue to receive Trust benefits, you need to enroll into a Trust-Approved plan immediately. Open enrollment is from November 1, 2018, to December 15, 2018, and you need to take steps to enroll into a Trust-Approved plan if you would like to continue to receive benefits in 2019 and are otherwise eligible. Otherwise, your reimbursement benefit under the Trust will end in December of 2018.
Q: I appealed last year and was allowed to select another Trust-approved plan, what should I do if I want to continue to receive Supplemental Trust benefits?
A: If the plan you enrolled in is still a Trust-Approved plan for 2019, the decision on your appeal still stands. You will need to review the information on this page to make sure that you take the appropriate steps to continue to have medical insurance and receive Trust benefits. You are also encouraged to review the 2019 plan summary and provider networks to make sure this option still works for you.
Q: I have a Benefit Convenience Card from last year and I am still eligible, can I use it to pay my premiums next year?
A: Yes! You can use your Card to pay for your insurance premiums as long as you are eligible.
Q: I am enrolling for the first time, how do I pay my first premium?
A: You can pay your first month’s premium and submit your new plan information to the Trust administrative office using the Enrollment Information Form if you or your assister has not already done so, as long as you are eligible. Once the Trust receives your enrollment information, it will verify your eligibility and issue you a check. It will also start the process to send you a Benefit Convenience Card from Ameriflex. It is your responsibility to pay the first month's premium by the due date, so make sure that you or your assister are submitting your information to the Trust Administrative Office as soon as possible. If you need assistance with paying your first month's premium and you have not yet received your reimbursement check, you can call the Trust Administrative Office at 1-844-507-7554, Option 3, Option 2.
Q: My Benefit Convenience Card didn't work to pay my premium, what should I do?
A: If you attempted to use your Benefit Convenience Card to pay your eligible premium and your Card was denied, call the Trust Administrative Office at 1-844-507-7554, Option 3, Option 2 right away. Please note the Trust Administrative Office is experiencing a very high volume of calls, so please leave only one message with your name, best phone number, question, preferred language if other than English, and whether or not it is ok to leave you a detailed message.
Q: My Benefit Convenience Card didn't work to pay for my out-of-pocket costs, what should I do?
A: If you attempted to use your Benefit Convenience Card to pay your eligible out-of-pocket costs and your Card was denied, reach out to Ameriflex, the Card administrator, at 1-888-868-3539 for assistance. You will want to identify yourself as a Homecare Worker with the Trust and have your Card, the date and type of service you were attempting to pay for and what happened with you at the time of the call.
Q. I have medical bills from last year. Can I pay them with my Benefit Convenience Card?
A: You may only use the annual reimbursement benefit on your Benefit Convenience Card to pay covered expenses for services received in the same year to which the reimbursement benefit applies. If you receive claims from a previous calendar year you will need to utilize the reimbursement process. For more information, please see the Benefit Convenience Card Frequently Asked Questions - English, Spanish, Russian, Vietnamese, Chinese.
Q: I enrolled in a Non-Trust-approved plan, what should I do if I want to receive Supplemental Trust benefits?
A: If you became Trust-eligible outside of open enrollment and already have coverage under a plan, you may qualify for the Supplemental Trust’s average premium reimbursement benefit. Refer to pages 11-12 of your Plan Booklet, and if you qualify, you can submit your information to the Trust Administrative Office for review via the reimbursement process. If you became Trust-eligible for the first time in 2018, you may be eligible for reimbursements through the above process. You need to enroll in a Trust-Approved plan during your first available opportunity, or no later than Open Enrollment that begins November 1, 2018 for medical coverage beginning January 1, 2019 if you are still Trust-eligible and would like to continue to receive benefits from the Supplemental Trust.
Q: I need to file my taxes. How do I get a copy of my 1095?
A: If you have any questions or concerns about your 1095, you can look to see if it has been posted in your account on Healthcare.gov, or you can call the Marketplace at 1-800-318-2596 for additional information. More resources can be found on Healthcare.gov/taxes. You can also find more information about your advance premium tax credit here.