In the Spotlight: Open Enrollment is Here!
The 2025 Open Enrollment Period (OEP) is here! OEP provides you with an incredible opportunity to make a difference in the lives of those who need affordable healthcare coverage. We are happy to support you as you help consumers select a plan that is best for them.
We are proud to offer Affordable Care Act (ACA) Marketplace plans in 2025 that offer a wide range of benefits.
Most of our plans include:1
- Access to $0 unlimited virtual urgent care and low-cost in-person primary care2\
- $0 digital fitness from One Pass Select®3
- $8 or less tier 2 generic medications4
- $0 home delivery fee on a 3-month supply of most maintenance medications5
- $150 prepaid Visa® card reward for primary care provider (PCP) visit and account-related activities6
Consumers must enroll in a plan by Dec. 15, 2024, to have coverage effective on Jan. 1, 2025. OEP generally runs from Nov. 1 to Jan.15; however, for State-based Marketplaces (SBMs), please visit the specific state’s website noted below to verify enrollment dates.
Here’s how you can assist consumers enrolling in an ACA Marketplace plan:
Visit the OEP Selling Resources page on Jarvis to get all the tools you need, in one convenient location. To access the OEP Selling Resources page, go to Jarvis and select the quick link on the homepage or go to Knowledge Center > OEP Selling Resources.
For Federally-facilitated Marketplace (FFMs) enrollments, go to healthsherpa.com.
Remember, for SBM enrollments, please utilize the following websites:
- Colorado – connectforhealthco.com
- Georgia – georgiaaccess.gov or healthsherpa.com
- Maryland – marylandhealthconnection.gov
- New Jersey – nj.gov/getcoverednj
- New Mexico – bewellnm.com
- Virginia – marketplace.virginia.gov
- Washington – wahealthplanfinder.org
1The benefits described may not be offered on all plans or in all states. Some plans may require copayments, deductibles and/or coinsurance for these benefits. The policy has exclusions, limitations, reduction of benefits, and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, review the plan coverage documents, or call or write your insurance agent/broker or the company, whichever is applicable.
2Unless otherwise required, virtual care benefits are available only when services are delivered through a designated virtual network provider. Virtual visits are not intended to address emergency or life-threatening medical conditions and should not be used in those circumstances. Services may not be always available, or in all locations, or for all members. Check your benefit plan to determine if these services are available. Data rates may apply. Certain prescriptions may not be available and other restrictions may apply.
3One Pass Select® is a voluntary program featuring a subscription based nationwide gym network, digital fitness and grocery delivery service. The information provided under this program is for general informational purposes only
and is not intended to be nor should be construed as medical advice. Individuals should consult an appropriate health care professional before beginning any exercise program and/or to determine what may be right for them. Purchasing discounted gym and fitness studio memberships, digital fitness or grocery delivery services may have tax implications. Members should consult an appropriate tax professional to determine if they have any tax obligations with respect to the purchase of these discounted memberships or services under this program, as applicable. One Pass Select is a program offered by Optum. Subscription costs are payable to Optum.
4Pay $8 or less for a 1-month supply of preferred generic medications listed on the Prescription Drug List (formulary). Refer to your plan documents to determine the formulary medication tiers for your state, the tier cost shares and any deductible or out-of-pocket amounts that may be required. Only applies to in-network pharmacies. See plan documents for more information. Not available on all plans or in all states.
53-month fills apply to select maintenance medications only. Applicable formulary requirements such as prior authorization and quantity limits may apply to your pharmacy benefit.
6Members age 18 and over can earn up to a $150 reward on a prepaid Visa® card upon completion of eligible activities. To earn $50, they must complete the following activities: set up a UnitedHealthcare member account on myuhc.com/exchange, opt-in to all types of text messages, sign up for all paperless plan communications, and the subscriber of the plan signs up for Autopay of premiums on behalf of all members enrolled on the plan (not available in New Jersey and New Mexico). To earn $100, they must complete a primary care provider (PCP) visit. The PCP reward is earned after claim is processed and can take 6-8 weeks. Limit one reward per eligible member. Eligible members who are unable to participate in an available program may be permitted to earn the same reward by completing a reasonable alternative. Call the number on the back of your health plan ID card to learn more. If you receive access to certain reward funds with your Card, you agree to the terms and conditions available at HealthyBenefitsPlus.com/HealthPerks. Call 1-833-818-8692 for rewards balance. No Cash (except as required by law) or ATM Access. Fees and usage restrictions may apply. See cardholder terms for details. Issued by Citizens Alliance Bank, Member FDIC, pursuant to a license from Visa® U.S.A. Inc.
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