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HIV and Enteropathy
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Iowa State Insurance Exchange
Exchange:
 
The Iowa Insurance Exchange (Marketplace) is called the Iowa Health Benefit Marketplace. The Iowa Health Benefit Exchange is a Partnership Marketplace jointly administered by the State and federal government, under the Department of Health and Human Services (HHS).
General information about the Iowa Health Benefit Exchange can be found at: http://www.iid.state.ia.us/useexchange.
Learn more: Background
 
Patients:
 
The Iowa Health Benefit Exchange is essentially a marketplace for individuals to shop for health insurance if they do not already have insurance coverage from another source. If individuals have insurance from another source such as employment, retirement benefits, or spousal benefits, they do not need to obtain it from the Marketplace.
HIV Providers:
 
Providers must contract with each of the Qualified Health Plans offered in the marketplace individually to participate fully in the Iowa Health Benefit Exchange.
This process is similar to enrolling in insurance or managed care organization provider networks. See below the list of insurers participating in the Iowa Health Benefit Exchange, and information about contacting them.
As an HIV provider, you may qualify for designation as an “Essential Community Provider (ECP).” The Qualified Health Plans participating in the Insurance Exchange (Marketplace) are required to contract with a minimum number of ECPs and Specialists to ensure network adequacy.
Visit our Provider Resources Section for more specific instructions to assist you in contacting health plans.

Learn More: Health Reform & My Practice
Reporting Problems:
 
The state office of insurance is primarily responsible for examining and addressing issues with the plans offered within the state Exchange (Marketplace), and the companies that offer them. If you are experiencing problems as a medical provider with the plans or companies in the state exchange, or if your patients are experiencing problems with the plans or companies in the state exchange, including trouble with access to medications, access to preferred providers, navigating the appeals process, excessive costs, or possible discriminatory policies, or any other problems related to the Affordable Care Act, please report these problems to the state office of insurance: 
 
Iowa Insurance Division
601 Locust St., 4th Floor
Des Moines, IA 50309-3738
808-955-1212

www.iid.state.ia.us/
Complaints: www.iid.state.ia.us/file_a_complaint
 
 
Additionally, if you are experiencing these or other problems, please report these problems to AAHIVM, so that we may track issues affecting our members, and seek additional policies remedies. 
 
 
Qualified Health Plans Participating In the Exchange:
 
Below is a list of the Qualified Health Plans that have publically announced that they will offer plans in the Iowa Health Benefit Exchange.
Iowa has established Wellmark- Blue Cross Blue Shield as the “benchmark” plan.
This list is being routinely updated, and may change as insurers join or drop out of the exchange. Please check back for updates.
Avera Health Plans
Plan Website: http://www.avera.org/  
Provider Enrollment: http://www.avera.org/careers/   
Plan types offered: Individual, SHOP
 
CoOportunity Health
Plan Website: http://www.cooportunityhealth.com/default.aspx           
Plan types offered: Individual, SHOP
 
Coventry Health Care of Iowa Inc.
Plan types offered: Individual
 
Coventry Healthcare of Iowa
Plan Website: http://chciowa.coventryhealthcare.com/               
Plan types offered: Individual
 
Gundersen Health Plan, Inc.
Plan Website: https://secure.gundersenhealth.org/marketplace             
Provider Enrollment: https://secure.gundersenhealth.org/our-system/contact-us         
Plan types offered: Individual, SHOP
 
Health Alliance Midwest, Inc.
Provider Enrollment: https://www.healthalliance.org/forms-and-resources#tab-5         
Plan types offered: SHOP
 
Sanford Health Plan
Plan types offered: SHOP
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