Subsidized Health Plans Through Exchanges Have Three-Month Grace Period For Lapsed Payments; Physicians At-Risk Of Non-Payment

Starting January 1, 2014, people covered by subsidized Qualified Health Plans (QHP) sold through state and federal health insurance exchanges who fail to pay timely premiums will have a three-month grace period before the health plan cancels the plan, which may leave physicians unpaid for care provided during the grace period. If the individual receives care during the lapsed-payment grace period, the health plan will be responsible for paying claims during the first month of that grace period. The health plan will notify provider organizations who submit claims for services rendered during the second and third months of . . .