Carriers

Prior to the launch of the Affordable Care Act (ACA), consumers could call their carrier to get help with enrollment, payments, changes to their plan, and updates such as an address change. After the ACA was implemented in 2013, the customer service model changed, requiring consumers in FFM states to deal with HealthCare.gov. Since eligibility determinations are made on HealthCare.gov, any policy changes had to be processed through the FFM, while billing remained a responsibility of the carrier, leaving consumers not sure where to go for help.

But with EDE, the power of outstanding customer service is now back in the hands of the carrier. Consumers can once again interact directly with the carrier to:

• Shop for and enroll in on-exchange plans all on one branded experience;
• Submit required documentation to the marketplace, such as proof of income and citizenship status, the lack of which could cost a consumer their eligibility. A loss in consumer eligibility is ultimately a loss to the health plan;
• Make premium payments;
• Report life changes and update their information; and
• Easily renew their coverage during open enrollment.

Carriers can implement a cleaner, higher converting, plan enrollment experience on their own web properties, agent tools, and customer service portals, for a seamless branded customer experience.

The GetInsured platform supports all individual insurer lines of business. We make it easy to find a plan that meets each consumer’s needs (and fits their budget, too). Through EDE technology, we help enrollees apply for tax credits without every leaving your site. It’s not just a pretty user interface. The GetInsured platform’s user experience embraces the science of decision making and retail e-commerce best practices.

Our Plan Management module makes it easy for you to add plans, and turn them on or off as needed. Our module supports group, individual, Medicare, short-term medical, and ancillary plans.