What if the carrier has not processed an application by the requested effective date, and the employee or a family member needs to see a physician contracted by that carrier?
It is important to check with the physician’s office before the scheduled visit to find out whether they will see the patient without an ID card. Some physicians will honor a copy of the application. However, carriers cannot force the physician to accept a copy of the application as validation of health insurance coverage. It is up to the individual physician. In fact, a physician may deny services to a new patient without an actual ID card. Others may see the patient on a “fee for service” basis with the patient responsible for payment for that service until the coverage takes effect.
Related Questions
- What if the carrier has not processed an application by the requested effective date, and the employee or a family member needs to see a physician contracted by that carrier?
- I processed a status change for an employee with an effective date that was during the pay period; now the timecard only shows part of the pay period. What happened?
- Within how many days of the requested effective date must an application to add, adjust or terminate an employee be submitted?
