Is Medicare a Valid Waiver in Ohio for Humana?

***Melmunch3*** · 10-06-2009, 04:44 PM

Does anyone know if medicare coverage is considered a valid waiver for participation purposes with Humana small group in Ohio?

ABC · 10-07-2009, 04:08 PM

Originally Posted by Melmunch3

Does anyone know if medicare coverage is considered a valid waiver for participation purposes with Humana small group in Ohio?

Humana I don't know but Anthem they are valid waivers.

DS4 · 10-09-2009, 02:30 AM

I would think Medicare coverage would be a valid waiver in all 50 states. HIPAA?

***Melmunch3*** · 10-13-2009, 03:45 PM

In the end, it is partly valid. Small group has a base participation requirement of 75% with an absolute floor of 50%. In the case of this group, they had 9 employees, three valid spousal waivers and two Medicare waivers.

Although 100% of eligibles would enroll, they did not meet participation with Humana, because of the 50% floor.

Too bad, had to go with Anthem!

ABC · 10-13-2009, 06:07 PM

Originally Posted by Melmunch3

In the end, it is partly valid. Small group has a base participation requirement of 75% with an absolute floor of 50%. In the case of this group, they had 9 employees, three valid spousal waivers and two Medicare waivers.

Although 100% of eligibles would enroll, they did not meet participation with Humana, because of the 50% floor.

Too bad, had to go with Anthem!

You must be selling in KY?