If you have another form of Minimum Essential Coverage (MEC), or Qualifying Health Coverage (QHC), you are not eligible for financial assistance through BeWell and might not be eligible for a plan through BeWell.
To confirm you do not have another form of QHC, you can submit one of the following documents:
- Letter or documentation from an employer with this information:
- Statement confirming the employer doesn’t currently offer you (or your family member) coverage
- Statement that the employer doesn’t provide qualifying health coverage
- Statement showing the cost of your share of the premium for the lowest-cost self-only plan that meets the minimum value standard (factoring in wellness incentives), if offered
- Health insurance letter with confirmation of health coverage and expiration dates for coverage received outside of BeWell.
- Letter or statement from a Medicaid agency, like the Health Care Authority, that shows you or your family members aren’t enrolled in or eligible for Medicaid.
- Letter or statement from a Medicaid agency showing you or a family member are enrolled in a Medicaid program that’s not considered QHC, such as:
- Medicaid coverage only for pregnancy-related services
- Medicaid coverage only for family planning services
- Medicaid coverage only for tuberculosis coverage
- Medicaid coverage only for emergency treatment
- Medicaid Demonstration Projects that cover a limited range of benefits
- Medicaid coverage for “medically needy” individuals whose income is too high for traditional Medicaid and covers a limited range of benefits (“Share of Cost” or “Spend Down” programs)
- Letter describing your recent health coverage, such as:
- The name of the Medicaid program you were enrolled in and when your coverage ended
- That you were never enrolled in Medicaid coverage
- The name of the Medicaid program with limited benefits you’re enrolled in that would still allow you to enroll through BeWell.
- Letter or statement from Medicare or the Social Security Administration stating you or your family members are:
- Not eligible for or enrolled in premium free Medicare Part A
- Eligible, but not enrolled in, Part A coverage that requires premium payments.
- (A Social Security document that shows you don’t pay a premium for “Medical Insurance” refers to Part B and is not acceptable for verifying eligibility for Part A)
- No longer eligible for Social Security Disability Insurance (SSDI) benefits, and your coverage has ended, or will end in the next 90 days
- Letter or statement from TRICARE that:
- Shows the expiration or un-enrollment date of previous health coverage
- Confirms ineligibility for health coverage
- Letter, statement, or other document indicating a life change event (such as a divorce) that would make you or a family member ineligible for TRICARE coverage
- Letter or statement from TRICARE or another government agency showing you or a family member are enrolled in a TRICARE program that’s not considered QHC. If you send document(s) verifying enrollment in one of these programs, you may be eligible for coverage and savings through BeWell:
- TRICARE Plus
- Direct care
- Line-of-duty care
- Transitional care for service-related conditions
- TRICARE coverage limited to space-available care in a facility of the uniformed services for individuals excluded from TRICARE coverage for care from private sector providers.
- Letter from the U.S. Department of Veterans Affairs with the expiration date of your previous health coverage
- Letter from the Peace Corps with the expiration date for any previous health coverage or a letter showing you never had this type of coverage
Do not submit your original documents—you should make a copy instead. You will need to log in to your BeWell account to submit these documents. Get instructions for how to submit a document to BeWell.
Questions? Call 833-862-3935, chat with us, or schedule a free appointment with a certified assister.
