Frequently Asked Questions (FAQs)
What is Marketplace Insurance?
The Health Insurance Marketplace, associated with the Affordable Care Act (ACA), provides a platform for individuals, families, and small businesses to compare and enroll in health insurance with potential financial assistance based on income.
The Health Insurance Marketplace, associated with the Affordable Care Act (ACA), provides a platform for individuals, families, and small businesses to compare and enroll in health insurance with potential financial assistance based on income.
Where does 22 Health currently offer health insurance?
22 Health currently offers health plans in Broward County, Florida.
What is a Primary Care Physician (PCP)?
A primary care physician (PCP) is the doctor who helps you with most of your health care needs.
How do I change my Primary Care Physician PCP?
To change your Primary Care Physician, call us Monday to Friday, 8 a.m. – 5 p.m., at 1-866-357-4082 , TTY / TTD 711.
I need to see a specialist. How do I find one?
To find a specialist or provider, go to the Provider Directory on our website. If you need help, you can call us Monday to Friday, 8 a.m. – 5 p.m., at 1-866-357-4082, TTY / TTD 711.
Can I go to a doctor not listed in the directory?
If you choose to see a doctor who is not an in-network 22 Health provider, your costs will depend on your plan type. Most Marketplace plans, like HMOs and EPOs, only cover care from in-network doctors and facilities, except in emergency situations. If you use an out-of-network provider under these plans, you will likely have to pay the full bill.
PPOs and some POS plans may cover out-of-network doctors, but you’ll usually pay more.
The No Surprises Act protects you from unexpected bills in certain situations, like emergency services or when you’re treated by an out-of-network provider at an in-network hospital, but it does not apply if you voluntarily choose to see an out-of-network doctor for routine care.
To avoid unexpected costs, we recommend checking our provider directory or calling us Monday to Friday, 8 a.m. – 5 p.m., at 1-866-357-4082 , TTY / TTD 711, before scheduling an appointment.
Who do I call with questions, concerns, or complaints?
You can call us directly Monday to Friday, 8 a.m. – 5 p.m., at 1-866-357-4082, TTY / TTD 711. You can also call Marketplace, then choose “Report a Complaint”.
When do I get my new member kit?
New member welcome kits should arrive within seven (7) days of your effective date with the plan.
How do I know which doctor(s) I can go to?
To find in-network providers, go to the Provider Directory on our website. If you need help, you can call us Monday to Friday, 8 a.m. – 5 p.m., at 1-866-357-4082, TTY / TTD 711.
How do I get Behavioral Health services?
For Behavioral Health services, please call 22 Health Member Services at 1-866-357-4082, TDD/TTY 711.
I have questions about my medication?
For questions about medications and prescriptions, please call MedImpact at 1-888-807-5695, Monday to Friday, 8 a.m. – 5 p.m.
How do I get Vision Care?
For vision care, please call 22 Health Member Services at 1-866-357-4082, TDD/TTY 711.
Are member materials in other languages?
Yes, member materials are available in other languages. Please contact our customer service number at 1-866-357-4082 (TTY: 711) Monday through Friday from 8:00 AM a 5:00 PM EST.
Esta información está disponible gratis en otros idiomas. Por favor contacte a nuestro departamento de servicio al cliente al 1-866-357-4082 (TTY: 711) de lunes a viernes desde las 8:00 AM a 5:00 PM EST.
Enfòmasyon sa a disponib nan lòt lang yo. Tanpri kontakte depatman sèvis manm nou an nan 1-866-357-4082 (TTY: 711) Lendi jiska Vandredi de 8:00 AM a 5:00 PM EST.
How do I get a provider directory?
You can download a copy of our provider directory on our website. You can also receive a copy of our provider directory by calling us at 1-866-357-4082, TTY / TTD 711, Monday to Friday, 8 a.m. – 5 p.m.
How can I pay my premium?
22 Health premiums can be paid through our IVR system. Call us at 1-866-357-4082, TTY / TTD 711.
Since 22 Health plans are HMOs, does that mean I need referrals to see specialists?
22 Health members have direct access to in-network providers, including certain specialty services, without the need for a referral.