© Copyright 2024 – Care N’ Care – All rights reserved. Y0107_24_144_M
Member FAQ’s
General Questions
Why is Care N’ Care not an available plan in 2025?
Updated Medicare Advantage (MA) requirements, as well as increasing market pressures, resulted in an untenable environment for smaller MA plans like Care N’ Care. As a result, Care N’ Care (HMO/PPO) elected not to offer a MA product in 2025.
What if a member did not enroll into another plan by 12/31/24?
Medicare disenrolled the member to Original Medicare unless they chose to enroll in another Medicare Advantage plan first. The former member (now beneficiary of Original Medicare) has a special election period (SEP) through 2/28/25 to enroll with another Medicare Advantage Plan. They must contact that plan or a sales agent to request enrollment. Alternatively, they can go to Medicare’s Online Enrollment Center and submit an enrollment request.
When was the last day members could utilize their benefits?
Medical and Pharmacy benefits ended midnight 12/31/2024.
When will CNChealthplan.com no longer be available?
CNChealthplan.com will remain up through 12/31/25. The Customer Experience team will also be available through 12/31/25.
How long will customer experience be accessible?
The Customer Experience team will also be available through 12/31/25. They can be reached at 877-374-7993.
Payments / Claims
Do I still have to pay my premium?
Members are responsible for their plan premiums for any month they were enrolled on the plan. This does not include benefit runout months in 2025.
Will Care N’ Care still accept reimbursement request?
There will be no change from existing processes. CNC will accept claim reimbursement requests up to one year after the date of service. Services paid by members on 12/31/2024 may be billed up to 12/31/2025.
When will Care N’ Care stop processing claims?
This is currently anticipated to be 12/31/2025.
When will be the last payout for NationsBenefit?
In 2024 members in the Southwestern Health Select HMO Plan were given $800 annually in Flex benefits to cover out-of-pocket costs for dental, hearing, and vision supplemental benefits. Any unspent Flex benefits expired at the end of 2024.
In 2024 members in the Southwestern Health Select HMO Plan could earn up to $750 annually in Rewards benefits for completing certain preventive health screenings and wellness activities. Rewards benefits were accrued as earned. As Care N’ Care will continue to process runout of claims in 2025 for services received in 2024, some members will earn rewards in 2025. Any unspent Rewards benefits will expire at the end of 2025.
What will happen to me if I am receiving inpatient care that rolls over to 2025?
CNC is responsible for the services the member receives until discharge.
Portals
Will I have access to the Member Portal after 12/31/24?
We anticipate supporting the member portal throughout the runout period until 12/31/2025.
Member Notification Letter
