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Frequently Asked Questions about my Health Plan


How do I get my ID card?

Obtaining your health insurance ID cards is a crucial step in ensuring seamless access to healthcare services. Generally, these cards are dispatched within 1-2 weeks after the payment of your first month's premium. However, if you find yourself in need of a digital copy or your ID number for a medical visit before the physical card arrives, our office is here to assist you. A simple call or text to our office can provide you with the necessary information promptly. Alternatively, you can conveniently access a digital copy of your ID card by logging onto your portal using your smartphone. This user-friendly option ensures that you have quick and convenient access to your essential health insurance details, even while waiting for the physical card to arrive. Your health and well-being are our priorities, and we strive to provide you with the best service possible.








Is your doctor and hospital in network?

​Knowing whether your doctor is in-network or exploring options for a new healthcare provider is essential for a smooth healthcare experience. At Utah Avenue, we're dedicated to assisting you in this process. To determine if your current doctor is within your insurance network, you can reach out to our support team for guidance. Alternatively, accessing your online portal can provide you with a comprehensive list of in-network doctors available to you. If you're considering a new doctor, the portal also enables you to search for healthcare professionals who align with your preferences and needs. We're committed to making your healthcare journey as convenient as possible, offering the information and resources you need to make informed decisions about your medical care.


Is your prescription covered?

Understanding your prescription coverage and exploring options for medications is crucial for managing your health effectively. At Utah Avenue, we're here to support you throughout this process. To determine if your prescribed medication is covered by your insurance, our dedicated support team can provide you with the necessary information. Alternatively, you can conveniently log into your online portal to access the medication formulary. This comprehensive list outlines the medications that are covered by your plan, helping you make informed decisions about your prescriptions. If you're looking for alternatives or need assistance with finding cost-effective options, we're here to help guide you. Your health and well-being are our priorities, and we're committed to providing you with the resources you need for a seamless healthcare experience.


I heard that I can get my inhaler, insulin and Dex Com pump for free now, is that true?

​Certain health plans offered on the Marketplace provide affordable, and in some cases, even free coverage for essential items like inhalers, insulins, continuous glucose meters such as Dexcom, FreeStyle, and OneTouch, as well as diabetic supplies and related equipment. While the items mentioned here highlight just a few of the low-cost benefits available, there are more to explore. To gain a deeper understanding or to check if you're eligible for these advantageous benefits, please don't hesitate to get in touch with our team of knowledgeable agents. We're enthusiastic about offering our assistance, and it's important to note that our support is always provided free of charge. Your well-being is our priority, and we're here to help you access the benefits you deserve.


Currently Enrolled with this plan? Log into your portal.

You can access your client portal through the provided link below. Many companies also offer a convenient mobile app that you can download onto your smartphone. For comprehensive insights into your health insurance, the member portal is your go-to resource. Within the member portal, you'll find effortless access to crucial information about your plan, claims, deductible, out-of-pocket expenses, ID cards, and more. Additionally, you have the flexibility to update your payment details directly within the member portal. To get started, simply create an account and log in by clicking the member portal link provided. If you encounter any difficulties while logging in, feel free to reach out to us via phone, and we'll be more than happy to assist you.


Premium Payments

The premium payment represents the monthly fee required for your health insurance plan. Typically, this payment is expected on the first day of each month. Before your plan commences, the initial premium, often referred to as the binder payment, must be settled. It's important to monitor your account to ensure the premium is successfully deducted. Most insurance carriers accept payment via bank accounts, debit cards, and credit cards. If you require modifications to your payment account, you have the option to either log into your portal or reach out to our office for assistance. Your payment convenience and clarity are our priorities, and we're here to support you every step of the way.

Why does Healtcare.gov keep emailing, calling and sending so many letters? How do I get it to stop?

You may have already noticed that following your enrollment in your plan, you might receive emails, phone calls, or letters from the Marketplace or healthcare.gov. This communication is prompted by the potential requirement for additional documentation to verify aspects such as your income, citizenship, or immigration status. As your designated agent, we are here to alleviate this process for you. Our role involves the submission of all necessary documentation on your behalf, and we'll promptly notify you if any further information is required. If you happen to receive any additional notices or calls, kindly inform them that your agent is handling the matter and conclude the conversation. We kindly request that you refrain from making any alterations or submitting documents directly to healthcare.gov, as this could negatively impact your coverage. To securely share your documents, please utilize the link provided below. It's important to remember that our agent services come at no cost to you. Your peace of mind and ease of navigation through this process are our utmost priorities.


I've been told I don't qualify for plans by other agents and healthcare.gov. How can Utah Avenue Insurance help when no one else can?

Utah Avenue Insurance offers you more than just a skilled agent – we provide you with the full support of our entire team, dedicated to ensuring you receive the complete range of entitled benefits. With our daily training sessions covering plans, benefits, regulations, and evolving health insurance dynamics, we stay ahead of the curve so you don't have to. We meticulously analyze the intricacies of numerous Marketplace rules, securing for you a well-crafted plan that's both effective and affordable. Backed by our capable staff, we oversee the smooth submission and approval of all essential documents and forms. Your trust in us to guide you through your health insurance journey is deeply valued and appreciated. We're committed to delivering the best solutions and peace of mind as you navigate the complexities of insurance.


Deductible? Copays? Coinsurance? What does it mean?

Familiarize yourself with essential health insurance terminology to gain a clearer grasp of your plan. Rest assured, it's common not to be well-versed in these terms and their implications for your coverage. That's where we come in – to offer our expertise. Should any terms be overlooked or if you prefer a conversation over reading, please don't hesitate to reach out to us. We're here to provide guidance and address any questions you might have. Your understanding is crucial, and we're dedicated to ensuring you're well-informed and confident about your health insurance journey.


Learn more about this plan and if you qualify for lower monthly premiums

Determine your eligibility for subsidies that can lead to reduced monthly premiums. The majority of families often qualify for these lower premium options. Obtain a personalized quote for yourself and your family or schedule a meeting with a local Utah health insurance agent. We offer the flexibility of booking appointments over the phone, virtually, or in person at our office. Your convenience and financial well-being are our priorities, and we're here to assist you in exploring the best options for your health insurance needs.

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