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Enrollment and Eligibility (ENR) FAQ

Guidance for FAQ regarding Premium Payment and Other

Program Area: Enrollment and Eligibility (ENR)

Question: Can a provider, such as a hospital or a physician, pay a member's policy premium temporarily to assist the member in avoiding losing health insurance coverage?

Answer: Please refer to the Third Party Payments of Premiums for Qualified Health Plans in the Marketplaces Guidance. http://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/Downloads/third-party-qa-11-04-2013.pdf

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: February 20, 2014

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.