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Health Insurance 101
We’ve outlined everything you need to know before diving into the health insurance shopping period.

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  • Make a payment
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FAQ


 

Frequently Asked Questions


When is my premium payment due and how can I make a payment?

You will need to pay the following month’s premium by the 20th of the month before.

You can either make your payment online through the Friday member portal/ mobile app, the Pay Now form, or over the phone at 844-521-7999. You can also email questions@fridayhealthplans.com, and a friendly Friday Health Plans representative will call you back within a few hours. Just leave your name, phone number, and the best time to reach you.

When can I buy health insurance?

The annual open enrollment period starts on November 1. However, if you experience a “qualifying life event” at any time of year, you may be able to purchase health insurance. These events include getting married, divorced, moving, leaving a job, and more. You’ll need to provide documentation to prove your qualifying life event. For example, if you have a baby on July 2, you can enroll your child in your plan starting that day. Learn more about Qualifying Life Events and Special Enrollment Period details.

Do I qualify for a government subsidy?

You might be surprised to learn you do qualify for financial assistance with your monthly premiums. Individuals who earn less than about $54,360 annually qualify, as does a family of four earning less than about $110,000.  Visit healthcare.gov

How can I get reimbursed for out-of-pocket expenses?

To get reimbursed, please send a copy of your receipt and SuperBill (that you can request from your doctor) to questions@fridayhealthplans.com with your name, date of birth, phone number, and email.

For breast pumps, you can submit a receipt and prescription to questions@fridayhealthplans.com with your name, date of birth, phone number, and email.

How can I get reimbursed for a COVID-19 home test?

  1. Fill out the Capital RX Prescription Drug Claim Form
    • Please include an image of the COVID-19 test kit package with a visible barcode. 
    • You will also need to submit an image of the receipt. If you have multiple items on the receipt, please circle the test for ease of processing.
  2. Once the form is complete, you can send it by email or mail to:

By mail:
Capital Rx, Inc.
Attn: Claims Dept.
9450 SW Gemini Dr., #87234
Beaverton, OR 97008

By email: dmr@cap-rx.com

How do I change my personal contact information?

If you purchased your plan on the exchange, please call 1-800-318-2596. If you bought your plan directly from Friday, please write us at questions@fridayhealthplans.com with your updated information.