February 27 2018

Emailing customer service, recurring payments, and specialist referrals: YOUR Questions Answered

Health insurance can be pretty darn tricky. And so, not so surprisingly, our Colorado-based customer service team gets some great questions from you folks each week.

Long story short, we figured many of you would benefit from seeing the answers to the most common questions we get each month. So that’s what we’re doing in this post.

We work hard to make health insurance easy, but if you get confused by some of the terminology, check out our glossary of terms here.

If there’s a question you have that we didn’t answer below, please give us a call at: 800-475-8466. We’d be happy to help!

What’s the best email to get in touch with the Friday customer service team? What’s the typical response time?

If you’d rather ask questions and get help over email, you can reach our friendly customer service team via email at: custsrv@fridayhealthplans.com

We take pride in responding to your requests fast and effectively. As is the case with voice messages, one of our customer service folks will respond to you within 24 hours of your message.

Do I need a referral to see a medical specialist?

You do not need a referral from your primary care doctor to see a medical specialist, like an orthopedist, physical therapist, or heart specialist. However, remember you MUST see a specialist who is in the Friday Health Plans network, otherwise you won’t be covered. Search for a convenient, in-network specialist using our provider search.

Please also keep in mind that you will be required to pay your plan’s copay, or the flat fee, for the specialist visit. This copay varies based on your specific Friday health plan, so be sure to review your plan details on your member portal before your visit.

As always, please give our customer service team a call with any questions about your plan: 800-475-8466

When is my monthly premium payment due?

Your premium payment is due before the month of service starts. So for April, your payment should be submitted in time for us to process it before April begins–about the 20th of March.

Depending on the circumstances, your health plan may be canceled if we don’t receive your premium payment on time. And once your health plan is canceled, that means you will likely have to wait until open enrollment to re-enroll in a health plan. In other words, you won’t have a health plan for the year of 2018. Not great.

But here’s the good news: There’s an easy way to make sure you stay on top of your payments: On the Member Portal, you can enter a credit card or bank account for automatic on-time payments, making sure your coverage stays put.

If you have questions about setting up recurring payments or the status of your payment, feel free to give us a call.

How do I create my Friday member portal account?

To log into the Friday member portal to track your claims, access Teladoc, and set up your payments, please use this link. From there, you’ll be able to create a Friday username, and log into your account using the number on your member ID card.

What does health insurance mean for my taxes?

As you know, under the ACA most Americans must buy health insurance each year. If you go three full consecutive months without health insurance, you get fined by the IRS.

So, to prove that you had health insurance this past year, the IRS requires you include one of three forms when filing your taxes: 1095-A, 1095-B, and 1095-C. These forms are filled out by your insurance company and then sent to you.

Each of these forms indicates the months you had health insurance coverage:

  • 1095-A: You’ll use this form if you bought your health plan through Connect for Health Colorado. Connect for Health Colorado should have sent this form to you directly in the mail.
  • 1095-B: You’ll use this form if you bought your health plan directly from us. You’ll also use this form if you are part of a small group. If you haven’t received this form in the mail, please reach out to our customer service team. This should have been mailed to you.
  • 1095-C: You’ll use this form if work for a Qualified Large Employer and you get health insurance through your job. Please coordinate with your employer if you haven’t received this yet.

How do I access Dispatch Health?

Dispatch Health is an in-network healthcare service that provides on-demand urgent care in the convenience and comfort of your own home. Dispatch currently serves the Denver and Colorado Springs service areas.

Please visit this page to see if Dispatch Health serves your area and to learn how to use their services.

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