As a non-profit, Community Health Options is a health insurance organization founded on a simple premise - prioritize people over profits. We first started developing this idea in 2011 in Lewiston, Maine. Almost ten years later, we are celebrating our progress with a fresh, updated brand look.
While our look is new, our mission will never change. We believe that meaningful partnerships with Members, businesses and health professionals will improve the quality of health benefits, reduce costs and create a community of healthcare. Our new logo represents that community. The bright colors reflect the optimism we feel as we build towards our collective future.
Our local communities, our state and our world have experienced unprecedented health and safety challenges this year, and we are committed to serving our members with expertise, accuracy and compassion through a pandemic and far beyond. As we prepare for the 2021 open enrollment season, we strive to keep costs low while bringing high quality healthcare benefits to the market. We are a healthcare carrier with a human touch, and we value each of you as a Member of our community.
As always, we are here for your health benefit needs. Please contact Member Services at (855) 624-6463, Monday through Friday, 8 a.m. to 6 p.m. or use our contact form.
The Affordable Care Act’s Commercial Risk Adjustment (“RA”) program equalizes risk for individual and small group plans inside and outside the Marketplace. Health Options complies with this program and its requirement to verify that Members with specific chronic illnesses have an annual provider visit during which their illness is documented. We frequently need to request copies of Members’ medical records for that purpose.
You can reduce the number of RA-related record requests you receive by including appropriate ICD-10 coding on claims. Additional information about Risk Adjustment, including tips to improve clinical documentation, is available here. Be aware that this will not affect the quantity of requests for records Health Options needs for HEDIS (Healthcare Effectiveness Data and Information Set), which is a separate program with different information requirements.
We appreciate your prompt response to our record requests.