Resources for Individuals




Community Health Options® takes pride in being a resource to our Members and communities. This page provides you with up-to-date information about the health insurance marketplace, assistance available, consumer protections, and other health insurance topics. Some of these links will take you to other web sites you can explore and others are PDFs regarding key topics that you can download.

If you have questions about other topics not listed on this page, please visit our Frequently Asked Questions.

 

Resource Links:

Enrolling & Choosing Plans

 

Getting the Most Out of Your Membership

  • Member Portal - If you have not set up your Member portal, click the link for simple, step by step instructions. 

  • Rx Savings Solutions - Community Health Options has partnered with Rx Savings Solutions to provide you with a no-cost benefit that helps you and your family save money on prescription medications. Learn more about Rx Savings Solutions and start saving money today.
  • Pharmacy Benefits - Filling prescriptions made easy with information on our prescription drug benefits that fit your needs.

  • Express Scripts Registration Guide - Online access to prescription savings and convenience.
  • Understanding Your Medical Benefits - General information about your Community Health Options plan, including where to go for your healthcare.

  • PPO vs. HMO -Information outlining the basic differences between PPO (Preferred Provider Organization) and HMO (Health Maintenance Organization) plans.

  • Our Behavioral Health Approach - Health Options firmly believes in treating the whole person- that includes physical health, mental health, and substance use disorder services.  Find out more here. 

  • Preventive Services – We want to support and encourage your efforts to protect and promote you and your family’s greatest asset, your health. Many preventive health care services including screenings, checkups and counseling cost you nothing.

  • Wellness and Prevention - Information about our wellness program, to help in achieving better health overall.​
  • Health Insurance Glossary - Many commonly used terms are defined.

  • Annual Meetings  As a member, you will have the opportunity to attend our annual meeting in person at our office in Lewiston or via webinar. An audio recording of the November 17, 2016 annual meeting is available for audio streaming now.

  • Safe Use of Prescription MedicationsStudies show that more than half of the adults in the U.S. take at least one prescription and that 20% are taking at least five. Here are some simple ideas you can use to stay organized and track your medicines.

  • Wellness Assessement Instructions - Take a step towards better health by completing your wellness assessment today.
  • Setting up and Managing the Online Payment System - We've put together a quick guide, and video to show you how to set up, edit, or delete your auto pay plan. 


Understanding Health Insurance, the Marketplace and Advanced Premium Tax Credits (APTC)

Check out our new video series to help you prepare for the next time you need to use your insurance!


Our Commitment to Quality

  • Quality Improvement Program - Community Health Options commitment to improvement is ingrained throughout the organization. Health Options has actualized this commitment and focus through a Quality Improvement Program (QIP), which is based on its mission to partner with people, businesses, and health care professionals to provide high-quality healthcare benefits that promote health and wellbeing. 


More Resources:

  • Spring 2018 Member Orientation slides - Information from the Feb/March 2018 virtual Member Orientation, including speaker notes, about learning more about your plan benefits and how to get the most out of your coverage.
  • 2018 Member Orientation webinar – A virtual Member Orientation to learn more about your plan benefits and how to get the most out of your coverage​
  • December 6, 2017 Member Roundtable Video - Watch the most recent virtual Member Roundtable.

  • ​Fall 2017 Member Roundtable slides - Information from the Oct 2017 virtual Member Roundtable, including speaker notes, about the re-enrollment process and 2018 plan and benefit changes.

  • 2018 Plan Design Grid - This two-sided grid highlights our 2018 Plan Design, including cost-share reductions on Silver plans.
  • How to Compare Plans worksheet - a useful tool to help figure out costs when considering a few different plan choices.

  • Explanation of Household Size and Income – How to determine who to include in the household and what should be included in income in the Marketplace Application.

  • The Health Insurance Marketplace - A link to the Federal Health Insurance Marketplace website. 

  • The Maine Bureau of Insurance - State-specific information about the Health Insurance Marketplace, FAQs, consumer tips and how to file a complaint. 

  • http://www.comparemaine.org - Know what to expect before you receive care.  CompareMaine shows the average cost of common healthcare procedures at different facilities in Maine. You can also see patient experience ratings and how Maine hospitals compare on patient safety.  Please note that the cost estimates on CompareMaine are median payments. They are meant to serve as a reference point for comparison. In order to find out your actual payment, please contact the facility that you are interested in. For more information, please contact the Maine Health Data Organization at: 

    Maine Health Data Organization
    Mail: 102 SHS, Augusta, ME 04333-0102
    Office: 151 Capitol Street, Augusta, ME 04333-0102
    Phone: 207-287-6722  

  • Choosing Wisely - Choosing Wisely aims to promote conversations between providers and patients by helping patients choose care that is (1) Supported by evidence, (2) Not duplicative of other tests or procedures already received, (3) Free from harm, and (4) Truly necessary.