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  • Home
  • Apply for LA HAP
  • Client Resources
    • How to use LA HAP Benefits
    • The LA HAP Guardian Dental Plan
    • Annual Open Enrollment: Medicare & Marketplace
    • Enroll in Health Insurance
  • Provider Resources
    • Case Managers
    • Pharmacists
    • Medical Providers
  • Contact

LA HAP Bulletin for 1/3/19

LA HAP Reminders & Policies for 2019

2019 Income Documentation Grace Period

When submitting applications, please submit 2019 documentation for clients whenever possible. To allow for the transition into the new year, the following forms of 2018 documentation will still be accepted through February 28th, 2019.

  • Tax documents received in 2018 reflecting 2017 tax year (W-2, 1040, etc.)
  • Benefit award letters (SSDI, etc.)
  • LIS application receipts

 

FPIG Calculations

LA HAP aligns their income guidelines with Louisiana Medicaid standards. Medicaid does not typically adopt the most recent Federal Poverty Income Guidelines until March; therefore, LA HAP will continue to calculate income eligibility based on the 2018 FPIG until further notice from Medicaid.

 

LA HAP/Guardian Dental Plan Members

Clients who have received their Guardian cards in the mail are encouraged to start using their benefits! Clients who submitted paperwork to enroll in the plan after the soft deadline of December 7th may not yet be enrolled and should wait until their Guardian card has been received before visiting the dentist.

To find a provider in the Guardian PPO network:

  • Visit www.guardiananytime.com.
  • Click “Find a Provider” from the top menu.
  • Click “Search Providers.”
  • Make sure you are on the “Find a Dentist” tab. Select “PPO as plan type,” and search your zip code within a radius of 2-200 miles.

 

Dental Coverage Policy Clarification: Annual Maximum

For our clients who are maintaining a Medicare or employer-based dental plan instead of the Guardian plan: they will continue to follow our existing policy for dental coverage. However, in order to align benefits across all plans as much as possible (and to control program costs), ALL LA HAP clients with dental coverage of any kind will now be subject to an annual maximum benefit of $5,000 per year. Clients can control costs by observing waiting periods, coverage caps and network requirements as much as possible.

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