Blueprint Portal is a members-only website that will help you understand and manage your health plan so you’re able to find quality, patient-focused healthcare at the best possible price.
Review claims history
Check deductible and out-of-pocket totals
View and order replacement ID cards
Find a doctor or hospital
Estimate treatment costs
View pharmacy information
Review a recent doctor visit
Who can register?
Who cannot register?
Grace periods and claims pending policies during the grace period
Grace Period – Health insurers like Health Advantage must provide
a three consecutive month grace period before terminating coverage for nonpayment
of premium(s), if a member is receiving advance payments of the premium tax credit
and has previously paid at least one full month’s premium during the benefit year.
Health insurers are not allowed to cancel a member’s policy during the first month
of the grace period. However if no payment is received during the second or third
month of the grace period, any medical claims received may be held or “pended” until
the end of the three-month grace period or until such time that the outstanding
premium payments are received. “Pending” a claim means to hold, but not process
and pay, the claim. If the outstanding premium payment is not received by the end
of the three-month period, the policy is canceled and any pended claims are denied.
If the outstanding premium payment is received by the end of the three-month grace
period, any pended claims are released and allowed to process through the system
for evaluation and payment.
For those enrollees who are not eligible for a monthly premium subsidy, the issuer is required to observe a 30 day grace period. The premium payment is due on the first day of the month of coverage. Medical claims are "pended" until payment is received. If the premium is not received by the end of the 30 days, the policy is cancelled and all pended claims are denied. If the outstanding premium payment is received by the end of the 30 days, any pended claims are released and allowed to process through the system. Pharmacy claims are processed normally through the 10th of the month. However after the 10th, if no premium payment has been paid for the current month, pharmacy claims are processed using the issuer's agreed upon discount, as opposed to the member just paying normal out of pocket amounts. One premium is paid for the current month, pharmacy claims will then be paid at normal benefits.
If you choose to access other websites from this website, you agree, as a condition of choosing any such
link or access, that Health Advantage (HA) is not and shall not be responsible or liable to you or to
others in any way for your decision to link to such other websites. You further agree that HA and its
affiliates, its directors, officers, employees and agents ("the HA Parties") are not responsible for
the content of any other website to which you may link, nor are HA or the HA Parties liable or responsible
under any circumstances for the activities, omissions or conduct of any owner or operator of any other
website. Once you choose to link to another website, you understand and agree that you have exited this
website and are no longer accessing or using any HA Data. You understand and agree that by making any
third-party website link available as an option to you, HA does not in any way endorse any such website,
nor state or imply that you should access such website or any services, products or information which
may be offered to you through such other websites or by the owner or operator of such other websites.
The owners or operators of any other websites (not HA) are solely responsible for the content and operation
of all such websites. HA makes no warranties or representations of any kind, express or implied, nor
of merchantability or fitness for a particular purpose, nor of non-infringement, with regard to the content
or operation of any other website to which you may link from this website.
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