Dalton, GA – Alliant Health Plans is reminding members to use their newly issued 2025 Member ID cards at the pharmacy to ensure seamless processing of their prescription claims. These updated cards feature new Rx BIN and PCN numbers, which are critical for accurate pharmacy claims submission and approval.

Failure to provide the new ID card may result in rejected pharmacy claims. Members are encouraged to:
· Present their updated ID card during their next pharmacy visit.
· Request their pharmacist to update their account information with the new Rx BIN and PCN numbers.
· Refile any claims with a 2025 fill date that were processed under the old Rx BIN and PCN numbers to avoid unnecessary out-of-pocket expenses.
o NOTE: Any Alliant pharmacy claims with a 2024 fill date should continue to be processed under the old RX BIN and PCN numbers.

Here is an example of where the new pharmacy numbers can be found on ID cards:

For members who have not received their new Member ID card for 2025, a detailed list of the new BIN and PCN numbers by line of business – SoloCare, SimpleCare, or 4Corners – can be viewed here: 2025 BIN/PCN Numbers

Members with questions or concerns about their updated ID cards or prescription claims can contact our Client Services team at (866) 403-2785.

About Alliant Health Plans

Alliant, a leading health care insurance carrier in Georgia for more than 25 years, offers affordable and health insurance products in rural counties across Georgia. Founded by community-based physicians and hospitals, Alliant offers fully insured Individual Family Plans and group health plans.

As the state’s only Provider Sponsored Health Care Corporation (PSHCC), Alliant strives to improve access to quality health care for its members. For more information, visit AlliantPlans.com.

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The Office of Commissioner of Insurance and Safety Fire (OCI) announces an extension of the deadline to enroll in coverage that will begin on January 1, 2025. “Open Enrollment is the optimal time for Georgians to explore affordable options for health coverage,” said Commissioner King. 

One of the benefits of establishing a State-based exchange (SBE) is the added flexibility it affords states to operate in the best interest of residents and respond appropriately to state-specific conditions. The decision to extend the deadline was made because Georgia Access is still a new program and may be unfamiliar to some consumers, and there were two devastating natural disasters that affected many consumers, and we want to give all Georgians sufficient opportunity to enroll. “At the heart of everything we do, we put consumers first. In the final analysis our goal is to offer health care enrollment that is easy, convenient and affordable and to offer every opportunity to increase enrollment of uninsured residents in Georgia” said Cheryl Gardner, Georgia Access Executive Director.

To ensure coverage begins on January 1, 2025, consumers must select their plans by December 20, 2024. For those who enroll after this date, coverage will start on February 1, 2025.

Georgia Access provides a variety of quality and affordable health insurance plans designed to meet the needs of residents throughout the state. Over 16,000 certified agents are available to assist consumers in navigating their options and enrolling through various channels, including the Georgia Access Portal, web brokers, and insurance companies.

Residents can access resources and assistance by visiting GeorgiaAccess.gov or calling the Georgia Access contact center at 888-687-1503, TTY Line 711.

Georgia Office of Community Affairs. (2024, December 12). Georgia Access Announces Extension of Deadline for January 1, 2025 Coverage.
https://oci.georgia.gov/press-releases/2024-10-23/georgia-access-preps-enroll-georgians-affordable-health-coverage-open

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ATLANTA – Georgia Access, Georgia’s new State-based Exchange, announced today its readiness for the upcoming Open Enrollment period, including a robust roster of over 15,000 new and returning certified agents to date and multiple enrollment options for consumers to shop for and enroll in quality, affordable health coverage.

“Georgia Access is pleased that more than 15,000 licensed and certified agents will be available to help residents find the best coverage options to meet their unique needs and budgets,” said Georgia Access Executive Director Cheryl Gardner. “Agents offer consumers localized help and a personalized customer experience. They are integral in our mission to providing multiple pathways for consumers to enroll in health coverage and to reducing the number of uninsured residents in Georgia.”

Consumers can also begin to preview 2025 health insurance plan offerings and compare prices beginning October 28 at GeorgiaAccess.gov.

“We want the enrollment process to be as convenient and accessible as possible for Georgia consumers,” said Insurance and Safety fire Commissioner John F. King. “Plan preview provides consumers an opportunity to browse and determine which plans best fit their wallets and individual needs before Open Enrollment begins.”

Beginning November 1, agents will transition from enrolling consumers on HealthCare.gov to enrolling on Georgia Access or through an Enhanced Direct Enrollment (EDE) partner for Open Enrollment 2025. Agents are required to adhere to all requirements and complete Georgia Access certification training to sell plans on Georgia Access.
Georgia Access will offer different types of quality affordable health insurance plans designed to meet the varying needs of consumers throughout Georgia. Plans include Qualified Health Plans (QHPs), Stand-along Dental Plans (SADPs) and Catastrophic Health Plans.

Georgia Access leads the way as the first State-based Exchange to implement an innovative approach that allows consumers to receive assistance from Georgia Access certified agents, Enhanced Direct Enrollment (EDE) partners, such as a web broker or insurance company, or through the Georgia Access consumer portal. As a result, Georgians have a true no-wrong door approach for enrolling in coverage.

Consumers can begin plan browsing on October 28. Shopping and enrolling for health coverage begins on November 1. Coverage will begin on January 1, 2025, for those who select a plan by December 16, 2024. For more information, please visit GeorgiaAccess.gov or call the Georgia Access Contact Center at 888-687-1503, TTY Line 711.

Georgia Office of Community Affairs. (2024, October 23). Georgia Access preps to enroll Georgians in affordable health coverage for open enrollment. https://oci.georgia.gov/press-releases/2024-10-23/georgia-access-preps-enroll-georgians-affordable-health-coverage-open

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Georgia Access, a new division within the Office of Commissioner of Insurance and Safety Fire (OCI), is the State’s program for eligible Georgians to shop for and enroll in health insurance coverage in the State’s individual health insurance marketplace. Georgia Access provides consumers with multiple options to enroll in affordable health insurance coverage through web brokers, agents and insurance companies.
“This milestone is the result of the extraordinary work our office has conducted over the past three years to move Georgia away from reliance on the federal government for health coverage,” said Commissioner King. “The Georgia Access approach is an innovative one. It will be the first State-based Exchange to partner with private sector companies to get consumers enrolled. It represents our commitment to expand access to affordable, quality health coverage and reduce the number of uninsured Georgians.”

“This is a great milestone in connecting Georgians with the coverage they need,” said Governor Kemp. “A state-based exchange will not only make the process for Georgians getting covered easier, but will also increase their coverage options and our ability to promote quality and affordable health plans. That’s why creating Georgia Access has been a top priority of my administration, and it’s why I was proud to bring forward and sign critical legislation last year to get this exchange established. I look forward to seeing this common sense initiative yield results for the people of our state.”

“Georgia Access stands ready to bring improvements to our State to better serve consumers and help reduce the number of uninsured Georgians,” said Cheryl Gardner, executive director, Georgia Access. “We will meet Georgians where they are, with a goal to continue to innovate Georgia’s healthcare market.”
In 2019, Georgia’s health insurance landscape was inadequate at best. More than 1.3 million Georgians were uninsured, and 118 counties were limited to a single carrier for coverage options. After years of stagnant enrollment numbers and a lack of carrier options, it was widely understood that vast changes were needed to combat rising healthcare access and affordability challenges sweeping across our state

Governor Kemp signed the “Patients First Act” on March 27, 2019, authorizing Georgia to submit a 1332 waiver and pursue innovative solutions to address healthcare challenges in the State. On November 1, 2020, the State of Georgia received approval for its Section 1332 Waiver to implement a two-part approach. Part I of the waiver is a five-year reinsurance program designed to lower premiums through increased carrier participation. Part II of the waiver transitions the State’s individual market from the Federally-facilitated Exchange (FFE) to an SBE, known as Georgia Access. The goal of Georgia Access is to increase the number of insured Georgians, improve the shopping and enrollment experience, increase competition, and promote innovation and private sector investment in Georgia.

As a result of these changes, Georgia’s healthcare marketplace is healthier than ever. During Open Enrollment 2024, more than 1.3 million Georgians enrolled in marketplace healthcare coverage. Carrier participation has more than doubled since 2019, and no counties are limited to a single carrier for coverage options.
Consumers may begin shopping for health coverage on November 1. Coverage will begin on January 1, 2025, for consumers who select a plan by December 16, 2024. Please visit Georgiaaccess.gov for more information.

Centers for Medicare and Medicaid Services. (2023, October 10). The Centers for Medicare and Medicaid Services greenlights Georgia’s transition to a state-based healthcare exchange: Georgia Access. https://www.georgiaaccess.gov/press_release/the-centers-for-medicare-and-medicaid-services-greenlights-georgias-transition-to-a-state-based-healthcare-exchange-georgia-access/

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