Blue Shield of California will be implementing a new online payment system for their individual and family plan members in 2018. Consumers with off-exchange health plans, those bought directly from Blue Shield and not from Covered California will be transitioned to the new billing system in March … [Read More...]
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- Home Health Care and Skilled Nursing California Health Plan BenefitsThe summary of benefits of the health plans indicates 100 days of skilled nursing facility residency per member per benefit period. The benefit period begins when you enter the facility and ends when you leave or 60 days after you are discharged. This is where the descriptions get a little hazy. One interpretation is that […]
- How Rate Increases Lower Covered California Health InsuranceThere are times when some regions get a huge windfall of subsidies. In Region 9, Valley Health Plan left the region. This dropped the expensive Blue Cross EPO into the SLCSP slot. This resulted in a 57 percent increase of the SLCSP rate in 2025 from Blue Shield HMO that was the SLCSP in 2024. […]
- 2025 Changes to Covered California Health PlansThe Silver 73 has lower cost-sharing than a Silver 70 and is unchanged for 2025. There are no medical or pharmacy deductibles. The maximum out-of-pocket is $6,100. The most significant change is that it will be available to any Covered California enrollee with income over 250 percent of the federal poverty level. The post 2025 […]
- 2025 Covered California Income Table ExplanationsFor eligible households with income over 250 percent FPL, only the Silver 73 plan will be offered, which is a better value than a Silver 70. At least for 2025, there will be no Silver 70 for qualifying households. The Silver 70 will still be offered to consumers who opt not to be considered for […]
- Are PPO Medicare Advantage Plans Better HMOs?Other plans may have an out-of-network deductible of $500 to $750+. The out-of-network deductible must be satisfied before the plan begins to share in the cost of the health care services or out-of-network services. The post Are PPO Medicare Advantage Plans Better HMOs? appeared first on IMK.