California Health News

News & Announcements about health insurance in California




  • Home
    • CHN File Explorer
  • About
  • Contact
  • Health Plans
    • Aetna
    • Anthem Blue Cross
    • Blue Shield
    • Centene
    • CoveredCA Small Group
    • CaliforniaChoice
    • Cigna
    • Health Net
    • Kaiser
    • L.A. Care Covered
    • Molina
    • Oscar
    • Sutter Health Plus
    • United Healthcare
    • Valley Health Plan
    • Western Health Advantage
  • Government
    • Affordable Care Act
    • CMS
    • CA DMHC
    • Cal DOI
    • Covered California
      • CalHEERS
      • Certified Agents
    • HHS
    • Healthcare.gov
    • IRS
    • Medicare
      • PDP
      • CMS
    • Medi-Cal

United Healthcare Will Not Change Transgender Coverage

January 25, 2017 By Kevin Knauss Leave a Comment

UnitedHealthcare is not changing its coverage of treatment for gender dysphoria as a result of the preliminary injunction issued on Dec. 31, 2016, by the U.S. District Court in Texas. UnitedHealthcare Employer & Individual coverage of treatment for gender dysphoria will remain consistent with the members’ applicable benefit plan language.

Filed Under: United Healthcare Tagged With: Gender Dysphoria, Health, Insurance, Transgender, UHC, United Healthcare

Executive Order To Minimize The Economic Burden Of The ACA by President Trump

January 23, 2017 By Kevin Knauss Leave a Comment

It is the policy of my Administration to seek the prompt repeal of the Patient Protection and Affordable Care Act (Public Law 111-148), as amended (the “Act”). In the meantime, pending such repeal, it is imperative for the executive branch to ensure that the law is being efficiently implemented, take all actions consistent with law to minimize the unwarranted economic and regulatory burdens of the Act, and prepare to afford the States more flexibility and control to create a more free and open healthcare market.

Filed Under: Affordable Care Act, Cal DOI Tagged With: ACA, California, Health, Insurance, Jones, Obamacare, Trump

Anthem Blue Cross Medi-Cal For Individuals and Families

January 19, 2017 By Kevin Knauss Leave a Comment

Existing Anthem Blue Cross member recently became eligible for Medi-Cal. Instead of moving to a new health plan, he or she can stay with the same plan and enroll in Anthem Blue Cross for Medi-Cal.

Filed Under: Anthem Blue Cross Tagged With: Anthem, Blue Cross, Medi-Cal

Blue Cross Grandfathered Plans 2017 Rate Action

January 19, 2017 By Kevin Knauss Leave a Comment

Beginning April 1, 2017, Anthem Blue Cross will adjust the base rates for existing business on all California Department of Insurance (CDI) grandfathered medical plans with an April 1, 2017 effective date. Members will also receive an adjustment for age changes. The base rates for members on Department of Manage Health Care (DMHC) grandfathered medical plans, that were effective April 1, 2016, are not scheduled to change in 2017. DMHC members will receive an adjustment for age changes.

Filed Under: Anthem Blue Cross Tagged With: Anthem, Blue Cross, California, Grandfather, Health, Insurance, Plans, Rates

Blue Cross To Assign Doctors To PPO/EPO Plan Members

January 12, 2017 By Kevin Knauss Leave a Comment

As you know, for the 2017 benefit year, part of our contractual mandated requirements with CoveredCA, Anthem Blue Cross is required to assign all PPO/EPO members to a Primary Care Physician (PCP).

Filed Under: Anthem Blue Cross Tagged With: Anthem, Blue Cross, Covered California, Doctors, PCP

Some Anthem grandfathered members will be receiving a refund

January 6, 2017 By Kevin Knauss Leave a Comment

Individual grandfathered members enrolled in Anthem Blue Cross Life & Health Insurance Company (CDI regulated) policies at least one day in September of 2016 will be receiving a refund as a result of funds left over from a 2013 settlement of a class action lawsuit (Kreuzhage v. Anthem). This includes the majority of the grandfathered members. Members on Affordable Care Act (ACA) On and Off Exchange plans, and grandfathered members on Anthem Blue Cross (DMHC regulated) plans are not included.

Filed Under: Anthem Blue Cross Tagged With: Anthem, Blue Cross, Grandfathered, Health, Insurance, Plans, Refund

Investigation of major Anthem cyber breach reveals foreign nation behind breach

January 6, 2017 By Kevin Knauss Leave a Comment

The team determined with a high degree of confidence the identity of the attacker and concluded with a medium degree of confidence that the attacker was acting on behalf of a foreign government. Notably, the exam team also advised that previous attacks associated with this foreign government have not resulted in personal information being transferred to non-state actors.

Filed Under: Anthem Blue Cross, Cal DOI Tagged With: Anthem, Attack, Blue Cross, California, Cyber, Hack

Blue Shield of California and Sutter Health Have Signed a New 2017 Agreement

January 5, 2017 By Kevin Knauss Leave a Comment

We are pleased to announce that Blue Shield and Sutter Health have signed a new 3-year agreement effective January 1, 2017. This means that Sutter Health hospitals and providers are part of Blue Shield’s statewide network.

Filed Under: Blue Shield Tagged With: Agreement, Blue Shield, Contract, Health, Insurance, Sutter

Blue Shield – Sutter Health Contract Expired, Negotiations Continue

January 2, 2017 By Kevin Knauss Leave a Comment

Blue Shield of California and Sutter Health have been engaged in discussions on rates and terms for a new network contract (HMO/PPO and in some cases, Group Medicare Advantage). Though we are still actively involved in negotiations, the current contract expired at 11:59 p.m. on December 31, 2016 and Sutter Health is no longer Blue Shield’s in-network provider effective January 1, 2017.

Filed Under: Blue Shield Tagged With: Blue Shield, California, Insurance, Sutter Health

Sutter Reaches Agreement With Health Net For 2017

December 30, 2016 By Kevin Knauss Leave a Comment

We are pleased to announce that Sutter Health has come to an agreement with Health Net for 2017. Sutter Health now has agreements in place for 2017 with all major health plans except Blue Shield, with which negotiations continue.

Filed Under: Sutter Health Plus Tagged With: Blue Shield, Contracts, Health Net, Sutter

  • « Previous Page
  • 1
  • …
  • 8
  • 9
  • 10
  • 11
  • 12
  • …
  • 38
  • Next Page »

Advertisement

Advertisement

Comparing Health Plan Video

Health, Insurance, Plan, Comparison

Using a table of in-network providers, hospitals, drugs, and rates to compare health plans

Kevin Knauss

California, Kevin Knauss, Rainbow, LGBT, Insurance, Author, Medicare

Education Before Enrollment

Phone: 916-521-7216

New Medicare Claim Numbers Coming

Medicare, Social Security

New Medicare Claim Numbers

Subscribe to Blog via Email

Enter your email address to subscribe to this blog and receive notifications of new posts by email.

Kevin Knauss - www.insuremekevin.com - CDI# 0H12644