The standard monthly premium for Medicare Part B enrollees will be $134 for 2018, the same amount as in 2017. Some beneficiaries who were held harmless against Part B premium increases in prior years will have a Part B premium increase in 2018, but the premium increase will be offset by the increase in their Social Security benefits next year.
Continuity Of Care For Closed Anthem Blue Cross Health Plans
Members who live in rating regions 1, 7, and 10 and who transition into a new Anthem EPO plan for 2018 can apply for Continuity of Care coverage if their current provider is no longer in network. They can call member services and ask for assistance with their ongoing treatment with their current providers.
DMHC Fines Anthem Blue Cross $5 Million for Systemic Grievance System Violations
This enforcement action is the result of deficiencies identified in DMHC surveys and 245 specific grievance system violations identified by the DMHC Help Center during the investigation of consumer complaints from 2013 through 2016. Including this fine, the DMHC has fined Anthem Blue Cross $11.66 million for grievance system violations since 2002.
Blue Shield Drops 15th Of Month Payment Option For 2018
As we previously reported, new off-exchange enrollees into individual and family plans in California will not have the 15th of the month payment option in their enrollment materials. In addition, the automatic payment option through Easy$PaySM will be temporarily unavailable until later in 2018.
WHA Individual And Family Plans In North Bay And Sacramento Regions
For individuals and families who travel more than 100 miles from their home, WHA plan members will be eligible for assistance with medical consultations and referrals from Assist America at mywha.org/travel. There is also a 24-hour nurse line to answer general health questions and referral to nurses with more specific knowledge of disease management.
Blue Shield Offers Both PPO And HMO Plans In California For 2018
The Blue Shield Trio HMO plans include such medical groups as Dignity Health, Hoag Memorial, John Muir, Providence St. Joseph, St. Jude, and UC San Francisco. Your PCP will refer you to specialists within the network of doctors and providers within his or her medical group. Trio HMO plan will be available in 24 California counties. Trio HMO plan will also include the BlueCard program for urgent care outside of California similar to the PPO plans.
Anthem Blue Cross 2018 California Family Plans
All the plans offered will EPO (Exclusive Provider Organization) with no out-of-network coverage. Anthem will retain the BlueCard for travel coverage for its Blue Cross members. The 2018 plans will continue to use the Pathway network of providers.
Kaiser Individual And Family Health Insurance Plans California 2018
The Kaiser plans Bronze 60 HDHP 5500/40%, Silver 70 2000/45, and Silver 60 HDHP 2700/15% are only available off-exchange. The Silver 73, 87, adn 94 plan are only available through Covered California. The Silver 70 Off Exchange plan virtually mirrors the Covered California Silver 70 plan but the rate does not include the Covered California Silver plan surcharge making it less expensive.
Medicare Special Election Period For Individuals Affected By California Wildfires
Any beneficiary who resides in, or resided in, an area for which the Federal Emergency Management Agency (FEMA) has declared an emergency or major disaster (see www.fema.gov/disasters or the list below*) is eligible for the SEP, if the beneficiary was unable to enroll in a plan during another qualifying election period. In addition, beneficiaries who do not live in the impacted areas but receive assistance from someone living in one of the affected areas also qualify for this SEP.
2017 Medicare Advantage Star Ratings By Plan
Medicare Advantage with prescription drug coverage (MA-PD) contracts are rated on up to 44 unique quality and performance measures; MA-only contracts (without prescription drug coverage) are rated on up to 32 measures; and stand-alone PDP contracts are rated on up to 15 measures. Each year, CMS conducts a comprehensive review of the measures that make up the Star Ratings, considering the reliability of the measures, clinical recommendations, feedback received from stakeholders, and data issues.
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