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News & Announcements about health insurance in California




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Aetna purchase of Humana set for public meeting discussion

December 22, 2015 By Kevin Knauss Leave a Comment

The Department of Managed Health Care (DMHC) invites you to a public meeting on the acquisition of Humana by Aetna. Representatives from both plans will be present. The meeting will be held in Sacramento on January 4, 2016 from 1:30 p.m. to 3:30 p.m. The purpose of the meeting is to discuss DMHC’s jurisdiction and authority to oversee the transaction and to solicit public comment for DMHC’s consideration as it reviews the transaction. Public comments will be limited to 3 minutes. Comments may also be submitted in writing to [email protected] until 5 p.m. on Monday, January 11, 2016.

Filed Under: Aetna, CA DMHC Tagged With: Aetna, Humana

Blue Shield 2014 provider directory member settlement notification

December 21, 2015 By Kevin Knauss Leave a Comment

Blue Shield will notify certain ON and OFF Exchange Individual & Family Plan members that they are eligible to resubmit out-of-network claims for covered services received in 2014 for review if they feel that they were led to believe that their provider was in their plan’s network by Blue Shield or the provider. Should their claims qualify under the settlement, Blue Shield will reprocess and pay the claims as if they were from an in-network provider.

Filed Under: Blue Shield Tagged With: Blue Shield, California, Provider Directory, Settlement

Kaiser health care while traveling away from home

December 17, 2015 By Kevin Knauss Leave a Comment

Kaiser Permanente Health Insurance

Whether they’re traveling for work or visiting family in another state, your clients’ employees can be confident in Kaiser Permanente coverage. That’s because our members are covered anywhere in the world.

Filed Under: Uncategorized Tagged With: Kaiser, Travel, Vacation

Oscar extends California enrollment deadline until December 31st

December 16, 2015 By Kevin Knauss Leave a Comment

Oscar off-exchange enrollment deadline extended until December 31st for January 1, 2016 start date.

Oscar has extended the deadline to enroll into their off-exchange health plans in California until December 31st for a January 1st effective start date. This is in addition to Covered California extending the deadline for enrollment into all on-exchange plans through December 17th. Oscar will offer both the standard benefit design plan offered through Covered California and their non-standard off-exchange benefit design plans for during the extended enrollment period. Health Plans purchased directly from Oscar are not eligible for the Advance Premium Tax Credit subsidy to lower the monthly health insurance premium.

Filed Under: Oscar Tagged With: California, Oscar

Covered California 2016 deadline extended until December 17th

December 15, 2015 By Kevin Knauss Leave a Comment

Due to very high demand for health insurance through Covered California, the deadline to enroll for coverage starting January 1 will be extended through 11:59 pm on December 17 to accommodate the surge in interest.

Filed Under: Covered California Tagged With: Covered California

Lactation, Colonoscopy, Mental Health plan benefit clarification under ACA guidelines

December 9, 2015 By Kevin Knauss Leave a Comment

Set out below are additional Frequently Asked Questions (FAQs) regarding implementation of the market reform provisions of the Affordable Care Act, as well as FAQs regarding implementation of the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), as amended by the Affordable Care Act. These FAQs have been prepared jointly by the Departments of Labor (DOL), Health and Human Services (HHS), and the Treasury (collectively, the Departments).

Filed Under: HHS Tagged With: ACA, Breast Feeding, Colonoscopy, Health Plans, Insurance, Lactation, Mental Health

Anthem expands dental network into Mexico

December 8, 2015 By Kevin Knauss Leave a Comment

The expanded network offers better dental discounts, bilingual doctors and staff, flexible appointment scheduling and ease of access into Mexico for health and dental care.

Filed Under: Anthem Blue Cross, Dental Tagged With: Anthem, Blue Cross, Dental, Mexico

New Medicare providers for Anthem Blue Cross plans

December 2, 2015 By Kevin Knauss Leave a Comment

Anthem Blue Cross Medicare members will have more provider choices. This is especially exciting as we introduce our NEW Anthem MediBlue Plus and Select plans [Medicare Advantage], which are available throughout AEP 2016.

Filed Under: Anthem Blue Cross, Medicare Tagged With: Anthem Blue Cross, Medicare, Medicare Advantage

Major insurer makes life insurance available for people with HIV

December 2, 2015 By Kevin Knauss Leave a Comment

California Insurance Commissioner Dave Jones, who regulates the largest insurance market in the United States, today commended Prudential Insurance Company of America for being the first major insurer to offer individual life insurance to people with HIV:

Filed Under: Cal DOI, Life Insurance Tagged With: HIV, Life Insurance

Anthem Blue Cross split fill drug program to reduce waste

December 2, 2015 By Kevin Knauss Leave a Comment

Members will be allowed only 15 days per fill during the first 30 days, when starting on a select group of new specialty drugs. Copays are prorated during this time. The Split Fill program only applies to the first month of the drug fill at Accredo Specialty Pharmacy. After that, the prescription is filled as it is written by their doctor.

Filed Under: Anthem Blue Cross, Small Group Tagged With: Anthem Blue Cross, Drugs, Small Group

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