Internal Revenue Service Issue Number: HCTT-2015-49 August 14, 2015 The Affordable Care Act includes the individual shared responsibility provision that requires you, your spouse, and your dependents to have qualifying health insurance for the entire year, report a health coverage exemption, or make a payment when you file. Who is subject to this provision? All U.S. […]
Almost 1 million consumers use SEP to get health coverage in 2015
Between February 23 and June 30, 2015, about 944,000 new consumers made plan selections through HealthCare.gov using a SEP. Eighty-four percent of plan selections occurred via three types of SEPs: 50 percent of plan selections occurred via SEPs for the loss of health coverage or “minimum essential coverage”, 19 percent occurred via SEPs for being determined ineligible for Medicaid, and 15 percent were as a result of tax season SEP (Table 1). The remaining 16 percent of plan selections were attributable to other types of SEPs (see glossary).
OTC Nexium prompts drug formulary changes
Anthem Blue Cross of California August 4, 2015 NEXIUM® 24HR (esomeprazole 20 mg) became available as an over-the-counter (OTC) 14-day treatment for frequent heartburn in May 2014. As a result, our drug formulary (list of covered drugs) will change, effective October 1, 2015, as follows: Nexium 40 mg moves from Tier 2 to Tier 3 and has […]
Anthem Blue Cross files report on MLR rebates for California: No rebates
Anthem Blue Cross of California August 4, 2015 The Affordable Care Act (ACA or health care reform law) requires health plans to meet a minimum medical loss ratio (MLR), which varies according to market. Health insurance issuers must meet a minimum MLR of 85% in the fully insured large group market and 80% in the […]
Blue Shield’s Medical Loss Ratio Rebates and Notifications
Blue Shield of California Medical Loss Ratio Rebates August 12, 2015 Last week, The LA Times published an article about Blue Shield’s 2015 Medical Loss Ratio (MLR) rebates. The Affordable Care Act (ACA) requires health plans to spend a minimum percentage of premium revenue on medical expenses. This percentage is known as the Medical Loss […]
Covered California to support schools to provide health insurance information
Covered California, the California Department of Education and the “ALL IN for Health” campaign, which includes the Children’s Partnership and California Coverage and Health Initiatives, are providing an online tool kit to help school officials educate families about how to get more information and enroll in health care coverage under the Patient Protection and Affordable Care Act.
Anthem Blue Cross California wildfire emergency coverage
We’re [Anthem Blue Cross of California] taking steps to help our members affected by the California wildfires get the care they need. If you have clients that have been impacted and live in Butte, El Dorado, Humboldt, Lake, Madera, Napa, Nevada, Sacramento, San Bernardino, San Diego, Shasta, Solano, Tulare, Tuolumne and Yolo counties, here’s what they should know:
Blue Shield updates, improves Medicare Supplement billing
Subscribers will also receive a new bill with an improved format that includes their new subscriber and group numbers and new billing payment address. Their first bill post-migration will be delayed for two to three weeks. Included with their first new bill, there will be a Bill Quick Guide that outlines the changes.
Overview of the Employer Shared Responsibility Provisions
Under the Employer Shared Responsibility provisions, if an applicable large employer does not offer affordable health coverage that provides a minimum level of coverage to their full-time employees and their dependents, the employer may be subject to an Employer Shared Responsibility payment.
Blue Shield introduces MinuteClinics at CVS pharmacies
Blue Shield of California is teaming up with more than 50 CVS Minute Clinics® throughout California to help make access to health solutions easier and more convenient for our Individual and Family Plan members.
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