The Senate Republicans’ proposal to repeal the ACA has most of the same devastating consequences for Americans’ health care as the House bill, including provisions that would permit the elimination of coverage for essential health benefits and the caps on out-of-pocket costs that help prevent medical bankruptcy.
Cigna To Close California Individual and Family Plans for 2018
As you may be aware, Cigna Individual and Family Plans has notified California regulators that Cigna Health and Life Insurance Company will not offer or renew Cigna LocalPlusIN (EPO), California LocalPlus (PPO), or California LocalPlusIN (EPO) medical plans in California in 2018.
Anthem Blue Cross List of Tier 1 and 2 Pharmacies
To make it easier than ever to find local level 1 pharmacies for your clients, refer to this Rx Choice Tiered Pharmacy list for California. A circle with either a 1 or a 2 next to each pharmacy indicates whether it’s a level 1 or a level 2.
Notifying Dually-Enrolled Medicare and Healthcare.gov Consumers
Consumers who are identified as enrolled in MEC Medicare and a Marketplace plan through Medicare PDM should return to their Marketplace application and end their Marketplace coverage or Marketplace financial assistance. Consumers may have to pay back all or some of the APTC paid on their behalf for months they had both Marketplace coverage with APTC and MEC Medicare, when they file their federal income tax return.
Covered California Board Approves Silver Plan Rate Spike For 2018
Covered California’s board acted to place any rate increases caused by the uncertainty only onto Silver plans. While Silver level consumers will see an increase in the gross cost of their premiums, they will also see an increase in the amount of financial assistance they receive, leaving their net payment virtually the same.
Special Enrollment Verification for Healthcare.gov Phase 1
Beginning on June 23, 2017, consumers applying for health insurance through the Federally Facilitated Market Place (FFM) of Healthcare.gov will have to provide documentation to verify the qualifying life events of loss of coverage or a permanent move. In August, consumers with a qualifying life event of marriage, becoming a dependent, or Medicaid denial will also have to provide verification.
Trump Watches As Health Insurance Ship Sinks
“This is yet another failing report card for the Exchanges. The American people have fewer insurance choices and in some counties no choice at all. CMS is working with state departments of insurance and issuers to find ways to provide relief and help restore access to healthcare plans, but our actions are by no means a long-term solution to the problems we’re seeing with the Insurance Exchanges,” said CMS Administrator Seema Verma.
CMS To Phase Out Social Security Numbers On Medicare ID Cards
Providers and beneficiaries will both be able to use secure look up tools that will support quick access to MBIs when they need them. There will also be a 21-month transition period where providers will be able to use either the MBI or the HICN further easing the transition.
New Analysis Shows Covered California’s Risk Mix Improving and Remaining Stable and Strong
SACRAMENTO, Calif. — A new analysis shows that Covered California continues to attract a healthy mix of enrollees, and the overall health of its enrollees improved from 2016 to 2017. This data is key to Covered California’s stability and will be used to help shape and inform rate negotiations with its 11 qualified health plans […]
UnitedHealthCare Medicare Advantage Plans Fined $2.4 million
CMS identified violations of Part D formulary and benefit administration requirements that resulted in UnitedHealth’s enrollees experiencing inappropriate denials of and/or delayed access to Part D prescription drugs at the point of sale. UnitedHealth’s violations include:
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