Misuse of emergency rooms (ERs) for non-emergency medical concerns is a big cost driver for our clients and members. The average cost to go to the ER for a non-emergency is $1,200 (1). Yet 66% of members go to the ER whenever they (or someone they care for) are sick and the doctor’s office is closed.(2) And, 25% believe the best place to go is the ER, regardless of how sick or injured they are, no matter the time of day.(2) This not only costs members more – in terms of both time and money
Covered California Individual Shared Responsibility FAQ
The ACA requires everyone have Minimum Essential Coverage to comply with the law and avoid a Shared Responsibility Payment (also known as tax penalty, fee, or Individual Mandate payment). If a consumer 1) does not qualify for an exemption and 2) fails to have Minimum Essential Coverage, they will have a Shared Responsibility Payment due at tax time for the months the consumer did not have coverage or an exemption.
2017 Medi-Cal Monthly and Annual Income Charts
On March 3, 2017, Department of Health Care Services sent a letter to all County Medi-Cal administrators informing them of the new 2017 federal poverty levels. The new federal poverty levels went up approximately 2%. This means that individuals applying to Covered California will have to have a higher income if they want the Advance Premium Tax Credits subsidy. The single adult annual income amount to qualify for the Covered California subsidy is now $16,644. It was $16, 395 in 2016.
House GOP bill amendments guts essential health benefits
The newly proposed amendments magnify the House GOP bill’s flaws by removing essential health benefits from health insurance coverage. After years of rallying against Obamacare and promising to repeal it, the GOP has concocted a proposal that is shortsighted, ill-conceived and dangerous to the health of people who need health insurance coverage and already have it today thanks to the Affordable Care Act.
Jones calls House GOP Trumpcare amendments cruel
According to House Republicans, apparently one of the major flaws of their bill is that it does not give massive tax breaks to the wealthy early enough. Accordingly, their amendment accelerates tax giveaways to the wealthy by a year. Most of the remaining amendments represent the GOP’s continued attack on Medicaid, the safety net that Americans have relied on for the past half-century.
Sutter Health Changes Mental Health and Drug Abuse Benefits for 2017
These benefit changes will reduce member cost share for Mental Health, Behavioral Health and Substance Use Disorder (MH/SUD) and emergency medical transportation benefits. Previously filed claims will be retroactively adjusted back to dates of service on or after January 1, 2016. Members who paid the incorrect cost sharing amount will receive a separate letter and refund, as appropriate.
Covered California Releases Regional Analysis Of Trumpcare vs. Obamacare
Covered California released a new analysis on Monday, March 20th, that goes into greater detail regarding how consumers could be impacted by the changes in financial assistance proposed under the American Health Care Act (AHCA).
Covered California Compares Trumpcare To Obamacare Tax Credits
Covered California released a new comprehensive analysis on Tuesday detailing the financial assistance available through the Affordable Care Act as well as a preliminary analysis of how changes proposed in federal law would affect enrollees.
Blue Shield of California payment system updates coming in April 2017
Beginning in April, we will transition to a new payment system that will offer our members the same convenient choices with an improved online payment experience. Members will notice some changes if they pay their bill online or are enrolled in Easy$PaySM, our automatic payment program.
What Is Covered California Conditional Eligibility?
Conditional eligibility notices will be sent to affected Covered California consumers who have not resolved their inconsistency and submitted documents 45 days after their eligibility determination. These reminder notices are available in English and Spanish, only.
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