Western Health Advantage (WHA) is now available in the Bay Area for large and small group employers. Our partnership with Canopy Health, co-founded by John Muir Health and UCSF, provides access to providers who are some of the most skilled and respected in the United States, and the numerous renowned hospitals and care centers at which they practice have long been recognized for their medical excellence, advanced technology, and compassionate care.
Medi-Cal Enrollment Through Covered California Assistance Questions
Guidance offered by Covered California to Certified Insurance Agents assisting consumers with enrollment into MAGI Medi-Cal
Covered California Only to Work with Agents, Not Support Staff
Covered California has reaffirmed their policy that only Certified Insurance Agents can call into the agent service center and request assistance for a Covered California consumer for whom they have been properly delegated. Support staff to the agent cannot call the service center on the agent’s behalf and make any changes or inquiries. Callers to the service center will authenticated by the agent’s name and Department of Insurance license number.
Health Net 2017 Californnia Individual and Family Plans
For 2017, Health Net is offering a variety of health plans throughout California. There are EPOs, HSPs, HMOs, and PPOs plans. Some of the plans are offered through Covered California and some, like the PPO plans, are only offered off-exchange direct from Health Net.
Covered California 2017 rate increases and health plan expansions
Covered California announced the rates for its health plans in the individual market for 2017. The statewide average weighted increase of 13.2 percent, while higher this year, amounts to a three-year average of 7 percent, which is less than the rate increases before the Affordable Care Act (ACA) was enacted.
Incarceration status and health insurance subsidies
The Centers for Medicare and Medicaid Services has released a Frequently Ask Questions documents discussing health insurance subsidies when a person is incarcerated in jail or prison. This includes such situations of a person being arrested but not yet convicted of a crime and those on probation and parole.
Premium Tax Credit letter from the IRS
Some taxpayers will be receiving an IRS letter about the premium tax credit; this letter is also known as a 12C letter. Be sure to read your letter carefully and respond timely. Here are answers to questions you may have about this letter.
Cigna to require proof of identity, residency and payment for health insurance
Cigna has announced they will be sending letters out to individuals newly enrolled in their health plans in 2016. The letters requesting verification of identity, residency, and premium payment will be sent to Cigna Individual and Family health plan enrollments regardless of whether the plan was purchased either through a Market Place Exchange or off-exchange directly from Cigna. If Cigna doesn’t receive the requested information within 45 days the health insurance may be cancelled.
Kaiser health care while traveling away from home
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.
Medicare 2015 End Stage Renal Disease eligibility training
The lessons in this module, “Medicare for People With End-Stage Renal Disease,” explain the Medicare program for people with End-Stage Renal Disease (ESRD). It includes information on eligibility and enrollment, coverage, health plan options, and provides additional sources of information.