Health Net is helping ensure that its members who have lost their homes or been evacuated due to any of the current wildfires in California, Oregon and Washington have access to essential prescription medications, critical Health Net information and other services to help them cope with grief, loss, stress or trauma.
Anthem Blue Cross emergency coverage during California wildfires
Emergency and urgent care services provided by doctors and hospitals out of our network will be paid at in-network coverage levels.
Anthem Blue Cross dropping coverage for certain prescription compounded drugs
Starting November 4, 2015, Anthem’s prescription drug plans will no longer pay for certain compound drugs that contain ingredients not approved by the Food and Drug Administration (FDA). A compound drug is a customized medication prepared by a pharmacist for a specific person. Some of your clients may be affected by this change, if they are taking one of these drugs, particularly ones containing:
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 […]
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 will replace its EPO plans with PPO plans in four Northern California EPO regions
Some Blue Shield highlights for IFP plans include:
•79 percent of Blue Shield members will receive an increase of less than 10 percent
•63 percent of members on a Silver Plan will receive a rate decrease
•Four Southern California regions will experience a decrease on average for the rates for those regions
•Blue Shield will replace its EPO plans with PPO plans in four Northern California EPO regions (Rural North, Wine Country, Alameda, and Monterey) for 2016 which means out-of-network benefits and access to out-of-network providers
Insurance Commissioner raises concerns about impacts of health insurance mergers on competition, choice and prices
SACRAMENTO, Calif. -Insurance Commissioner Dave Jones issued the following statement today after Anthem Blue Cross announced plans to acquire Cigna Corporation:
“The Department of Insurance will carefully review the proposed merger of Anthem Blue Cross and Cigna Corporation, as well as the proposed mergers of other health insurers.
Health Insurance Agent and Broker Guild for California
Aside from the enumerable website issues of both Healthcare.gov and Covered California, perhaps the largest problem of the ACA open enrollment centered around accessible and reliable information concerning how to enroll for the new ACA health plans. California health agents and brokers, who were handling hundreds of client enrollments each, bore the brunt of this […]
- « Previous Page
- 1
- …
- 6
- 7
- 8