The analysis found that Covered California health plan premiums could rise up to 49 percent if two key elements that have been in place for the past four years are changed: Cost-sharing reduction reimbursements are no longer directly funded as reimbursements to carriers, and the shared individual responsibility payment is not enforced.
Covered California Loss of Subsidy Because Of No Tax Filing
Beginning April, 24 2017, Covered California will send notices to consumers to notify them they are at risk of losing their Advance Premium Tax Credit (APTC) and/or cost-sharing reductions for health insurance coverage through Covered California in 2017.
Covered California Predicts Increased Rates If Cost Sharing Reduction Payments To Health Insurance Companies Are Eliminated
The impact of not providing direct federal funding of cost-sharing reductions is enormous, and not only puts the viability of the individual market in many states in peril, but would be a bad deal for the federal budget — costing more than $47 billion over the next 10 years,” said Peter V. Lee, executive director of Covered California.
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.
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.
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.
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 Extends 2017 Open Enrollment With Agent Support
Open Enrollment for 2017 coverage with a Covered California Health Plan ends on Tuesday, January 31, 2017. Covered California is allowing consumers who attempted to enroll by January 31 an extra four days to complete enrollment and select their health plan. Some consumers may face challenges completing enrollment and Covered California is committed to helping all consumers who attempted to find help cross the enrollment finish line.
Blue Cross To Assign Doctors To PPO/EPO Plan Members
As you know, for the 2017 benefit year, part of our contractual mandated requirements with CoveredCA, Anthem Blue Cross is required to assign all PPO/EPO members to a Primary Care Physician (PCP).
Covered California Calculates Incorrect 2017 Monthly Subsidy for Consumers
During the 2017 renewal process the incorrect Advanced Premium Tax Credit (APTC) amount was sent to the health plan for some consumers. The eligibility determination and notice the consumer received from Covered California displayed the correct APTC amount. However, because the incorrect APTC was sent to the health plans, they invoiced the consumers with overstated APTC and understated premiums owed.
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