Blue Shield of California will make Teladoc consultations a $5 copayment for members of their individual and family plans. The $5 Teladoc consultation will be available to both Blue Shield’s HMO and PPO non-grandfathered plans in 2017.
Health Net 2017 Renewal and $50 Gift Card
Health Net of California has announced that all of their 2016 individual and family health plans will roll into 2017. There will be no plan closures making it easier for current members to renew their health plan for the 2017 calendar year. In letters being sent out on September 30, Health Net will be offering a $50 gift card as a reward for certain healthy initiatives on the member’s part.
Covered California Website Updates for 2017
Covered California has updated and changed various parts of their online health insurance enrollment website for 2017. These changes, launched with the release of the CalHEERS 16.9 build, will affect new enrollments and individuals and families renewing their health insurance for 2017. A high level overview was published by Covered California in their 2017 Consumer Renewal Journey & Features Release 16.9. The slides of the presentation are available for download.
Countable Sources of Income from Covered California
Covered California has released a table of sources of income and whether they are countable toward the Modified Adjusted Gross Income (MAGI) for the monthly health insurance subsidy. The foundation for the table is the federal 1040 income tax return. The Countable Sources of Income table includes income for the monthly subsidy and whether the income is considered for MAGI Medi-Cal.
New Covered California Health Plan Selection Page for 2017
Covered California will have a new Health Plan Selection page for consumers for 2017 health insurance selection. They have streamlined some of the introductory pages, enhanced the filters for plan selection, and dropped some of the legal notices during check out. A video reviewing some of the enhancements has been posted by Covered California called Shop & Compare Walkthrough.
2017 Small Group Rate Changes and Expansion from Covered California
Covered California announced today the rates and expansion plans for its small group health insurance exchange, Covered California for Small Business. The statewide weighted average rate increase is 5.9 percent, for employers and their employees beginning Jan. 1, 2017, which is down from the 7.2 percent increase in 2016.
Gaining employer-sponsored health insurance and Covered California
The Center for Medicare & Medicaid Services (CMS) has released a review of the rules regarding when a family becomes ineligible for the Covered California subsidy after being offered employer-sponsored health insurance. While the presentation is geared toward health insurance agents, there is good information relevant to everyone in the file. As CMS notes, gaining employer-sponsored health insurance while enrolled in Covered California is a Common Complex Situation.
2017 Covered California Regional Rate and Plan Information
Covered California has released their 2017 Regional Rate and Plan Information summary. This summary has a more in-depth focus specific consumer market information than does their 2017 Health Plan Booklet. While the target audience is Certified Application Counselors and Agents, there is also some very useful information for consumers.
Covered California health and dental plan changes for 2017
Covered California hosted a webinar where they went over the numerous changes to the health plans for 2017. This included the expansion of some health plans into more counties, the conversion of PPO plans to EPO for one carrier, and the addition of a HMO plan for another carrier. They also reviewed the minor and major cost sharing changes to their metal tier level plans offered by all the carriers.
Covered California Primary Care Physician Assignment Guide
Covered California has released their Primary Care Physician Assignment Quick Guide to inform agents about how health plans will be assigning a Primary Care Physician to members of PPO and EPO plans in 2017. The Primary Care Physician assignment will not apply to small employer group with Covered California health plans.
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