Beginning in August, 2016, Covered California will send a notice to those consumers approaching or are over their 65th birthday who may be eligible for Medicare. The notice advises them that they may no longer be eligible for Advanced Premium Tax Credit or Covered California coverage. If the consumer receives the notice, it will be displayed in the online application (CalHEERS).
Covered California to contact employers of exchange health plan members
Covered California will begin contacting employers of Covered California individuals and families notifying them that their employee is receiving Obamacare premium assistance. Only employers for whom enrolled Covered California members have provided employer contact information will be sent the notification. The letters will alert the employer that they may be subject to the employer shared responsibility payment if they have 50 or more employees.
Covered California update removes income assessment for unmarried pregnant women
Covered California will implement several changes to their online application program known at CalHEERS on August 1, 2016. One significant change is no longer assessing unmarried pregnant women’s income for determining Medi-Cal eligibility. The previous version automatically determined Medi-Cal eligibility based on a woman’s income and pregnancy status. Because Medi-Cal considers a pregnant woman a household two at a minimum, many women were tracked into Medi-Cal and not eligible for private health insurance with the subsidies.
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.
Blue Shield to automatically enroll members in Obamacare plans
Blue Shield of California has sent notices to 2,062 consumers of their grandfathered health plans notifying them they will be automatically enrolled in Obamacare plans for 2017. Blue Shield will no longer be offering 17 of their grandfathered individual and family plans in 2017. Blue Shield stated that the grandfathered plans are being withdrawn from the market place due to low enrollment.
Can’t login into Covered California, new one-time passcode
Covered California will implement a one-time passcode to consumers or enrollers who can’t login to their accounts. The one-time passcode can be sent via text message or email. The new feature for gaining access to the Covered California account will be released on May 16th with other updates to the online enrollment system.
Undocumented children to gain Medi-Cal through Covered California
Covered California will be performing an update to their online application that will allow undocumented children to become eligible for full-scope Medi-Cal benefits on May 16, 2016. Children under 19 years of age and whose household income is below 266% of the federal poverty level will not have to verify their immigration status. They will not have to provide proof of citizenship, lawful presence, or proof of immigration status in order to become eligible for Medi-Cal.
New EyeMed Covered California vision insurance plans
Beginning today, visitors to CoveredCA.com can access EyeMed Vision Care via a link, which will take the consumer to EyeMed Vision Care’s website. Once there, consumers will work directly with EyeMed Vision Care to shop for vision benefits and see what coverage options are best for their situation.
Covered California mandates consumers be assigned primary care clinicians
Covered California announced Thursday that its board adopted significant new changes to its contracts with health insurers as part of its prescription to take health care reform to the next level. The new contract provisions, which will cover the years 2017-2019, will advance ongoing efforts by health insurance companies, hospitals and care providers to ensure that patients receive quality health care.
1095 A, B, C explained by Covered California
The Affordable Care Act (ACA) requires IRS Forms 1095 – A, B, and C be provided to consumers and a copy to the IRS. Below is an overview of each form, which comes with a letter of explanation, tax reporting directions, and contact information for the appropriate follow-up.
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