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News & Announcements about health insurance in California




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Oscar Health Plans Expands Hospital Network For 2018

November 21, 2017 By Kevin Knauss Leave a Comment

All of the health plans Oscar offers through Covered California will be mirrored off-exchange. The off-exchange mirrored plans are called the Classic series and include the Bronze, Silver, Gold, Platinum, and Minimum Coverage standard health plan design.

Filed Under: Oscar Tagged With: Los Angeles, Orange, Oscar, San Francisco

Medicare Special Election Period For Individuals Affected By California Wildfires

October 31, 2017 By Kevin Knauss Leave a Comment

Any beneficiary who resides in, or resided in, an area for which the Federal Emergency Management Agency (FEMA) has declared an emergency or major disaster (see www.fema.gov/disasters or the list below*) is eligible for the SEP, if the beneficiary was unable to enroll in a plan during another qualifying election period. In addition, beneficiaries who do not live in the impacted areas but receive assistance from someone living in one of the affected areas also qualify for this SEP.

Filed Under: Medicare Tagged With: Butte, California, Lake, Medicare, Mendocino, Napa, Nevada, Orange, Solona, Sonoma, Special Enrollment Period, Wildfires, Yuba

Oscar Health Plan Information for 2017

November 16, 2016 By Kevin Knauss Leave a Comment

Covered California, Los Angeles, Orange, San Francisco

Oscar is expanding their health plan availability into San Francisco County for 2017. They will continue to serve part of Los Angeles and all of Orange counties. They have notified members enrolled in some of their 2016 off-exchange plans that they will no longer be offered. The Simple Silver, Simple Gold, Simple Platinum, and Simple+ Platinum will not be offered in 2017. Individuals and families in these health plans must select a new health plan no later than December 31, with Oscar to maintain coverage.

Filed Under: Oscar Tagged With: Covered California, Health, Hospitals, Insurance, Los Angeles, Orange, Oscar, Plans, San Francisco

Owners of sober living facilities arrested for health insurance fraud

November 10, 2016 By Kevin Knauss 1 Comment

California, Insurance, Fraud, Substance, Abuse, Scheme

California Department of Insurance detectives, assisted by multiple law enforcement agencies, arrested Chris Bathum and Kirsten Wallace on multiple felony counts of grand theft, and identity theft for allegedly conspiring to defraud patients and insurers out of more than $176 million through an elaborate conspiracy. Simultaneously, search warrants were also executed at 15 locations throughout Los Angeles and Orange County.

Filed Under: Cal DOI Tagged With: Abuse, Addiction, California, Claims, Drugs, Facilites, Fraud, Health, Insurance, Living, Los Angeles, Orange, Rehab, Sober, Substance, Treatment

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