The big headline in August was that Aetna would not be expanding their Obamacare individual and family plans in 2017. The smaller headline from a week earlier was that Aetna was seeking approval to … [Read More...]
The big headline in August was that Aetna would not be expanding their Obamacare individual and family plans in 2017. The smaller headline from a week earlier was that Aetna was seeking approval to become a Medi-Cal manage care health insurance provider in California. Just like other health insurance companies have found, welfare pays better than work when it comes to health insurance.
As the lake level drops, the history is revealed. As Folsom Lake hit record low water levels in 2015, a whole lot of history was revealed. A drought shrunken Folsom Lake of 2015 was the highlight for a guy like me who had been hiking around the reservoir for years looking for historical sites. After numerous hikes around the North and South Forks of the American River at Folsom Lake, I finally organized my photographs and historical research into a book, Hidden History Beneath Folsom Lake – Hiking Across a Dry Lake in Time of Drought.
Covered California has updated their online application and enrollment program to allow families receiving premium assistance to select different metal tier levels and health plans for each household member. Previous to this update, only households who enrolled without qualifying for premium assistance could split the family member up between different plans. Beginning August 1, 2016, families receiving Advance Premium Tax Credits to reduce their monthly health insurance bills will have more consumer choice.
To imply, as Donald Trump has, that his bankruptcies were just part of the ethical business practices afforded to entrepreneurs like him and are standard operating procedure for corporations is just an anathema to me. Just because a business practice is legal does not mean that it is ethical. An ethical business person does everything in his or her power to meet their financial obligations. An ethical business person puts those people who have extended credit, supplied goods and services, or made deposits on future products before their own financial well-being. Donald Trump obviously was raised in a different business environment than I was.
Covered California has come under pointed criticism from the health insurance companies for their lack of verification of a consumer’s Qualifying Life Event (QLE) for a Special Enrollment Period (SEP). That will change as of August 1, 2016, when Covered California will start a program to randomly sample consumers who have enrolled in health plan outside of Open Enrollment under a QLE. Selected consumers will have to provide verification that they actually do have a QLE that makes them eligible to enroll outside of Open Enrollment such moving into California or the loss of minimum essential coverage like Medi-Cal or employer group coverage.
Suicide is a worldwide problem that affects over a million people each year, and in the U.S. there are varying age groups that suffer. It can be difficult to know where to begin in helping someone who has attempted suicide, in part because there is such a stigma surrounding it; however, if someone you care about has attempted to harm themselves and you fear it might happen again, there are signs you can watch for and things you can do to help.
Covered California will be adding two elements to the health plans sold through their marketplace exchange in 2017. The first is a new ombudsman program to help consumers fight with their private health insurance companies. The second is requiring that all PPO and EPO health plans assign a Primary Care Physician like HMO plans have. Any initiative to help consumers navigate health insurance and the health care system are admirable. But both initiatives lack details that would help determine if the changes are lip-stick-on-a-pig or consequential improvements.
As is typically the case with enrollment disputes, Covered California says it is a Blue Shield problem and Blue Shield points the finger at Covered California. Blue Shield further states that they must wait 30 days before they request another transfer of the enrollment data from Covered California. So where does this leave the family? They have paid for health insurance in July for which they have no enrollment.
When the summer heat hits in the Sacramento Valley, my fail-safe hiking destination is the Marin Headlands in the Golden Gate Recreational Area. Even after all the spring wildflowers have faded away, there is still plenty of natural beauty to see on the hiking trails above the Pacific Ocean.
On a warm, but breezy, Saturday afternoon, a memorial for the victims of the Orlando, Florida, Pulse nightclub shooting was held in downtown Roseville. Organized by local resident David Larson, speakers included elected officials and representative of several religious faiths. Roseville Stands With Orlando Memorial The recent gun violence that killed black men in Minnesota, […]