Kevin Knauss: Health, History, Travel, Insurance
A guide to off-exchange PPO and HMO options, benefits, rates, and provider networks Blue Shield of California will offer a variety of PPO and HMO individual and family plans in 2027. Californians can enroll through Covered California or purchase certain plans directly from Blue Shield outside the exchange. Most standard benefit design plans—Bronze 60, Silver […]
CMS repeatedly says it is working with health insurance companies to identify and investigate questionable enrollments. Cooperation may help reconcile enrollment and payment records, but the scope of that collaboration should be transparent. Consumers deserve to know what information is being shared, for what purpose, and under what privacy safeguards.
Covered California appears to have kept many routine copays relatively stable while shifting more potential cost to members through higher maximum out-of-pocket limits.
Some Medicare Advantage plans offer concierge-style services. For example, members may be able to call for help coordinating certain services, such as transportation to a lab or medical appointment.
In an effort to suppress enrollment into Part D drug plans, most of the plan sponsors have made the plans non-commissionable to health insurance agents. In other words, a health insurance agent will receive no commission if they enroll a Medicare beneficiary into the majority of the plans offered.
This is where the human element comes in. You must listen to each paragraph of the book to make sure the correct character’s voice is speaking, the pronunciation is acceptable and correct any typos. There will be times when you have to add text to clarify the topic. I had to do this when I removed an image. I needed to describe the image in the audio version. Or, AI will speak literally. The phrase “Wells, Fargo, and Co.” is literally spoken as “Co” for the last word. I had to spell it out as “company.”
To estimate how much Advance Premium Tax Credit subsidy you may have to repay, start with the Covered California Shop and Compare tool.
Address Change SEP: If you must move because of your illness and your existing health plan is not offered, then you could change health plan and metal tier.
Not all plans include the SSBCI support. You can enroll in a Medicare Advantage plan that has the SSBCI even if you don’t qualify for the extra benefits. You can search on Medicare.gov for plans that include SSBCI. You can also ask your insurance agent to search for Medicare Advantage plans that include SSBCI that might support you.
It’s also important to learn if you or your family member will have any other coverage like an employer group retirement plan, VA (Veterans Administration) or Tricare for life. Sometimes you do not want to leave an employer group plan because once you leave you may not be able to get it back. Sometimes people will stay with VA for drug coverage but need additional help for healthcare services through a Medicare Advantage plan. Talk with those organizations to make sure that none of the changes you may be making such as enrolling in a drug plan or Medicare Advantage plan will for some reason terminate coverage in that existing group plan.
