Kevin Knauss: Health, History, Travel, Insurance
You wonder if some carriers will continue to offer individual and family plans. Balance by Chinese Community Health Plan enrolled 3,740 plan members. Of those enrolled, 750 were unsubsidized paying the full premium amount. Balance by CCHP will have a 14.6 percent rate increase in 2027. If a significant number of their members switch carriers or drop health insurance, can Balance by CCHP survive?
To meet the work requirement to maintain Medi-Cal eligibility, you need to earn at least $580 a month. You are exempt if you are volunteering 80 hours per month or attending school half-time.
My customer service ratings are subjective based on my interaction with the carriers and reports from clients. What you will notice is that potentially those smaller regional carriers are going to have better than average customer service. Why? They’re smaller. Generally, the customer service staff is in California. It’s not offshored, so you’re usually talking to an individual when you can get through and actually talk to someone.
Aside from the covered benefits of ACA health plans offered in California, the premiums reflect cost of delivering health care services. In other words, the premiums reflect the cost of paying claims to a variety of providers from therapists to hospitals.
The copay for the GLP-1 drugs will be $50 under the Bridge program.
Regardless of the reason for the cancellation, you need to work with the health plan to bring your account current. Covered California can still be of assistance if your health plan was terminated because of an error in processing or request for documentation.
If an individual is working, paying taxes, and has an income low enough to qualify for the health insurance subsidies, they should be allowed to participate in the ACA program. These folks are our neighbors and are no different from the rest of us. They are trying to be responsible residents by enrolling in health insurance so some unfortunate accident does not make them a burden to the state.
If your employer has less than 20 employees, Medicare is primary payor. This means the group plan may wait until Medicare pays their portion of the health care. If you don’t have Medicare then you may have a big health care bill to pay. If you have coverage through a small employer group, seriously consider enrolling in Medicare.
I have seen where the information all looks correct, but Medi-Cal never resubmitted the application. Medi-Cal changes their database and that of Covered California. However, if those changes are not properly processed through CalHEERS, your results may not be correct.
But does the High Deductible Plan G protect you from catastrophic Medicare health care costs? In the example below, the Medicare beneficiary has a medical event where they must be hospitalized for five days. They must then reside in a skilled nursing facility for 30 days to recuperate. The costs are 2026 and 2036 where a 5 percent inflation adjustment has been applied to the Medicare costs.
