The latest error code in the Covered California enrollment system to stymie consumers occurs while attempting to change the health plan. My experience has been that if a consumer has been automatically enrolled in their current 2014 health plan for 2015, the CalHEERS program will not allow a plan change. Error Code: 224 pops up […]
Archives for December 2014
Counselors urged to help LGBT members enroll in ACA
The federal government is reaching out to behavioral health counselors and therapist to educate them on how the Affordable Care Act works so they can encourage members of the LGBT community to enroll in an ACA health plans. Sometimes the professionals who provide important health services through health plans offered through Healthcare.gov and CoveredCa.com can be the […]
California consumers enrolled in both Medi-Cal and subsidized plans
In recent weeks I’ve been contacted by several consumers who found out they had been enrolled in Medi-Cal while receiving, and still paying, for their subsidized private health insurance through Covered California. Aside from the obvious question of how could this happen, is the reality that Covered California may have been advancing tax credits to private health […]
Blue Shield gets a piece of the Medi-Cal revenue pie
Blue Shield of California announced that it was getting a slice of the lucrative government Medi-Cal pie with its acquisition of Care1st of Los Angeles County. Blue Shield has been missing the easy money of Medi-Cal payments that Blue Cross, Health Net and Kaiser have been receiving from different California counties when they offer a Medi-Cal managed care HMO […]
Multi-State health plans limit abortion coverage
Multi-State health plans offered in most states limit coverage for abortions to what is considered therapeutic or non-excepted abortions. Abortions will only be covered under the Multi-State Plans (MSP) in the cases of harm to the mother’s health or conception as a result of rape or incest. Elective abortions are not a covered benefit under MSPs. Multi-State […]
How to correct polygamous Covered California households
The Covered California sales seminar for 2015 open enrollment held on December 3rd covered numerous topics. While new sales collateral, store front signage and immigration updates were covered, the bulk of the webinar was devoted to tips, tricks and more work-a-round solutions for enrollment system glitches. The last part of the seminar was a 16 […]
Health Net’s new skinny EPO and HSP networks
While Covered California was preparing a large press announcement with the California Medical Association (CMA) about extolling the number of physicians that are participating in Covered California individual and family health plans, Health Net was releasing their list of providers in their new narrow network Exclusive Provider Organizations (EPO) and Health Service Plans (HSP). A search […]