If you never check your Covered California secure email box, opt to receive important letters delivered to your home address. The notices will alert you if you are losing your subsidies, health insurance, or being put into Medi-Cal.
How Are Covered California Insurance Agents Paid?
Health insurance agents are not paid by Covered California. We are paid by the health plans, either PMPM or a percentage commission. There are 13 different health insurance carriers and 13 different agent commission structures.
Medi-Cal 2024 Asset Test Elimination Updates
The purpose of this All-County Welfare Directors Letter (ACWDL) is to provide counties with guidance regarding the elimination of assets for Non-Modified Adjusted Gross Income (Non-MAGI) Medi-Cal programs and the elimination of the requirement to compute and report potential overpayments based on excess property.
Why Are PPO Health Plans So Expensive?
PPO and EPO plans generally have a larger network of hospitals and medical groups. They will include popular providers such as Cedars Sinai, Hoag, Providence, Sutter, and UC hospitals and medical group. The members of PPO and EPO plans can travel great distances to see their favorite specialist.
Do You Have To Repay Covered California Subsidies AFTER You Leave with Higher Income?
Sue and Bob received $3,840 in excess Advance Premium Tax Credit for the year. Because their final income is over 400 percent of the federal poverty level, they must repay all the excess health insurance subsidy.
Health Insurance as Asset Protection
The cost of major surgeries or cancer treatment can easily top out at $100,000 or more. The health insurance with a maximum out-of-pocket amount limits your liability so you do not have to liquidate your assets to pay the doctor and hospital bills. Health insurance protects your assets.
Medicare Advantage Escape Hatch
If you find yourself in a Medicare Advantage plan you do not like, you have an escape hatch to another plan. The Medicare Advantage Open Enrollment Period is a short period of time when you can escape from your current enrollment, switch to another Medicare Advantage plan, or return to Original Medicare with a Part […]
Inequity Continues at Covered California with No Deductible Health Plans
Is it equitable that a married couple with substantial savings and high net worth receive significant health cost savings while a similar married couple with no savings but slightly higher income is subjected to higher health care costs? No, it is not equitable. It is a government program that is missing the mark on equity. Stated another way, the reduced cost sharing and no deductible health plans are not fair because the household income does not reflect the real financial state of the individual or family.
Can’t Find A Doctor? Look at Low Star Rated Docs
The common complaint from my clients in 2023 is that they can’t find a doctor. I am in the crowd who couldn’t find a Primary Care Provider to figuratively save my life. I changed my focus from certain preferences to reviewing low star rated doctors. With the switch, I found a good, competent Primary Care Provider.
2024 Covered California Health Insurance Rate Increase Marketing
However, if you are in a region where Aetna CVS Health is the second lowest cost Silver plan, you may see a dramatic premium increase. This is because the Aetna CVS Health is slated to increase approximately 0.2 percent. This means that the subsidy with the Aetna CVS Health second lowest cost Silver plan will only slightly increase for 2024 over 2023. If you have the Blue Shield PPO with a 15 percent increase in that region, your 2024 subsidy will not change by much and you may be paying a considerably higher amount for your health insurance if you keep the Blue Shield plan.
