Kevin Knauss: Health, History, Travel, Insurance
Posts on the development and implementation of the California health insurance market place, application, account, enrollment, termination.
Even though health insurance plans have been greatly simplified with the introduction of the metal tiers of Bronze, Silver, Gold and Platinum under the ACA, careful consideration should still be given when comparing the coverage and benefits. In particular, for many people that have recurring brand name prescriptions medications, selecting the least expensive Bronze plan […]
Thousands of health insurance agents across California have done what Covered California has asked us to do to become certified to sell their new health plans. Unfortunately, Covered California has not held up their end of the agreement by creating an agent system within the CalHEERS website that allows us to monitor the progress of an application or to know if we will ever get paid. I am now leaning toward taking my client business right to the carriers and boycotting Covered California altogether.
So I bit the bullet and attended a local community presentation by a volunteer from a Certified Educator for CoveredCA adding to the information I had recently researched online. After the talk, I conferred with the presenter who was a volunteer through Sacramento Mighty Oaks and stated my concerns about my situation. She was wonderful, gladly offering to be in touch with me with answers in the days that followed.
The California Endowment teamed up with the Service Employees International Union- United Healthcare Worker West to host a “We Connect” event at the Sacramento Convention Center to enroll local residents in new Covered California Affordable Care Act health plans. While the production of the event was fairly glossy and festive, like many aspects of enrolling in the new ACA plans through Covered California there were many frustrations and challenges for attendees and volunteers
From problems with logging in, bad and missing information to the virtually inoperable agent dashboard, the Covered California web portal to enroll in new ACA health plans has serious issues that no one at the California Health Benefits Exchange wants to address openly.
Blue Shield of California has agreed to allow upwards of 115,000 individual and family plan members to keep their existing policies through March 31, 2014. The press release from the office of Insurance Commissioner Jones indicated the agreement to allow the policy holders to keep their plans past the original December 31, 2013 cancellation date was the result of a late filing or notification requirement for plan closures on the part of Blue Shield.
From the sloppy training, poorly designed and broken website, lack of real information about plans to the patronizing pep talk tone of the webinars, I’m just about done with Covered California. If I didn’t feel so strongly about health care reform and the importance of the Affordable Care Act I would have cut my ties with Covered California long ago and just concentrated on keeping my current clients with their current carriers.
I had just finished the family’s application into a new Covered California health plan when I realized that we hadn’t chosen a pediatric dental plan for their son. I had that sinking feeling when I screw up an application…or did I? According to a customer service agent, Covered California hasn’t released the children’s dental plans.
We can be fairly certain that the big push to enroll college students into new ACA health plans will result in a large portion of the students channeled into Medi-Cal plans. It is estimated that are 480,000 young adults age 19-29 that will be eligible for Medi-Cal2. If we assume a full-time student is able to work 20 hours per week, that monthly wage still puts them below the 138% of the federal poverty line ($15,865) and automatic Medi-Cal.
Covered California announced that it has yanked Alameda Alliance for Health (AAH)from its health plans in the state exchange. The trigger for removal was that AAH had not been granted a material modification to its licensed from the Department of Managed Health Care to engage in commercial insurance sales for 2014. This lack of ability to sell health plans to individuals and businesses through Covered California technically puts AAH out of compliance with the contract they signed with the insurance exchange to offer health plans to the public.
