The goal of the program is not to have parents or legal guardians have to pay out-of-pocket for covered services and hearing aids. However, if the family has other insurance, the provider must bill that health plan first, which may require some initial costs by the family. After the private health plan has paid their share, HACCP will supplement the remaining costs.
Health Care Insurane Coverage
Posts related to coverage, prescription medications, benefits and providers under health insurance plans.
Stanford Health Out-of-Network with Blue Shield of California
The Stanford Health Care hospitals and facilities contract with Blue Shield ended on June 28, 2024. Despite many months of good faith negotiations with Stanford Health, we have not been able to reach a reasonable agreement on reimbursement rates and contractual terms that are beneficial for both parties and keep care sustainably affordable for our members.
Which Health Plans Include Your Doctors and Hospitals In Network
Whether you purchase your health insurance through Covered California or off-exchange direct from the carrier, you can use the Covered California Shop and Compare tool to search for doctors and hospitals. The Covered California provider search tool will display the network status of the doctors and hospital you select for all the different plans offered.
How the Part D Prescription Drug Plans Work
Of all the Medicare plans, the Part D Prescription (PDP) plans are the most confusing. The confusion arises because Medicare allows the Part D plans to offer alternate plans that differ from the standard plan. The alternate plans must be as good as the standard plan for the average Medicare beneficiary. Cost Sharing of the […]
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.
The Human Condition Does Not Change Based On Where You Live
Basic human rights and equal access to health care services is nonnegotiable. There can be no compromise. State’s rights do not supersede human rights. The goal of health care is to keep people healthy, productive, and sustainable. No state law should prevent a person from receiving care to remain healthy, productive, and sustainable.
Blue Shield In-Home Healthcare For HMO and PPO Members In Southern California
Blue Shield PPO members can schedule a visit by calling the Blue Shield Nurse Hotline or contacting Dispatchealth directly via website or telephone. Blue Shield HMO members must call their Primary Care Physician for a referral for an in-home visit to treat a medical condition. In-home visits are grouped into 5-hour windows corresponding to morning, afternoon or evening. Appointments can be as early as 7 AM or as late as 10 PM, sometimes on the same day as the request. Care is available in English and Spanish.
Most California Health Plans Include Abortion as A Covered Health Care Benefit
Does my Medi-Cal insurance cover my abortion? Yes. Is my private insurer required to cover my abortion? Yes for most people. California law is clear that abortion care is basic health care, and most insurance plans must cover basic health care services. This requirement does not apply to employers that provide “self-funded” health care coverage or grandfathered plans.
How To Select A Health Insurance Plan
Health insurance, at a basic level, is asset protection similar to car, life, and home insurance. Most health plans have an annual maximum out-of-pocket amount that limits your liability to outrageous health care bills in the event of an accident or sudden illness. Once the maximum out-of-pocket amount is met, the health plan covers all in-network health care expenses for the rest of the year.
The Health Care Hole: Patient Support and Advocacy. Can a mobile app help?
A single application that can be shared between different caregivers, perhaps several children take turns caring for an elderly parent, will keep the current care giver abreast of the latest conditions and medications. HeyRenee would not become a patient advocate, but a program to support the patient, doctors, and caregivers. The app can be interactive prompting medication alerts and accepting a reply that the drug was taken. In addition, a telemedicine appointment could be included in the app for a quick diagnosis or update if conditions worsen.