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.
Health Care Insurane Coverage
Posts related to coverage, prescription medications, benefits and providers under health insurance plans.
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 […]
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.
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 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.
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.
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.
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.
Most consumers would be surprised to learn that their health plans are being rated on how well their doctors treat them. Consumers don’t want their health plan involved in their health care decisions or interactions with their doctors. Consequently, some health plans are paying for the sins of some providers by being labeled with a low star rating.
The calendar of events on the Keep Dignity Health website states that by October 17, 2021, all Dignity providers and hospitals will be out-of-network with Anthem Blue Cross. The contract termination would include Medicare Advantage plans and other HMO groups. The complete termination with Blue Cross assumes that there will be no resolution to the contract dispute. Dignity Hospitals will still be in-network for life-threatening emergency care.