Within each plan, members have three network tiers to choose from. They can save the most when they stay in ACO network. But they also have the flexibility to choose PPO and non-PPO benefits. This is the only plan like it in California.
Health Care Insurane Coverage
Posts related to coverage, prescription medications, benefits and providers under health insurance plans.
Medicare Special Election Period Update for 2012
Special Election Period (SEP) Elections A common SEP that many beneficiaries are given at this time of year is the SEP for plans that are not renewing with CMS or a plan that is leaving the service area.
Sutter Health Terminates Anthem Blue Cross Medicare
California Sutter Health System Update Anthem Blue Cross (“Anthem”) and Sutter Health System Medical Groups (“Sutter Medical Groups”) have been engaged in negotiations for several months to reach reasonable reimbursement rates and contractual terms that are beneficial to both organizations. Unfortunately, Sutter Health will be terminating its participating hospital/provider contract with Anthem Blue Cross (“Anthem”), […]
Seeing Through Solids
“We don’t see through the ice or the glass.”, I said, “Their molecular structures allow white light waves to pass through them. We see the light that has passed through the solids. Similarly, white light does not pass through the human body. But X-rays do pass through our solid bodies and we can see the image on special film.”
Desert Rust and History
Daily, people would use the antiques to move forward in business or life. For me and others, antique mechanical objects can transport us back into the past and provides a nice contrast to our modern conveniences of today.
Desert Hikes
Out in the desert you are truly alone with your thoughts and you can sift through the grains of emotion. In the desert you can truly get a sense that it is just you, alone, on a big rock.
Be Healthy, Get Declined
It seems as if she is being penalized because she is taking care of herself. While I am not given to conspiracy theories, I am beginning to smell a rat.
HealtheHuman Medical Log Program
One of the biggest issues people with chronic conditions face is the accumulation and tracking of their health data. When we go to see the doctor and the tests results are not what was expected (good or bad) the first question the doctor asks is, “Have you changed anything recently?”
Anthem Blue Cross sued for ‘bait and switch’ tactics’
According to the Sacramento Business Journal as reported by Kathy Roberyson, staff writer, Anthem Blue Cross is being sued by consumer advocates that claim that adjustments to their individual health insurance plans, mid-year, constitutes ‘bait and switch’ tactics. The class action lawsuit was file November 14, 2011, in Los Angeles Superior court. Changes during the course […]
My Social Media Experiment
After a year of using Social Media, going from zero to maybe 45 mph, I am having positive and meaningful results. I have purchased goods and services from people I have connected with through Social Media.