The rallying cry in the 2020 presidential primaries is Medicare For All. But Original Medicare is the sort of health insurance that the Affordable Care Act set out to ban from the market place. Original Medicare has no annual caps on the maximum out-of-pocket a consumer must pay for either hospitalization or outpatient services. People can incur multiple Part A hospitalization deductibles during the year. The 20 percent coinsurance for medical services can mean some tests, imaging, and procedures can cost the consumer hundreds of dollars. Plus, there is no prescription drug coverage.
It is not intuitive that a person who is not automatically enrolled in Medicare must contact the Social Security Administration (SSA). However, the SSA is the gatekeeper of your employment and income records and therefore can make the determination of who is eligible for Medicare based on their work history.
The family continued to wait, not paying any of the invoices they received because they figured that Covered California was working to resolve the issue. The health insurance plan was terminated by the health plan for lack of payment. If the consumer does not pay the all the premiums after 90 days, the consumer loses the right to make all the back-premium payments and reinstate the health plan. This is what happened to the family.
The brochure also outlines the rights and responsibilities of the Medi-Cal beneficiary. Eligibility determinations, either enrollment or termination, can be appealed. myMedi-Cal discusses the time periods for the appeals and the right to a State Fair Hearing.
Blue Shield has added a gender identity category to align with the new state law even though health insurance companies are not required to do so. As an organization, Blue Shield recognizes our members whose gender identity is female, male or nonbinary. We want to honor any employee, and member their wish to be recorded as the gender they identify with.
My research took me to the Bancroft Library at UC Berkeley where I found some important letters and images of Bugbey’s Natoma Vineyard in El Dorado County. The letters, from a local Folsom resident, describe how the prevailing opinion of the town was that Bugbey himself had set the 1871 fire that burned several buildings including his wine storehouse. The gossip was that he was in financial troubles and needed the insurance money.
An investigation by CDI found that certain insurers are denying coverage, or offering Life, Disability Income or Long-Term Care Insurance coverage under different conditions, to Truvada/PrEP users.
In addition to paying a $2.8 million fine, Anthem Blue Cross has agreed to a Corrective Action Plan (CAP) that represents a fundamental shift in how the plan handles enrollee grievances.
I grew up in California, went to college in California, and like most West Coast parents, I was conditioned to view the large private universities and University of California institutions as the gold standard of college education. I readily admit that I was wrong and can now see the glaring deficiencies of my college experience at UC Davis. The deficiencies are not a failure of the any of the large universities. They are just the nature of the system trying to push through five or ten thousand students each year to graduation.
By the time I had all the fun in the urologist’s office, the prostate pain had virtually disappeared. My PCP and I had theorized before the PSA test that the new mountain bike I bought, with the knife-like seat, may have traumatized the pudendal nerve, a common problem among cyclists. I had stopped riding my new bike and the pain gradually subsided. The next PSA test result was a 4, confirming that I needed to buy a new bike seat.