Kevin Knauss: Health, History, Travel, Insurance
Health insurance is unique in that it not only protects you from catastrophic health insurance bills, it can also help reduce the costs of many routine health care services and prescription medications. It’s as if your car insurance gave you discounts on oil changes, tire rotations, or replacing your brakes. While some of us we need routine maintenance, most people don’t know when their transmission is going to die and it needs to be replaced.
Perhaps the oddest bit of information from J was that the son she gave birth to was also named Kevin. This gentleman was born in 1955. I was born in 1963 when my father was on his third(?) marriage. Was I named for the son my father had abandon in hopes of recreating some alternative reality with a happy ending? Again, this would not have been out of the realm of possibility for my magical thinking father.
Requiring health insurance policies to cover medically necessary prevention, diagnosis, and treatment of all mental health conditions, as well as substance use disorders, that are listed in the most recent version of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-5) or the mental and behavioral disorders chapter of the most recent edition of the World Health Organization’s International Statistical Classification of Diseases and Related Health Problems (ICD-10).
I will note that when selecting the UCLA Medical Group from the drop-down list on the L. A. Care website, it will specify that limited enrollment is available. I don’t know if that means only the participating primary care physicians will accept a limited number of L. A. Care members or if the entire UCLA Medical Group is limited.
Covered California does not pay agents to assist consumers with enrollments into individual and family plans. The insurance plan or carrier compensates the agent. Agents are not paid anything for answering questions about Covered California. They are only paid a commission if the person enrolls into a health plan the agent represents and is appointed with.
Now, it seems they have set up their communication structure in such a way as to thwart any meaningful discussion between them, agents or potential consumers. If I can’t access information for my clients, then I am not providing all the services my clients expect. If the health plan throws up barriers to my access, then it is not a functional health plan in my eyes.
The San Francisco Library was also very gracious in scanning a letter to Catlin from A. T. Arrowsmith from 1853 that they had in their archive. Some of the material I was able to glean through email requests have become blog posts on my website. Other material either confirms certain aspects of Catlin’s life or supports my overall timeline.
The Premium plan is fairly comprehensive covering all of the minor and major dental services that are normally encountered. In addition, it also has limited coverage for teeth whitening, mouth-guards, orthodontics, and dental implants. The major services are covered at 50 percent after the 6-month waiting period. The 6-month waiting period is better than some plans that have a 12-month waiting period, but it also adds to the cost of the Premium plan.
Unbeknownst to many people, most California health plans cover emergency care anywhere in the United States and treat it as if it were in-network. This means that if you have a Silver 70 plan and are rushed to the emergency room of the nearest hospital while on vacation in upstate New York, your copayment will be $400 just as if the emergency services were performed at your local home office.
As of November 2020, the only way to apply for an exemption through Covered California was to use an online application that utilizes DocuSign. For individuals who do not own a computer or do not have internet access, this could be challenge. I have not found any paper exemption applications on the Covered California website. That doesn’t mean they are not there or that they won’t be created later.
