Menu

IMK

Kevin Knauss: Health, History, Travel, Insurance

Home » Page 39
post

Medicare Advantage Plans Are Not Free, Federal Government Subsidies In California

By 1 Comment

In California, there are thirteen counties where the Medicare Advantage capitation amount will exceed $1,000 per enrolled member. This does not include any possible bonuses based on quality scores OR for any Part D Prescription drug benefits included in the Medicare Advantage plan. The lowest capitation amount is $841.14 in Imperial County and the highest is $1,158.97 in Inyo County. These figures are from the Medicare RateBook2020 that lists the capitation amounts for all counties in the United States.

post

Kaiser Top Distributor of Opioids in Sacramento County

By Leave a Comment

Kaiser is unique in that because they manage their own pharmacies, we can get a look at the ordering habits of opioids, and by extension, the prescribing of those opioids by Kaiser doctors. With a pharmacy like Costco, that has a higher ordering rate for higher strength doses of hydrocodone, it is hard to pinpoint which doctors or medical groups are prescribing the stronger drugs. It may not even be a doctor in Sacramento County.

post

Covered California Fixes Medi-Cal Error Eligibility

By Leave a Comment

Covered California has developed a reprieve from immediate reporting to SAWS in the event of an error on the application that triggers Medi-Cal eligibility. The one-day delay in reporting the eligibility results to Medi-Cal is outlined in the CalHEERS 19.7 release scheduled to be implement on July 22, 2019.

post

Kaiser Ear Cleaning Cost Jumps 33% For 2019

By Leave a Comment

If you take a nasty spill on your skate board in San Francisco, and have to have your ankle X-rayed at Kaiser, it will cost $102. But if you break your finger poking your political opponent in the chest, that finger X-ray will cost $111. These costs are lower in Southern California where they have more skate boards and finger poking. An ankle X-ray in Southern California will be $71 and the finger at $78. They don’t mention if there is a discount X-ray cost for both if you poked someone and then fell off your skate board.

post

Medicare For All Is Poor Health Insurance

By 1 Comment

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.

post

Medicare Enrollment is Not Automatic for Many 65 Year Olds

By 1 Comment

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.

post

Medi-Cal Getting Health and Dental Care, Income, and Fraud Questions

By Leave a Comment

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.

post

Blue Shield Implements Non-Binary Gender Option

By Leave a Comment

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.

post

Biography of B. N. Bugbey, Sacramento ’49er Pioneer and Champagne King

By 1 Comment

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.

Spam prevention powered by Akismet