Kevin Knauss: Health, History, Travel, Insurance
The orange percent column titles represent dollar amounts pertaining to the eligibility for Medi-Cal programs. For example, adults with incomes under 138 percent of the federal poverty level are eligible for Medi-Cal. There are specific columns for Medi-Cal for Pregnant Women, Medi-Cal for children under 19 years of age (266%), and Medi-Cal Access Program that corresponds with expanded children’s Medi-Cal in certain Bay Area counties (322%.)
The family did not understand what was going on. Why was their subsidy unilaterally changed by Covered California with no warning? They did not trust Covered California to get the numbers correct. I created a spreadsheet to see if the new subsidy and subsequent totals matched what they were eligible for at the estimated income.
Some people only learn they have been flipped into Medi-Cal when they are at their doctor’s office and the receptionist tells them their health insurance has been cancelled. What follows for many people is a nightmare scenario of trying to learn why their Covered California plan was terminated, who terminated it, why they are in Medi-Cal, and how to get of the Medi-Cal system.
Annual income. When entered on income section, Covered California will take the total amount and divide it by 12 and distribute an equal amount in each month. For example, you enter an annual income amount of $12,000 beginning in January. Each month through December will be allotted $1,000 to add to your monthly income and annual income totals.
The Medi-Cal annual redetermination paperwork can be confusing and complicated. It can be hard to reach a county Medi-Cal case worker to answer questions. The Department of Health Care Services maintains a webpage of local health enrollment navigators by county.
On top of the non-disruptive behavior, teachers have become utterly addle brained when trying to address the child by their chosen pronoun. Many teachers have broken down in tears being forced to say the plural ‘they’ when referring to a singular child. This cruelty to our teachers must stop and school districts are stepping up to put children back into the gender role chosen by society and stamp out the virus of progress.
There are a couple of different models of the deductible insurance plans. All of the designs require the individual to meet a deductible between $1,000 to $2,000. The plan’s deductible are health care expenses you must pay before the deductible insurance is triggered. Also with the models are two different maximum benefits of either $4,000 or $6,000. In other words, the plan will cover either $4,000 or $6,000 in health care expenses in a calendar year.
If you never check your Covered California secure email box, opt to receive important letters delivered to your home address. The notices will alert you if you are losing your subsidies, health insurance, or being put into Medi-Cal.
Health insurance agents are not paid by Covered California. We are paid by the health plans, either PMPM or a percentage commission. There are 13 different health insurance carriers and 13 different agent commission structures.
The purpose of this All-County Welfare Directors Letter (ACWDL) is to provide counties with guidance regarding the elimination of assets for Non-Modified Adjusted Gross Income (Non-MAGI) Medi-Cal programs and the elimination of the requirement to compute and report potential overpayments based on excess property.
