Search Results for: covered california

How Is The California Premium Assistance Subsidy Calculated With FTB 3895 And 3849?

February 4, 2021 By Kevin Knauss Leave a Comment

The starting point for the subsidy calculation is also the end point for reconciling the subsidy on the California 540 income tax return. First, your Modified Adjusted Gross Income (MAGI) is converted into a percentage of the federal poverty level (FPL), which varies by household size. That FPL percentage is then matched to the Applicable Figure. The Applicable Figure is itself a percentage, the percentage of the household’s fair share or consumer responsibility for health insurance. It is a sliding scale with income closer to the FPL being responsible for less of the health insurance premium.

Competition Raises Health Insurance Rates In Northern California

January 5, 2021 By Kevin Knauss Leave a Comment

The Shop and Compare Tool calculated the subsidized rates for each Silver 70 health plan for 2021. When compared to 2020, the monthly health insurance premium for the 55-year-old individual increased between 25 and 160 percent. Kaiser, the least expensive Silver plan, had the largest dollar increase of $175 per month. Without the Oscar expansion, the Blue Shield HMO Silver 70 would have been the SLCSP, but the much less expensive Oscar Silver plan came in second, $139 lower after the subsidy.

New Mental Health Benefits For 2021 California Health Plans

December 12, 2020 By Kevin Knauss Leave a Comment

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).

Out of State Emergency and Urgent Care With California Health Plans

November 23, 2020 By Kevin Knauss Leave a Comment

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.

Avoiding California’s Health Care Mandate Penalty

November 20, 2020 By Kevin Knauss Leave a Comment

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.

California Insurance Commissioner Requests Refunds for Health Insurance Premiums

October 7, 2020 By Kevin Knauss 1 Comment

Therefore, I request that all health insurance and specialized health insurance companies provide their policyholders with a partial premium refund no later than December 31, 2020. These refunds should be reflected in the November or December 2020 premium statements sent to policyholder or certificate holders, if refunds have not already been issued.

Blue Cross California Family Plans 2021 With Gaps

October 1, 2020 By Kevin Knauss Leave a Comment

Blue Cross will offer the standard benefit design metal tier plans through Covered California and off-exchange, direct from the carrier. They will also offer a few non-standard benefit design plans available off-exchange. Blue Cross will offer a Silver HMO plan off-exchange with no medical deductible and 0 percent coinsurance for medical services. The copayments are a little higher than the standard Silver 70 ($50 office visit, $85 specialist visit, emergency room visit $750) and the maximum out-of-pocket is $8,550 versus the $8,200 for a standard Silver 70.

California Treasurer Impeached After Losing $200,000 in 1856 and 1857

August 31, 2020 By Kevin Knauss Leave a Comment

On January 3, 1857, Dr. Bates authorized the payment of $124,000 to Edwin Rowe of the Pacific Express Company for interest due in New York on July 1st. In sworn testimony, Dr. Bates confesses there was no Controller’s warrant for the disbursement. Dr. Bates left the Treasurer’s office at 1:30 PM while Rowe took charge of the gold coins. Dr. Bates told the clerk to drop the key to the safe at his hotel room later that evening. The clerk, Mr. Bunker, left the office at 3:30 PM while Rowe was still in the office counting the money.

The California Mighty Oak Of The Leidesdorff Land Grant Dispute

July 29, 2020 By Kevin Knauss 1 Comment

By today’s standards, it seems absolutely crazy that anyone would invest money in property or infrastructure when there was no clear title to the land and the State of California continually threatened to strip Folsom of his ownership of the Leidesdorff estate. But this was the state of California in the 1850s. Even before the untimely death of Folsom, he and other men were pushing forward with their development plans in Sacramento County. Folsom had been working with the Sacramento Valley Railroad to run a line from Sacramento to Negro Bar on the south side of the American River over the Leidesdorff land grant.

Special California Covid Virus Enrollment Extended

June 23, 2020 By Kevin Knauss Leave a Comment

Covered California initially opened the health insurance exchange to any eligible uninsured individuals, who needed health care coverage amid the COVID-19 nation emergency, from March 20 to June 30. The new deadline means that anyone who meets Covered California’s eligibility requirements, which are similar to those in place during the annual open-enrollment period, can apply for coverage through July 31.

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Search Results for: covered california