SB946: This bill requires that all health plans and policies provide coverage for behavioral health treatment for pervasive developmental disorder, applied behavioral analysis (ABA) or autism.
Search Results for: covered california
Trio of California bills set to enhance maternity services for women
On July 1, 2012 three different bills will go into effect that will enhance and expand maternity services covered by health insurance plans and protect women when taking FMLA for pregnancy isssues.
Expanded Maternity Services for California Group Plans starting July 1, 2012
Health insurance companies offering group plans in the California market will be updating some of their plans to comply with new maternity services definitions and expansion. AB 210 (Roger Hernández): Maternity services 10123.866. (a) Commencing no later than July 1, 2012, every group health insurance policy shall provide coverage for maternity services for all insureds […]
Fire and Earthquake Natural Disaster Special Enrollment Period
Individuals and families have a 60-day window to enroll in Covered California, or if they are current consumers, change their health plans. If someone has lost their health insurance because of the Palisades Fire, they can enroll in Covered California, outside of Open Enrollment, by March 8. If the individual or family wants the health insurance to start March 1st, they need to enroll by February 28th.
When Your Tax Return Income Makes You Medi-Cal Eligible
Just because Joey’s 2023 final Modified Adjusted Gross Income was in the range for Medi-Cal, he will not lose his 2024 health plan and subsidies. The IRS does not report his income to Covered California to flip him into Medi-Cal. His 2024 subsidy is based on his good faith honest estimate of his 2024 income.
Which Health Plans Include Your Doctors and Hospitals In Network
Whether you purchase your health insurance through Covered California or off-exchange direct from the carrier, you can use the Covered California Shop and Compare tool to search for doctors and hospitals. The Covered California provider search tool will display the network status of the doctors and hospital you select for all the different plans offered.
Molina Healthcare Dumped Me as an Appointed Agent
There was no specific cause for the Molina action against me. The letter stated, “Molina has the right to terminate an appointment or revoke a Participating Producer’s authority to Solicit the Molina Marketplace products at any time.” Gosh, what had I ever done to Molina other than represent their products fairly when presenting their Covered California health plans to consumers?
Why is it so Difficult to Get Out of Medi-Cal?
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.
Your Medi-Cal Is Terminated! Now What?
If there is no existing enrollment of any family member into a Covered California health plan, the default plan selection in most cases will be the lowest cost Silver plan. For many people with low incomes, there may be no monthly premium for the lowest cost Silver plan. If you don’t like the plan selection, you can change it.
On-Exchange versus Off-Exchange Health Insurance
There are non-standard benefit design health plans offered by carriers off-exchange. You cannot enroll in a non-standard benefit design plan through Covered California. The off-exchange non-standard benefit design plans are usually in the Bronze and Silver metal tier categories. There are more High Deductible Health Plans (HDHP) that are health savings account compatible offered off-exchange.
