Countable_Sources_Income
Covered California 2016 Countable Sources of Income.
Search Results for: covered california
MAGI_Medi_Cal_Income_Table_Tool.pdf (530.68 KB)
MAGI_Medi_Cal_Income_Table_Tool
Medi-Cal Table of countable sources of income for eligibility for Medi-Cal and Covered California
I Lost My Blue Cross Health Insurance, How Do I Find A Replacement?
If you reside in any of the above counties you will be able to keep your EPO plan. If you reside in any other county, and you have an Anthem Blue Cross EPO or HMO plan, through Covered California or off-exchange, you will need to select a new insurance carrier for 2018. The exit of Blue Cross from the individual and family market does not affect employer group health insurance plans or their Medicare Advantage plans.
17.6_Release_Notes.pdf (305.71 KB)
17.6_Release_Notes
CalHEERS Covered California application update 17.6 with LGBT Questions, optional on application.
2017_CCSB-Employer-Guide.pdf (2.18 MB)
2017_CCSB-Employer-Guide
Covered California Small Group Employer Guide 2017
Do You Have To Repay Medi-Cal After Your Income Increases?
Millions of people have been enrolled into expanded Medi-Cal through Covered California based solely on their lack of income. Thousands of those same Medi-Cal beneficiaries went on to get jobs or other insurance and forgot to report this to their county Medi-Cal eligibility department. Many of these people fear they will have to repay Medi-Cal for the months they were really ineligible for the no cost health insurance. Do you have to repay Medi-Cal after your income increases and you were no longer eligible? The short answer is usually not.
San Diego Medi-Cal Mugs Family of Health Insurance
Like a mugger coming out of the shadows, San Diego County Medi-Cal worker(s) mugged a family enrolled in Covered California and stole their health insurance for 2107. The attack was unprovoked as the couple had not been in Medi-Cal and don’t have any children in Medi-Cal. However, Covered California reported the family to San Diego County because the family fit the profile of a household who they think aren’t smart enough to estimate their own income for 2017.
Beware Bundled Health, Life, Accident, Cancer, Dental Plan Scams
Consumers should be cautious when a health insurance agent wants to bundle a bunch of other products such as life and accident insurance with the Covered California health plan. These agents and marketing organizations are more interested in selling higher commission products such as life, accident, cancer, stroke, heart attack, and dental plans than they are health insurance. They may try to convince a consumer to drop the health plan to a Bronze level so they can sell questionable indemnity plan products as extra protection for the higher deductible.
Blue Shield PPO Out of Network Allowable Amount Limitations
For most Covered California consumers there will be only one PPO health plan to select. Blue Shield is the only health insurance company participating in Covered California that will offer a PPO health plan in the major metropolitan regions of California. While the PPO plan design signals to consumers that they have some freedom to use out-of-network providers, the Blue Shield benefits may be very restrictive.
Agents Need to Provide More Services to Health Insurance Consumers
With the constant erosion of the commission structures to agents for enrolling consumers into health plans in California, many agents have expressed their desire to stop assisting individuals and families with enrollment into Covered California health insurance. There has been renewed talk of allowing agents to charge a consultation fee to make up for the dwindling commissions they earn from the health plans and insurance companies. However, if agents want to make a decent return for enrolling consumers into health plans they need to provide the service so many of them advertise. We need to move from order-takers to consumer advocates, and we need fair compensation for our services.
