Caution! There are known data miss-match issues between SAWS and Covered California CalHEERS software. When a consumer is released from Medi-Cal it is necessary to scrub the application and look for missing or inaccurate data and conditions. The missing data could prevent the individual or family from getting the subsidy. It could be as simple as the application no longer indicating that the consumer will file taxes. This is simply fixed by checking Yes, the consumer will file taxes. Both Covered California and Medi-Cal are working to resolve this issue.
Covered California just announced they received another grant for more marketing of their health plans. In the words of one of the Covered California Board members, Paul Fearer, “I’m concerned about ramping up on media if we aren’t fully prepared to deal or provide excellent customer service in response.” Covered California needs to scrap the slick marketing and “one touch and done” concept to enrollment and open up walk-in enrollment centers to service Californian residents.
Whether your group doesn’t offer a health plan for employees or you’re considering dropping your group plan and letting your employees migrate to the new health insurance exchange established by the ACA, your employees will appreciate some assistance with enrollment. States are setting up In-Person Assistance programs to help individuals and families enroll in the new health plans to become eligible for the premium assistance.
As Covered California ramps up for open enrollment for their “premium assistance” eligible health insurance plans starting in October, Julie Wiegand of Covered California declared they need “boots on the ground” in the form of Certified Enrollment Counselors. Formerly known as Assisters, Certified Enrollment Counselors (CEC) are expected to play a significant part with enrollment in many different communities.