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CalHEERS

Posts related to the California Health Eligibility Enrollment Retention System (CalHEERS) used by Covered California for online application and accounts.

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Covered California updates income reporting and former foster youth enrollment

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On March 7 Covered California updated their online enrollment program with adjustments to how changes to income are calculated, plus new required fields for attestations from former foster youth. The Covered California CalHEERS program was also updated with new federal poverty level (FPL) incomes. A significant update will affect children in San Mateo, San Francisco, and Santa Clara counties where the higher household income of 322% of the FPL makes more children 18 years and younger in those counties eligible for Medi-Cal.

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Covered California Help Desk needs help

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Covered California has made great strides in reducing consumer telephone wait times and assisting individuals and families with health plan enrollments. What has bubbled to the surface is the failure of the Help Desk to resolve consumer enrollment problems ostensibly created by Covered California’s CalHEERS software. While there is no published data on the length […]

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Updates to Covered California enrollment software for spring 2015

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A year and half after the launch of Covered California the CalHEERS enrollment website is still a work in progress. Covered California released more instructional briefs on changes they’ve made to the California Health Enrollment Eligibility Retention System (CalHEERS) website. Just when Certified Insurance Agents thought they had figured out how to navigate CalHEERS, new […]

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CoveredCa online enrollment software seminar

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Covered California presented a short seminar and long video about the updates and changes to the CalHEERS online enrollment system. The presentation should have been entitled Bugs and Workarounds because there are more known issues than anyone at Covered California is willing to admit with the program. The breadth of the issues and challenges with […]

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Covered California techincal guides for 2015 enrollment

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Covered California released several Job Aids or technical summaries related to ACA open enrollment for 2015. The guides cover a variety of different consumer situations from changing plans, making the initial binder payment, and the overall functionality of the CalHEERS online enrollment system. Some of the functions can only be performed by certain certified agents, counselors or […]

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Covered California updates income section

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Covered California has updated the CalHEERS income section of the individual and family plan application to accommodate partial year employment. This was accomplished with the insertion of simple date fields. Now, instead of the annualized income from a job a client has left, the employment can just have a start and end date. Changes to […]

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Mysterious System Changes to Covered California Accounts

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Have you ever wondered how one of your Covered California accounts got changed when you know that neither you nor the client touched application? Covered California accounts are being mysteriously changed without the applicants knowledge or consent. If you check the Transaction History of the account you might find that this mysterious user known as […]

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Covered California website: frustrations and failures

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From problems with logging in, bad and missing information to the virtually inoperable agent dashboard, the Covered California web portal to enroll in new ACA health plans has serious issues that no one at the California Health Benefits Exchange wants to address openly.

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