Where a primary source of confusion starts to creep into the preliminary eligibility determination for either Medi-Cal or Covered California hinges on when the new FPL amounts are considered for eligibility. This is where the rules concerning determining eligibility are not necessarily aligned between Medi-Cal and Covered California. The rules put forth by the ACA govern how Covered California applies the FPL amounts for determining eligibility for the Premium Tax Credit subsidy, which are slightly different than Medi-Cal. The Department of Health Care Services, the agency that administers Medi-Cal, must abide by older federal rules for eligibility determinations.
A rally at Congressman McClintock’s (R-CA) Granite Bay office featured Michelle Langbehn, a constituent of Rep. McClintock, speaking on how the federal government has interrupted her potential life saving cancer treatment from the National Institute of Health. Representative McClintock has been an early and ardent supporter of shutting down the federal government in an attempt to repeal the Affordable Care Act (ACA).
I’ve talked with numerous people who, like me, had high hopes that CO-OPs would be a consumer focused option where the business model was not driven by profits.
Will the new healthcare reform insurance application (aka Obamacare) become a bureaucratic paperwork nightmare?
The federal government pays the insurance company that administers the Medicare Advantage plan every month just like paying an insurance premium