However, I still don’t understand why the costs for services for Southern California Kaiser members are so much lower than prices for Northern California members. Does Kaiser just have more members in Southern California to spread the fixed costs of supplying the services over? Kaiser charges 29% more for a colonoscopy in Northern California than Southern California. Are more people getting colonoscopies in Southern California so the volumes of patients help drive down the costs?
I would not have believed it had I not witnessed it with my own eyes. When I renewed the Covered California health plan for a client her monthly premium amount she will be responsible for will actually be lower in 2017. Even though the carrier had an overall rate increase and she was another year older, the Advance Premium Tax Credit monthly subsidy calculated by Covered California will be larger in 2017. The net result is she will be paying less than $5 per month for the same Silver health plan in 2017.
The Department of Managed Health Care (DMHC), who regulates most of the individual and family plans offered through Covered California, has developed a website to allow consumers to compare health insurance companies. The Health Plan Dashboard website does not assign any performance review ratings. But it does give consumers a high level view of some of the data collect on the health plans such as enrollment, complaints, and enforcement actions for medical, dental, and vision plans.
Ms. B had been faithfully making her premium payments for her Kaiser health plan she purchased through Covered California during open enrollment in 2014. When she went to use her health plan, Kaiser told her that the plan was not active. But the enrollment summary of her Covered California account shows she is enrolled. It […]
In the wake of the billing nightmare revolving around Covered California ACA health plans, both Kaiser and Health Net have extended their payment deadlines for health plans effective for January 1, 2014. Kaiser will allow new plan members up to January 22 to receive the first month’s premium. Health Net will mirror the recently announced Anthem Blue Cross extension of January 31.
Kaiser Permanente has put together a very simple to use Affordable Care Act tax credit calculator for small groups. The calculator only works for small business groups in California. It is not calibrated for non-profits which have a different tax credit allowance for employer contributions to employee health insurance for 2014.
KFF has develop this simple calculator to help people determine if they are eligible for a subsidy or advance premium tax credit for their health insurance costs. The calculator will work for all fifty states, but is not a replacement for the actual federal or state exchange where you reside.
It’s hard to compare the plans side by side because of the diversity populations they serve and lack of data on some of the health insurance companies. Much of the information about the different health plans and companies is spread out over several different agencies, reports and websites.
It was nice to see that Kaiser of Northern California has put out an easy to read fee schedule for different office visits, procedures and lab tests.
The whole issue of medical underwriting, and why an applicant is declined, can frequently be a mystery to both the individual and the broker. It was refreshing to hear a discussion from the insurer of what system they were using for the determination of issuing a health insurance policy.