There has been a strong reluctance among unemployed professionals to enroll in the ACA’s expanded Medicaid or Medi-Cal programs. For most people, being a Medi-Cal member just has a stigma they would rather avoid. However, in certain situations, Medi-Cal can be a great solution to avoiding the high premiums of COBRA while letting the professional focus on getting […]
California MAGI Medi-Cal
Posts related to how California MAGI Medi-Cal works, especially with Covered California, enrollment, termination, household income.
Agents should be paid commissions on Medi-Cal enrollments
What’s the difference between a Covered California enrollment for a subsidized private plan and Medi-Cal? Nothing when assisted by a Certified Insurance Agent. A Medi-Cal enrollment takes just as much knowledge, experience and time to perform for an agent as an enrollment for a private plan through Covered California. Yet, a Medi-Cal enrollment only yields […]
Mixed Medi-Cal Kids and Covered California families may face renewal issues
Covered California released a breaking news alert to agents on December 12th, 2014, that mixed households, those with children in Medi-Cal and the parents on a Covered California subsidized private plan, may face delays in selecting a health plan until the respective county finishes their review for eligibility. New! Mixed Households: Renewal Update County social services […]
California consumers enrolled in both Medi-Cal and subsidized plans
In recent weeks I’ve been contacted by several consumers who found out they had been enrolled in Medi-Cal while receiving, and still paying, for their subsidized private health insurance through Covered California. Aside from the obvious question of how could this happen, is the reality that Covered California may have been advancing tax credits to private health […]
Blue Shield gets a piece of the Medi-Cal revenue pie
Blue Shield of California announced that it was getting a slice of the lucrative government Medi-Cal pie with its acquisition of Care1st of Los Angeles County. Blue Shield has been missing the easy money of Medi-Cal payments that Blue Cross, Health Net and Kaiser have been receiving from different California counties when they offer a Medi-Cal managed care HMO […]
Agent Medi-Cal payments delayed again
Contrary to Department of Health Care Services (DHCS) statements in their Medi-Cal Essentials webinar, agents will not be receiving any payments for assisting clients that were enrolled into Medi-Cal through a Covered California application in the near future. Recent email communication from Covered California to Certified Insurance Agents suggests thatcompensation of approximately $58 per Medi-Cal […]
Mysterious System Changes to Covered California Accounts
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 […]
Medi-Cal basics for Certified Agents
Throughout the past year of enrolling individuals and families into the Covered California health plans, Certified Insurance Agents were in the dark when it came to Medi-Cal. The Department of Health Care Services held a webinar on July 31st to review of the essential basics of the Medi-Cal program. Even if you only review the […]
The basics of Medi-Cal and how it works with Covered California
Medi-Cal was one of the biggest mysteries during open enrollment in the new ACA health plans. Even though Covered California advertised a “no wrong door” approach to signing up for health insurance, when a client had to go through the Medi-Cal door, not even Covered California could tell them what to expect. Finally, seven months into the expanded Medi-Cal program, the Department of Health Care Services has finally put together a presentation that goes over the various parts of Medi-Cal and how the system works.
Is there a Covered California Agent Commission Crisis?
Through casual conversation and on various Internet forums numerous agents and brokers have mentioned they arent getting paid commissions for business they submitted through Covered California. Is there a crisis of commissions not being paid to Certified Insurance Agents? Without reliable data from the agent community it is hard to tell if the missing commissions […]