Some Covered California consumers are receiving confusing letters stating they are either not eligible for health insurance or will be awarded no monthly tax credits for 2017. These letters are arriving after consumers have already successfully renewed their coverage or just enrolled for 2017 health insurance. The letters seem to be automatically generated in error as the consumer’s account still show enrollment with tax credits.
Consumers logging into their Covered California accounts hoping to renewal their health insurance may find they have lost their subsidy. Instead of the reduced premium amount they are used to paying, Covered California displays that are not receiving the tax credit subsidy and must pay the full premium amount. A common denominator for consumers who have lost their subsidy is that they had been on Medi-Cal in 2016, but later in the year qualified for Covered California and the Advance Premium Tax Credits to lower their monthly health insurance bill. The transfer of critical application information from Medi-Cal to Covered California is missing, triggering a loss of the subsidy.
Covered California has updated their online application and enrollment program to allow families receiving premium assistance to select different metal tier levels and health plans for each household member. Previous to this update, only households who enrolled without qualifying for premium assistance could split the family member up between different plans. Beginning August 1, 2016, families receiving Advance Premium Tax Credits to reduce their monthly health insurance bills will have more consumer choice.
Blue Shield has been sending confusing letters to their members that seem to indicate that the individual or family has lost their Covered California subsidy and they will now have to pay the full premium amount. These premium rate scare letters are automatically generated and do not necessarily reflect the full premium amount will be the consumer’s responsibility. Unfortunately, these confusing letters are throwing consumer’s into a panic generating phone calls to Covered California, Blue Shield, and insurance agents.
Some individuals and families who enrolled through Covered California have received a letter notifying them they are at risk of losing financial assistance in 2016. The letters being sent out include three reasons why a household might lose the premium assistance to lower their monthly health insurance bill. They are also frightening consumers who actually compiled with all the conditions they list in the letter.
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.
The entire suburban region (Elk Grove, El Dorado Hills, West Sacramento, Roseville, Folsom, Rancho Cordova) whole heartedly supports Sacramento’s position to go into debt to subsidize an arena to keep OUR Sacramento Kings.
With the release of the Covered California Standard Benefit Plans and the Cost Estimator on the website, health insurance plans through California’s health insurance exchange may prove to be unaffordable for what consumers expect.
The Center for Medicare and Medicaid Services publishes a variety of documents outlining how much they reimburse Medicare Advantage and Part D Prescription Drug plans. Below is the monthly reimbursement rate for Medicare Advantage plans known as the capitation rate. This is only for California counties. The capitation amount is only for the medical portion of the Medicare Advantage health plan. There is a separate amount if the plan includes prescription drug coverage.