The underlying assumption is that honest and ethical people will continue to pay their premiums even after their health care challenge has passed. But these people who cancel the health plan after treatment don’t value health insurance and don’t understand the financial structure necessary to keep the rates low for everyone. Their actions of terminating health insurance after they have received their expensive health care services are driving up the rates for everyone.
California individual and family plan health insurance carriers have been combating fraudulent enrollment for open and special enrollment periods. Many of the health insurance companies have placed additional requirements on applicants to verify California residency. Unfortunately, enrollments through Covered California, which have virtually no verification of special enrollment eligibility, continue to be a source of high-cost claims from fraudulent enrollments.
One of the big complaints about health care services is not knowing or being surprised by the cost of medical treatment. Blue Shield of California has taken a modest step toward helping plan members determine the cost of health care services with their new treatment cost estimator tool. Initial reports from clients suggest the […]
The rash was concentrated along below my knee so I figured it had something to due with laundry detergent or heat.
The contradictory nature of Washington lawmakers was on full display this past week as they lobbied the Centers for Medicare and Medicaid (CMS) not to cut reimbursements to privately run Medicare Advantage plans while allowing the budget sequester to curtail funding for Medicare cancer patients.