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- #51
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It must be good news for California IFPlan customers. The only increases over 10% showing at https://ratereview.healthcare.gov/#...fkTaSWD87Q0JLRluYKLRTQG+PYA4U+vommnjY+vwu5a8= are for Small Groups.
Changes from 2015 to 2016... Rules, Premiums, Plans, Exchanges, Etc.
- Thread starter AllenChicago
- Start date
It must be good news for California IFPlan customers. The only increases over 10% showing at https://ratereview.healthcare.gov/#...fkTaSWD87Q0JLRluYKLRTQG+PYA4U+vommnjY+vwu5a8= are for Small Groups.
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- #52
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Monday July 27, 2015
California's average 2016 premium increase is good news, compared to most other states...
Ref: Obamacare: New Covered California rates increase 4 percent for 2016 - San Jose Mercury News
California's average 2016 premium increase is good news, compared to most other states...
Ref: Obamacare: New Covered California rates increase 4 percent for 2016 - San Jose Mercury News
It's easy to raise rates in single digits, when you raise out of pocket costs by double digits. Hocus Pocus. Look over here.........
California's ObamaCare Rate Hike Is More Than Meets The Eye - Investors.com
California's ObamaCare Rate Hike Is More Than Meets The Eye - Investors.com
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- #54
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Yep..Covered California is playing the smoke-and-mirrors game. The headline giveth, but the story taketh away.
-Also-
Re: Bay Area residents will see higher Covered California premiums in 2016 - Washington Times
The populated SanFranciso Bay area will see increases 50% to 300% above the 4% state average. That's what happens when the smallest increases are in counties with the lowest population. All states are starting to play that game with the statistics now.
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July 29, 2015
Here's a tad more info on the new "embedded" rule for 2016 Out-of-Pocket maximums. Whatever you think of Aetna as an insurer, the company does a nice job of explaining the Affordable Care Act in down-to-earth terms, IMO.
Ref: https://news.aetna.com/changes-coming-families-pocket-medical-costs/
I wonder if this new rule will carry over to Out of Network next year? Right now there are companies that have no Out-of-Pocket limit how much a patient is responsible for when receiving care outside of their plan's medical network. The continual movement by insurers from PPO to HMO, and from Wide-Network PPO to Narrow-Network PPO, makes having a Non-Network $$$$ stop-loss very important with these more restrictive policies.
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- #55
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8-22-2015
A suggestion based on 2014 & 2015 experiences:
On-Exchange clients who choose "Receive Notices via U.S. Mail", have fewer problems and hence, better retention.
I think the e-mail notifications from the Marketplace look like SPAM, or get routed to SPAM folders, or both.
From today forward, it's going to be "Receive Notices via U.S. Mail" for all On-Exchange enrollees, unless they really want e-mail as their communication choice.
Haven't had this issue with Non-Exchange clients. Probably because the insurer follows up with a phone call or U.S. mail if a timely response isn't received. Plus, the government isn't involved, which streamlines every aspect of client-insurer interaction.
A suggestion based on 2014 & 2015 experiences:
On-Exchange clients who choose "Receive Notices via U.S. Mail", have fewer problems and hence, better retention.
I think the e-mail notifications from the Marketplace look like SPAM, or get routed to SPAM folders, or both.
From today forward, it's going to be "Receive Notices via U.S. Mail" for all On-Exchange enrollees, unless they really want e-mail as their communication choice.
Haven't had this issue with Non-Exchange clients. Probably because the insurer follows up with a phone call or U.S. mail if a timely response isn't received. Plus, the government isn't involved, which streamlines every aspect of client-insurer interaction.
I've always chosen the mail option for the very reason you cited (spam and retention).
CMS slaps florida's politicians at the expense of FL kids
Florida Healthy Kids Corporation considers suing federal government for health exchange access - wptv.com
Some families tell NewsChannel 5 they're actually getting a scripted response from agents at Healthcare.gov, saying that this is as a result of Florida not going along with the Affordable Care Act and not expanding Medicaid.
Florida Healthy Kids Corporation considers suing federal government for health exchange access - wptv.com
Some families tell NewsChannel 5 they're actually getting a scripted response from agents at Healthcare.gov, saying that this is as a result of Florida not going along with the Affordable Care Act and not expanding Medicaid.
I've been on the phone when the FFM agents say it to people in TX (another non-expansion state)
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- #59
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The Mom in the above news story is complaining because she will soon have to pay $299 for a $0 Copay / $0 OOP combo Medical/Dental plan for her child, with Florida Healthy Kids?
Ref: Sunshine Health Member Benefits
Florida Blue Platinum, with Co-Pays and $2,000 OOP, would be $286 a month, according to HealthSherpa.com.
Ref: https://www.healthsherpa.com/insura...12099/ppl15/cspremium/mplatinum/hhs2/hhi90000
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I started reading the story but within 2 paragraphs know for certain that CMS is granting SEP's for these. The rate increase goes into effect Oct 1 and CMS has told blue to treat as plan year renewal. I've written two this week for Oct 1 and have a couple after they get paid Sept 1.
I think this news station should have contacted a health insurer corporate office and not a local agent for a news story.
FHK's pulled something like this back in the early 2000's, although the increase wasn't near this much. They did a turn around in a few months.
I think this news station should have contacted a health insurer corporate office and not a local agent for a news story.
FHK's pulled something like this back in the early 2000's, although the increase wasn't near this much. They did a turn around in a few months.
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