Should you take advantage of latest Obamacare delay?

Should you take advantage of latest Obamacare delay?

Federal officials announced last Wednesday that Americans can keep health insurance plans that fail to meet the standards of the Affordable Care Act for another two years.  This latest delay allows insurers to renew the old plans as late as October 1, 2016, meaning customers who renew then would be covered for most of 2017.  The option will only be available to people who renewed plans at the end of 2013. New subscribers will not be able to enroll in these plans. Those who are satisfied with their current coverage may take comfort in knowing they can put off shopping for health insurance for a few more years however, this does not necessarily mean that they will be getting a better “deal”.  The old policies were canceled initially because they didn’t meet the higher standards set by the health reform law, which requires that all plans cover maternity care, prescription drugs and mental health, among other benefits. Many people who decide to keep their old plans may find out that they would have to pay higher rates to keep the same coverage.  Even if rates are unchanged, some subscribers may find they need better coverage, since the plans being extended may not cover hospital stays, prescription drugs or other services. Having an educated broker to turn to for guidance in these changing times is proving to be a more valuable commodity than ever. Contact Bedrosian & Associates if you would like a free review of your current medical insurance plan versus the medical insurance plans...

Blue Shield of CA Updates – Network, Renewals and Technology

Expanded PPO Contract with Hoag Hospital, Orange County We have signed a new contract with Hoag Hospital in Orange County. Beginning March 1, 2014, Hoag Hospital’s Newport Beach and Irvine locations will now participate in Blue Shield of California’s Exclusive PPO Network for Individual and Family Plan products. Hoag Hospital has been a participating provider of Blue Shield’s network since 1984. Consumers who buy the new 2014 Individual and Family PPO Plans directly from Blue Shield of California or Covered California will now have expanded access to care at Hoag’s Orange County facilities. This new contract DOES NOT change Hoag’s previous arrangement with Blue Shield. April Renewal Bills Delayed for Small Business Customers Small Business customers renewing in April will receive their April bill the week of March 17, 2014 – one week later than all other non-renewing Small Business customers. The delay is due to the continuing transition of customers to our newly enhanced eligibility and billing system. Here are five things to know about this delay: The bill delay does not impact members’ access to care and coverage won’t lapse because of it. This delay will help ensure your clients receive accurate bills. Non-renewing Small Business clients will be mailed their bills on schedule the week of March 10, 2014. The one-week delay only applies to Small Business customers with April renewals. There is a 30-day payment grace period from the time bills are mailed. Commissions will be paid upon receipt and allocation of customer payment. Service and Technology Updates New automated phone account management Our new, easy-to-access telephone feature for IFP customers is already starting to...

Health Net Small Business Group – Underwriting & Update

Bedrosian & Associates, your employee benefit specialists, want to share the following Health Net updates with you since these are the most commonly asked questions we have received. What you need to know about Health Net Underwriting: Mix and match all HMO and PPO plans, regardless of metal tiers Groups of 1 to 5 eligible employees are required to have 70% participation with Health Net, and groups with 6 to 50 eligible employees are required to have 50% participation with Health Net. Same applies if the group is writing alongside Kaiser. Newly Established Groups of 1 to 5 enrollees must qualify through 50% of prior calendar quarter test to be considered eligible for coverage. Groups of 6 or more enrollees must be in business for at least 6 weeks to be eligible for coverage. All plans can be wrapped Groups currently in PEO arrangement are eligible for Health Net Small Business Group coverage. We can use the PEO payroll or PEO DE9C to establish their eligibility for coverage. Owner only or Husband and Wife groups must have at least 1 non-owner, non-spouse W2 full time employee for at least 50% of the prior calendar quarter to be considered for coverage. No carve out groups No 1099s No seasonal/temporary/substitute employees Groups that leave Health Net previously no longer have to wait 12 months to return to Health Net NETWORKS – Everything you need to know about Health Net Networks All new 2014 Small Group HMO plans use WholeCare HMO network. Sutter, Health, Brown and Toland and Alta Bates Medical Group are excluded from the WholeCare HMO network. PPO is FULL NETWORK. It is inclusive of Sutter Health (i.e. Palo Alto Medical Foundation, Mills...