Archive: October, 2013

A FIFTH PLAN FOR YOUNG ADULTS

October 7, 2013 No Comments by admin
covered-ca

If you’ve been to Covered California’s website you’ll find that their are four metal plans to choose from bronze, silver, gold, and platinum. The metal plans are also what all insurance carriers will be using from now on. There is a fifth tier to choose from that I don’t think is getting much press. For [...]

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NOT ALL INSURANCE CARRIERS HAVE PLANS IN THE MARKETPLACE YET

October 7, 2013 No Comments by admin
covered-ca

So, you’ve signed up for Covered California already? My question is: Why? Some insurance carriers haven’t even released their plans, which will compete with the plans through Covered California. Don’t be so quick to sign up for something just because you heard you had to do it. I believe the law actually says health insurance [...]

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COVERED CALIFORNIA MUST COMPLY WITH NEW LAW

October 7, 2013 No Comments by admin
covered-ca

Covered California contracts will be open to public inspection Jan. 1, 2014. Covered California’s contracts for marketing, public relations, and consulting are now open for the Legislative Audit Committee to inspect. Though the law does allow the public to view what is in these contracts, it does not change the fact that rates charged by [...]

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WAITING PERIODS

October 5, 2013 No Comments by admin
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The waiting period, or what is referred to as a probationary period, is a stated time by an employer before coverage can begin for a new employee who is enrolling in the group’s health benefit coverage. This period may not be longer than 90 days and in California it may not be longer than 60 [...]

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THE 3 R’S: REINSURANCE, RISK CORRIDORS, AND RISK ADJUSTMENT

October 5, 2013 No Comments by admin
covered-ca

The need for reinsurance, risk corridors, and risk adjustment have come about due to healthcare reform. These 3 R’s are here to eliminate the health of an individual as a factor in calculating their premium. Reinsurance and Risk Corridors are only temporary and will be in place from 2014 to 2016. The one to really [...]

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PREMIUM RATE FACTORS

October 5, 2013 No Comments by admin
covered-ca

Premiums are no longer calculated based on an individuals health. Also, remember that no one can be turned down due to pre-existing conditions. The way premiums will now be rated in the new marketplace are based on four factors. This means that whether a person is sick or healthy their premiums will only be based [...]

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HOW LONG CAN A CHILD STAY ON A PARENT’S PLAN?

October 5, 2013 No Comments by admin
covered-ca

The simple answer is a child can stay on a parent’s health insurance policy until they are 26. Even if the child is not living with the parent, is married , or not financially dependent on the parent, they can remain on the policy. Just be sure to include them on the policy when it [...]

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PREVENTIVE HEALTH SERVICES

October 5, 2013 No Comments by admin
covered-ca

Healthcare doesn’t just mean when you get sick it’s time to go see the doctor. It also means that you are able to go see your doctor to help prevent sickness. Take advantage of routine check ups. To use these preventive services you won’t have to meet your yearly deductible and you won’t be charged [...]

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IS DENTAL INSURANCE MANDATORY?

October 4, 2013 No Comments by admin
covered-ca

Is dental insurance mandatory in the new marketplace? Yes and No. For children 18 and under dental insurance is consider an essential health benefit and therefore must be offered in the health plan. For everyone over 18, dental insurance does not have to be offered. So, you don’t need to have dental insurance in order [...]

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PRE-EXISTING CONDITIONS AND HEALTH INSURANCE

October 4, 2013 No Comments by admin
covered-ca

Good news for all those worried about being turned down for health insurance due to pre-existing health conditions. Whether it be disease or disability, in the new marketplace you can’t be turned down or charged more based on your condition. Even if you’ve been turned down in the past you can now get health insurance. [...]

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