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Showing posts from March, 2012

Women's Preventive Care Enhancements August 2012

As directed by the ACA (Affordable Care Act), preventive care services for women will be enhanced for all non-grandfathered health plans in California (and all other states as well).

In addition to current preventive benefits, the following preventive benefits for women will be added to existing and new non-grandfathered health insurance plans including self-funded group health plans:

* Well-Woman visits
* Screening for gestational diabetes
* Testing for HPV (human papillomavirus)
* Counseling for sexually transmitted infections
* Screening and counseling for HIV
* FDA-approved contraceptive counseling and contraception methods
* Breastfeeding support, supplies and counseling
* Screening and counseling for interpersonal and domestic violence

For those purchasing coverage on or after August 1st, the health plan will include the expanded preventive benefits.

For those on existing health plans prior to August 1st, the benefits will be added at the policy renewal of your policy. Most likely not late…

Blue Shield CA Adds Premium Requirement for Applications

Beginning May 1, 2012, Blue Shield of California (and Blue Shield Life & Health) will require initial premium to be submitted with new individual & family applications.

Currently (and in the past), Blue Shield has allowed applications to be processed without the premium accompanying the application.

As of May 1, 2012 any individual & family plan application submitted without premium will be returned and not processed.


Anthem Blue Cross CA May 1, 2012 Rate Change Update - Incorrect Rates

Anthem Blue Cross CA announced a rate change on individual & family plans effective May 1, 2012. Affected members received a notice of the rate change and new rate for 5/1.

Some Anthem Blue Cross members (but not all) received an insert indicating that the new May 1 rate quoted was incorrect and and would be lower than the rate quoted in the letter.

In fact, all rate increases sent out to all affected Anthem Blue Cross members show incorrect rates for May 1, 2012 and all rate increases will be lower than the rate increase that was quoted in the letter.

Anthem will be sending out new letters later this month which will indicate the corrected rate change for May 1.

This rate change includes age change which are no longer assessed on the birthday but instead at the annual rate change cycle.

Please be patient as no one including Anthem membership nor your agent currently has the corrected rates and we don't anticipate having correct rates until later in the month of March.

I shou…

Anthem Blue Cross CA to Shutter 4 Open Individual Health Plans

Anthem Blue Cross Life & Health of California has chosen today to initiate closure of four currently open, non-grandfathered Anthem Life & Health PPO plans. The plans which will be closed are:

*Clear Protection Plus 5000 (06B5)
*CoreGuard Plus 7500 (06BB)
*CoreGuard Plus 10000 (0ADX)
*Lumenos HSA 5000 w/Maternity(06BP)

Clear Protections Plus 5000 and CoreGuard 7500 & 10000, will close for new sales beginning on May 1, 2012. These plans will be closed to new enrollments but will not be discontinued. Those currently enrolled on these plans are free to remain on their policy and add family members through normal underwriting.

Members on the Clear Protection Plus 5000 and CoreGuard Plus 7500 & 10000 will also have an open enrollment period from May 1 to June 30, 2012 to move to another open plan without medical underwriting. Members may switch as follows:

*Clear Protection Plus 5000 can move to the Clear Protection Plus 3300
*CoreGuard Plus 7500 & 10000 can move to the Cor…