Paying a monthly premium on time can be challenging for some consumers. Ensuring your clients have health coverage when they need it the most is important to us. That’s why we have begun an early intervention Outreach Campaign aimed at reducing delinquency.
Introducing a new video series to help members better understand health insurance!
These fun-to-watch short videos will help members understand what they need to know when shopping for health insurance and getting the most out of their health coverage. The videos cover topics from the basics of a health plan to definitions of terms.
Last week brought another change to the Affordable Care Act.
The definition of small business group, which was slated to change to 1-100 employees in 2016, will remain at 1-50 employees nationally. What happens on the state level depends on the state legislatures. On October 1, 2015, Congress approved legislation to repeal the Affordable Care Act provision, which previously expanded the definition of small business group to 1-100 employees.
Health Net will begin requesting Subscriber and Dependent Social Security Numbers on September 21, 2015
The Affordable Care Act (ACA) Section 6055 requires Health Net to report Minimum Essential Coverage (MEC) data to the IRS about the coverage for each individual, including covered dependents starting in 2016.
Health Net will report MEC data to the IRS for all commercial fully insured business with the exception of Individual Marketplace (“on-exchange”) plans. Health Plans are not required to report for government programs including state health plans, Medicare, and Medicaid/Medi-Cal.
Most Say They Can Afford Their Prescription Drugs, But One in Four Say Paying is Difficult
About half of Americans (54%) report currently taking a prescription drug, and a large majority of them (72%) say their prescriptions are very or somewhat easy to afford. However, about a quarter (24%) say paying for their drugs is difficult, and difficulties rise among those with low incomes (33%) or those currently taking four or more prescription drugs (38%) – and is highest for those in fair or poor health (43%). Continue reading
Health Net focuses on early access and prevention
Here at Health Net, we don’t wait until people get sick to help out. Our job, always, is to connect members with the care they need. Under the Affordable Care Act and with the risk adjustment program, reaching out to members is even more important.
We want our members to use their benefits, so they can be their healthiest! That’s why we’re doing outreach to encourage our members to get their annual wellness exam.
California Individual & Family Plans
August 31 Deadline for Proof of Citizenship/Immigration Status to Covered California
Clients who enrolled in health coverage through Covered California have until August 31, 2015, to submit any requested documentation required to verify their citizenship or immigration status. Help us help them keep their coverage.
Having health insurance through Covered California is dependent on being “lawfully present” in the United States as a U.S. citizen, U.S. national, or an individual with eligible immigration status.
California Small Business Group Plans
It’s time. The mass migration to ACA-compliant plans is set for December 1, 2015, as small business groups renew following the extra year of transitional relief. Along with this change comes Small Group 2.0! Clients renewing December 1 are the first to have access to our new simplified Small Group 2.0 portfolio!
Court Finds for the Government
The United States Supreme Court ruling upholding Affordable Care Act subsidies in federal-exchange states was made public on June 25, as only one of two cases released on this almost-final day of the court’s term. With its 6-3 decision, the court preserved the structure of the Affordable Care Act. Here are key takeaways of the decision.
Western Region Brokers
Starting in 2015 for 2014 reporting year, the dates insurers must report MLR results and pay rebates (if any) to policyholders have changed as follows:
- Insurers must report their MLR results by July 31 of each year (in previous years, insurers filed results on June 1)
- If an MLR rebate is due to the policyholder, the rebate must be paid by September 30 (previously, rebates were paid by August 1)