One outstanding declaration in President Obama’s health care reform plan is the promise people who like their current health plan will have the option to keep it. How will this work? The plan is to grandfather in policies in order to “protect the ability of individuals and businesses to keep their current plan while providing important consumer protections that give Americans – rather than insurance companies – control over their health care”, per the U.S. Department of Health and Human Services, Labor and Treasury. Also, “The new regulation also provides stability and flexibility to insurers and businesses that offer health insurance coverage as the nation transitions to a more competitive marketplace in 2014 when businesses and consumers will have more affordable choices through exchanges”*.
Archive for the ‘Employees’ Category
Rules Governing Grandfathered Health Plans
Monday, August 30th, 2010Anthem Blue Cross Introduces Retail Health Clinics
Monday, August 9th, 2010Anthem Blue Cross recently announced that they have extended their provider network to include retail health clinics. These are walk-in clinics, albeit small, that are conveniently located in many of your local retail outlets, such as pharmacies and supermarkets. Rather than making an appointment with your primary doctor for such common illnesses as sore throats, coughs, colds, or minor fevers, you can walk into any of these clinics for an immediate exam and treatment plan. Clients who have utilized these services state that most visits take less than 15 minutes, and also include wellness and prevention services (immunization and screenings).
Overage Dependent Coverage Hits a Snag
Monday, August 2nd, 2010Though many insurers have implemented the law early, which states adult dependents may remain on their parent’s plan until the age of 26, there have been a surprising number of employers who opted out of the earlier implementation of this law. Instead, they are waiting until they are legally required to do so – January 2011. Even though provisions of this law take effect September 23, 2010, employers do not have to comply with this until the New Year.
Many Important Health Care Reform Changes for Young Adults
Thursday, June 17th, 2010While many young adults faced losing coverage as they aged off their parent’s plan, had no coverage in the case of an unexpected pregnancy, or merely had the bare necessities covered by their school plans, all can breathe a sigh of relief as health care reform promises to end their fears.
As mentioned in earlier posts, the most immediate change is coverage will be extended to overage dependents, as long as they are not offered other employer sponsored coverage, up through their 26th birthday. This helps ease the burden of uninsured claims, as many of these adult children would wait over two years before attempting to obtain their own coverage.
Insurers to Offer Overage Dependents Coverage Earlier Than Anticipated
Tuesday, May 4th, 2010As planned during six months following the signing of the health care reform bill, coverage will be extended for dependents up to the age of 26. This will allow parents to continue to offer health insurance coverage to their dependent children, even if those children do not live in the same household. This also holds true for young adults under 26 living out of state, and those that are married. Basically, unless they are offered employer sponsored health insurance, they can continue to remain on their parent’s coverage.
Health Care Reform and Preventive Care
Tuesday, March 16th, 2010Though no one knows where the health care reform bills are headed, it is of utmost importance that disease prevention and health promotion are at the top of the list. If we aim to “fix” a broken system, we need to ensure that the system is designed to “fix” us as well. This will be achieved by balancing the cost of providing medical care with providing services to help avoid the need for such services in the first place. Some concepts for prevention strategies are (notes from San Francisco Chronicle):
- a yearly personalized prevention plan for Medicare patients
Public Views on Health Care Reform
Tuesday, March 2nd, 2010A recent poll shows that 57% of Americans do not like any of the proposed health care bills, and agree that Congress should start fresh, rather than attempting to piecemeal a model from scrapped ideas. Trying to reach a bipartisan agreement as to what needs to be done is not an easy task, but it is vital to ensure that resolution is achieved. These polls shows interesting trend among voters as to how they feel now, as compared to a year ago in regards to health care reform:
• 53% said they strongly or somewhat oppose the legislation in both House and Senate plans
California's Timely Access to Medical Care
Sunday, February 14th, 2010Recently, the California Department of Managed Care has released some new guidelines for HMO patients, in order to create a more efficient and comprehensive level of care for these patients. Among the new rules:
• A physician appointment within 10 business days of a request
• A specialist appointment within 15 business days of a request
• An urgent care visit within 48 hours of a request
• Telephone access to a health care professional at all times.
Is There a Answer for COBRA Subsidies?
Monday, January 18th, 2010Enhanced Dental and Vision Benefits for Diabetics with Anthem Blue Cross
Monday, January 11th, 2010Diabetic clients will be finding more comprehensive dental and vision benefits with Anthem Blue Cross starting 1/1/2010. These integrated benefits will help such individuals obtain the care they need to manage their conditions, and prevent diabetes related complications.
