May 2014  Affordable Health Care Act 2014

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Solid Health Insurance Services 

Health, Life & Trust 
Barbara G.Schmalz 

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310-909-6135

These last months, Covered California, insurance carriers and agents are very busy in assisting the last applicants to receive health insurance and consolidate their accounting system. Anthem and Blue Shield continue to have many issues with accounting issues, especially in billing accurate invoices and processing payments. Therefore, it is critical that all policyholders review the invoice they receive from the carriers and make sure that their monthly check is actually cashed. While agents are able to help, in most cases it is a faster process for you to contact the insurance carrier directly, as only the carrier can process the payments over the phone. The Open Enrollment period ended April 15th, and if a insurance policy lapsed due to non payment the applicant has to wait until November 2014 to apply for coverage for 2015. However, the possibility of short term insurance or can bridge you over the period to November.

 

Contact me if you have a special qualifying event or lapsed insurance policy 

 

In This Issue
What is the Special Enrollment Period?
Small Companies Group Health Insurance
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Cigna

Provider Networks are still changing - this leads to high Frustration

Although the Open Enrollment Period has ended for most of us, the provider networks are still changing and that can be very frustrating for policy holders.

 

Some policyholders who have chosen a specific health plan that allows them to visit their current doctors are surprised to learn that their doctor is no longer contracted with the network of the insurance companies, although he/she was at the time of their enrollment in the network. Furthermore, doctors made the assumption that the same laboratories are covered as last year.Suddenly policy holders are hit with large medical costs.

 Unfortunately, it is the obligation of the policyholders to verify prior to using any medical services that the doctor and the laboratory are  still in the network. So please get familiar with the insurance network site and regularly check that your doctor is still in the network. While the system is constantly  changing the provider networks. I hope this will be improved for 2015. However, until those improvements are implemented, it is your responsibility to verify that your doctor and laboratory are within the provider network.

 

For more detail read my blog

 

 Anthem & Blue Shield will sent in June new ID cards to all individual policy holders.

Small Companies Group Health Insurance
In the last 6 months the focus has been on navigating individuals and families to the new health plans under the Affordable Care Act. Last year small companies were able  renew their existing group health plans until December 1, 2014 and there is a possibility that this will be extended to 2015 ( SB1446).  Many companies choose to do this as it means stability in price with the same health benefits. However, for 2014 the private exchange California Choice offers health plans from Anthem, Aetna, Health Net and Kaiser in one small business package with very affordable rates and a wide range of benefits and networks. The public small business exchange SHOP, which allows small business to receive tax credits under certain circumstances, has had many enrollment problems over the last 6 months. Now that the open enrollment period for the individual has ended,I am now putting my focus on small business groups.

 Please think about small businesses who could use my help in evaluating their group health insurance plans.
You will receive a $ 50 gift certificate for any successfully enrolled insurance  group referred by you. Please think about your sphere of influence and refer me to them.

Want to turn your life in a new direction? Then contact Richard Kantor for a free life coaching session, if you mention my name he will offer you a free coaching session.

 

Overwhelmed with your current insurance package and the new health plans? If so, give me a call and set up a meeting in my office. We will organize and evaluate all your existing insurance packages and see whether we can find ways to lower your costs.

 

Happy Memorial Weekend, I can't believe how fast time flies.

 

Remember love, laughter and good times are the best medicine for you.

Barbara Schmalz                                            
  
Solid Health Insurance Services                                                         
310-909-6135 
CA Lic. # 0G05625
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Referral
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Referrals are my lifeline!
A gift certificate of $15.00 for the company of your choice will be awarded for any referred closed insurance deal.