The Washington Health Benefit Exchange Board today certified 10 health insurance carriers at to offer 82 Qualified Health Plans (QHPs) for individuals and families through the state’s health insurance exchange, the Washington Healthplanfinder.
Last year, eight health insurers were approved to sell 46 plans through Washington Healthplanfinder.i
The small business market, Washington Healthplanfinder Business, will be available statewide for the first time this year with 23 different health plans.
Additionally, five insurance carriers will offer six pediatric Qualified Dental Plans (QDPs).
The open enrollment period, which runs from Nov. 15, 2014 to Feb. 15, 2015, will provider coverage starting Jan. 1, 2015.
“We’re thrilled to see the number of available health plan options has doubled in one short year,” said Richard Onizuka, Chief Executive Officer for Washington Healthplanfinder.
“Not only will these additional coverage options increase consumer choice, they will also foster competition among our participating health insurance companies,” Onizuka said.Continue reading →
Medicare tips from Oraida Roman, president of Senior Products for Humana’s Intermountain Region
Approximately 11,000 adults become eligible for Medicare every day, reflecting a dramatically increasing senior population, and that number is only going to grow.
The U.S. Census Bureau predicts there will be nearly 47 million seniors age 65 and up in 2015 and about 72.1 million seniors – nearly 20 percent of the population – by 2030.,
Here in Washington, the 65 and older population is expected to increase from 13.9 percent of the overall population in 2015 to 18.1 percent of the overall population by 2030.
Health concerns are a major issue for seniors, with nine of 10 older adults living with at least one chronic condition, such as diabetes, arthritis, hypertension or lung disease, according to the National Council on Aging.
Making matters worse, these conditions place a significant financial burden on seniors and, sometimes, their caregivers. As a result, there’s a clear need for access to affordable health care that meets the needs of individuals as they age.
As Seattle residents approach their 65th birthday, it is important for them to know their Medicare options, including when they can enroll and the types of health plans available.Continue reading →
When Yuri Maldonado’s 6-year-old son was diagnosed with autism four years ago, she learned that getting him the therapy he needed from California’s Medicaid plan for low-income children was going to be tough.
Medi-Cal, as California’s plan is called, does provide coverage of autism services for some children who are severely disabled by the disorder, in contrast to many states which offer no autism coverage.
But Maldonado’s son was approved for 30 hours a week of applied behavioral analysis (ABA), a type of behavior modification therapy that has been shown to be effective with autistic children, and she was worried that wasn’t enough.
So she and her husband, neither of whose jobs offered health insurance, bought an individual private policy for their son, with a $900 monthly price tag, to get him more of the comprehensive therapy.
“I don’t know any family that can really afford that,” says Maldonado. “We made some sacrifices.”
OLYMPIA, Wash. – Insurance Commissioner Mike Kreidler announced a limited special enrollment period – effective Aug. 27 – for people who have experienced difficulty enrolling in health coverage through Washington’s Exchange, Washington Healthplanfinder, or who have had billing or payment issues.
The special enrollment period starts Aug. 27 and is scheduled to run through Nov. 14, 2014.
Anyone who has been unable to get or keep coverage in a plan through the Exchange because of an error in their enrollment, bill, or premium payment is eligible.
Only people who attest to having enrollment, billing, or payment issues with an Exchange plan may change plans during this time.
General open enrollment for 2015 individual and family coverage starts Nov. 15, 2014 and ends Feb. 15, 2015. Continue reading →
Those who favor women being guaranteed no-costbirth controlcoverage under their health insurance say the new rules for nonprofit religious organizations issued by the Obama administration simply put into force what the Supreme Court suggested last month.
“We interpret what [the administration] did to be putting into effect that order,” said Judy Waxman, vice president for health and reproductive rights at the National Women’s Law Center. She’s referring to the controversial Supreme Court order in a lower court case involving Wheaton College, a Christian school in Illinois.
The unsigned order agreed to by six of the nine justices said Wheaton College need not fill out and send to its insurance company a form opting out of offering the coverage. Instead, it could merely inform the government of its objections.
The new rules unveiled Friday require those with religious objections to providing some or all FDA-approved contraceptives to do exactly that – notify the government rather than their insurance carriers that they cannot provide the coverage. Continue reading →
JUPITER, Fla. – Beverly Hires, a former nurse running for Congress here in one of the nation’s rare competitive House races, ticks off her problems with the federal health care law: higher premiums, cancelled policies and employers cutting full-time jobs.
“The Affordable Care Act is not making insurance more affordable,” she said in an interview, citing many of the same criticisms as her five GOP opponents in the Aug. 26 primary, who are vying for the chance to oust first-term Democrat Rep. Patrick Murphy.
Hires’ messaging on Obamacare in this South Florida district targeted by the GOP tracks a pattern around the country as Republican candidates follow a focus-group tested script recommended by pollsters.
“The messages that work best are succinct, clear statements about the effects of Obamacare on consumers directly,” by increasing costs, taxes and taking away jobs, said Whit Ayres, president of North Star Opinion Research, a Republican polling group that’s surveyed likely voters to determine the best way to attack Obamacare. Continue reading →
California voters are showing strong early support for a ballot initiative that would expand the state’s authority to regulate health insurance rates.
Nearly 7 of every 10 respondents indicated that they would vote in favor of Proposition 45, while 16 percent would vote against it, according to an independent poll released Wednesday by the Field Research Corp. in San Francisco.
Proposition 45 would give California’s insurance commissioner the power to veto health insurance rate increases.
Proposition 45 would give California’s insurance commissioner the power to veto health insurance rate increases. Continue reading →
How does Washington’s online exchange marketplace compare with those in other states?
As part of an ongoing study, the nonprofit Urban Institute assessed how well state exchanges created under the Affordable Care Act provide the sort of information consumers want to know about insurance plans they’re considering buying.
What’s in a name? When it comes to health plans sold on the individual market, these days it’s often less than people think.
The lines that distinguish HMOs, PPOs, EPOs and POS plans from one another have blurred, making it hard to know what you’re buying by name alone–assuming you’re one of the few people who know what an EPO is in the first place.
“Now, there’s a lot of gray out there,” says Sabrina Corlette, project director at Georgetown University’s Center on Health Insurance Reforms.
Ideally, plan type provides a shorthand way to determine what sort of access members have to providers outside a plan’s network, including cost-sharing for such treatment, among other things.
But since there are no industry-wide definitions of plan types and state standards vary, individual insurers often have leeway to market similar plans under different names.
One of the hopes embedded in the health law was to expand the role of nurse practitioners and physician assistants in addressing the nation’s shortage of primary care providers. But a new study questions whether that’s actually happening in doctors’ offices.
Mid-level providers – PAs and NPs – “are doing invasive procedures and surgery. I’m not sure they were trained to do that.”
Of the more than 4 million procedures office-based nurse practitioners and physician assistants independently billed more than 5,000 times in a year to Medicare – a list including radiological exams, setting casts and injecting anesthetic agents – more than half were for dermatological surgeries.Continue reading →