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Posts Tagged ‘BCBSIL’

4 Surprising Things Medicare Doesn’t Cover (and How You Can Pay for Them)

Wednesday, March 8th, 2017

The Motley Fool reports:

“Medicare covers more than 54 million beneficiaries, around 77% of whom are happy with their insurance. Yet this vital social program doesn’t cover every single beneficiary’s needs. If you’re covered by Medicare, or will be soon, it’s important to understand both its benefits and its limitations.

Medicare Part A pays for inpatient hospital care, skilled nursing care, hospice care, and home healthcare. Part B covers 80% of most routine care, but many Medicare recipients eventually experience a health need Medicare won’t cover. It helps to know what kinds of things Medicare won’t pay for and plan ahead for costs.

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Blue Cross Blue Shield Confirms Obamacare Death Spiral

Thursday, April 28th, 2016

According to The Beacon:

” The Blue Cross and Blue Shield Association, which represents 36 Blue Cross and Blue Shield plans covering 105 million Americans, has just released a study of its members’ claims data in Obamacare exchanges 2014 and 2015. It confirms that Obamacare exchange enrollees are sicker and more expensive than enrollees in pre-Obamacare individual plans or employer-based plans.

Here I quote four of the study’s findings:

  • Members who newly enrolled in BCBS individual health plans in 2014 and 2015 have higher rates of certain diseases such as hypertension, diabetes, depression, coronary artery disease, human immunodeficiency virus (HIV) and Hepatitis C than individuals who had BCBS individual coverage prior to health-care reform.
  • Consumers who newly enrolled in BCBS individual health plans in 2014 and 2015 received significantly more medical care, on average, than those with BCBS individual plans prior to 2014 who maintained BCBS individual health coverage into 2015, as well as those with BCBS employer-based group health insurance.

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Blue Cross, Advocate team up on new health insurance plan

Monday, January 11th, 2016

Crains Chicago Business Reports:

“Blue Cross & Blue Shield of Illinois and Advocate Health Care are teaming up to offer a health plan that will be one of the cheapest options the insurer offers on and off the Obamacare exchange.
The plan, called BlueCare Direct, is a marriage of two giants. Blue Cross is the largest health insurer in the state, and Downers Grove-based Advocate is the largest health care system, with 12 hospitals and more than 4,000 doctors.

The BlueCare Direct network will include 250 of Advocate’s sites of care in Cook, DuPage, Lake, Kane and Will counties, including nine of its hospitals and a children’s hospital with two campuses. Enrollees can stick with their primary care doctor outside of Advocate’s system, but the plan will not cover it, said Dr. Lee Sacks, chief medical officer for Advocate.

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The ‘Affordable’ Care Act, another Christmas bah-humbug

Monday, January 11th, 2016

The Hill Reports:

“‘Tis the season for giving—and for the Affordable Care Act, it’s become the season for giving bad news. For the third year in a row, open enrollment has given millions of hardworking Americans news that their health insurance will have higher premiums, fewer choices, and more out-of-pocket costs—if their insurance will even exist after the holidays are over.

But this sad reality won’t be found in the flowery rhetoric of the law’s supporters. From President Obama to Hillary Clinton to many candidates for both the U.S. Senate and House, politicians are claiming the law is a smashing success. This might make for a good stump speech for the base, but these claims carry huge political risks: They sound woefully disconnected from the struggles millions of Americans are suffering under this law.

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Chicago, Albany Park: Health Insurance

Monday, November 2nd, 2015
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https://payload82.cargocollective.com/1/5/170224/3952871/AlbanyPark.jpg

We specialize in helping Albany Park individuals, families, and businesses sign up and manage their Health Insurance.

With the many changes to health insurance, you may be wondering what the right choices are for you and your family. Every year brings new options and plan designs, and we can answer all of your questions. The Eriksen Insurance Group will work with you to find you the best coverage, at the best price, for your situation.

We help our clients with the following:

  • Signing up for a new policy on or off the exchange
  • Quoting and comparing new plans and prices
  • Explaining renewal options
  • Managing your current policy
  • Reviewing doctor and hospital networks
  • Determining if you qualify for a subsidy
  • Navigating and signing up on Healthcare.gov
  • Help businesses manage their health insurance and benefits plans

For individuals and families, the next annual open enrollment period for securing medical insurance starts November 1st 2015. If you have a recent life changing event, you may qualify for a special enrollment period at any time. Please call us at (847) 426-2788 for help determining your enrollment options.

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There is no cost to work with The Eriksen Insurance Group; we get paid by the insurance companies to help you. For over 35 years, The Eriksen Insurance Group has helped many people find the best health insurance for their personal needs.

Over the next 3 to 5 years the health insurance world will be in a state of flux. Even after your enrollment we will be here to answer all your questions and help you make the right decisions. Inside or outside of the Exchange, company plan or personal policy; whatever your situation, we have the knowledge to help you. There is a wealth of information for you at our insurance reform blog. We are also proud of our 5 Star Google Places reviews. Thank you for visiting our website we look forward to working with you.

Thanks again,

Robert G. Eriksen, President
Personal Health Insurance Broker

Phone: (847) 426-2788
Email: Bob@EriksenInsurance.com

Blue Cross and Blue Shield of Illinois: 2016 Rate Filings

Wednesday, September 16th, 2015

Blue Cross and Blue Shield of Illinois reports:

“Blue Cross and Blue Shield of Illinois (BCBSIL) recently filed its 2016 rates with Illinois. Below are FAQs that may help you understand what this means.

Who does this affect?

The 2016 rates will affect individuals and families who bought health insurance either directly from us or Get Covered Illinois™, the Official Health Insurance Marketplace.

Will my premium increase?

It depends. It’s important to understand that rates are not the same as premiums. Rates, which affect premiums, are based on several things, like region, pharmaceutical costs, and use of insurance benefits. However, your 2016 premiums will depend on the general rates, plus the number of people on your plan, their ages, and where you live.

Are increased rates about BCBSIL making more profits?

Rates are based on our members’ health care claims in previous years. When the Marketplace opened in 2014, we began offering new plans and set rates based on new requirements and what we thought member claims would be. Now that we have a full year of member claims with the new plans, we have a better idea of our costs. These costs are also affected by region, pharmaceutical costs, and use of insurance benefits, among other things. We are adjusting our rates so that we can keep providing coverage options across the state for people who don’t have insurance through an employer.

There are consumer protections in place to limit our ability to raise premiums just to increase profits. For example, medical loss ratio (MLR) requirements require at least 80% of premiums to go to medical costs each year. If that requirement isn’t met, BCBSIL may need to give certain customers premium rebates.

When will I find out if my premium is going up? How will I be notified?

If your 2016 premium does go up, we will send you a letter in the fall to notify you.

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