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Posts Tagged ‘Oakwood Hills’

‘Sham’ Sharing Ministries Test Faith Of Patients And Insurance Regulators

Monday, May 20th, 2019

KHN reports:

“Sheri Lewis, 59, of Seattle, needed a hip transplant. Bradley Fuller, 63, of nearby Kirkland, needed chemotherapy and radiation when the pain in his jaw turned out to be throat cancer. And Kim Bruzas, 55, of Waitsburg, hundreds of miles away, needed emergency care to stop sudden —and severe — rectal bleeding.

Each of these Washington state residents required medical treatment during the past few years, and each thought they had purchased health insurance through an online site.

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Scrap ‘Obamacare’? Maybe not all, Trump administration says

Monday, May 20th, 2019

AP reports:

“Scrap “Obamacare”? Well, maybe not all of it.

The Trump administration is arguing in court that the entire Affordable Care Act should be struck down as unconstitutional. But at the same time, Justice Department lawyers recently suggested that federal judges could salvage its anti-fraud provisions, raising questions about keeping other parts as well.

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Blue Cross premium hikes in Texas, Oklahoma could mean Illinois sticker shock

Tuesday, June 14th, 2016

The Chicago Tribune reports:

“Illinois residents who buy Blue Cross and Blue Shield health care coverage through the state insurance exchange may be in for Obamacare sticker shock, if proposed rate hikes by the largest insurers in Texas and Oklahoma are any indication.

Texas and Oklahoma are possible harbingers of Blue Cross’ prices on the Illinois exchange because all three health plans are owned by the same company, Chicago-based Health Care Service Corp. Blue Cross is the most popular insurer on the Illinois exchange.

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The Employer Shared Responsibility Payment

Monday, May 11th, 2015

HealthCare.gov reports:

“The Employer Shared Responsibility Payment applies to some businesses with 50 or more full-time employees who don’t offer insurance, or whose coverage doesn’t meet certain minimum standards.

Regulations announced in 2014 have updated the following:

  • Which employers must make the payment
  • Which years some employers must begin making the payment
  • Other conditions about the payment

The Internal Revenue Service offers detailed questions and answers about the Employer Shared Responsibility Payment.

The Treasury Department has a fact sheet summarizing recent updates on the Employer Shared Responsibility Payment.

No employer with fewer than 50 full-time employees is subject to the Employer Shared Responsibility Payment in any year.

Health Care Penalties In 2015: How To Avoid Obamacare Fee And Report Insurance Status To IRS

Tuesday, January 13th, 2015

International Business Times reports:

“Millions of Americans who forwent buying health insurance in 2014 could face penalties in the coming year, the first such fees since open enrollment under the Affordable Care Act, or Obamacare, began in October 2013. The fine is part of President Barack Obama’s landmark law that requires all taxpayers to divulge their health insurance status to the Internal Revenue Service when filing their federal income tax returns. People who qualify for an exemption can avoid paying the penalty, but there is a little bit of extra paperwork involved.

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Bill Regulates Specialty Drug Co-pay Maximum

Friday, October 3rd, 2014

From Aetna health plans:

ILLINOIS: Legislators introduced a bill last week that would require health plans providing prescription drug coverage to ensure that any required copayment or coinsurance for drugs on a specialty tier not exceed $100 per month for up to a 30-day supply of any single drug.The measure also states that a beneficiary’s annual out-of-pocket expenditures for prescription drugs should not be more than 50 percent of the dollar amounts in effect under ACA. Health plans would also be required to implement an exceptions process allowing enrollees to request an exception to the tiered cost-sharing structure. Health plans also would be prohibited from placing all drugs in a specialty class on a specialty tier.

It’s Time to Kick Employer-Sponsored Healthcare to the Curb

Wednesday, September 10th, 2014

Business Cheat Sheet reports:

“A great number of people in the United States have grown accustomed to having their employer pay for, or at least subsidize their healthcare costs. That usually takes the form of employer-provided health insurance plans, which have become a staple of most compensation packages for full-time employees that are working in positions that require even menial amounts of skill — and shutting out, for the most part, unskilled or low-wage workers. On the surface, it is a bit odd that we rely on our employers to pay for our health insurance. Yet, it’s become the norm, and one of the many reasons the U.S. healthcare system, as a whole, is so complicated and for lack of a better term, screwed up.

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ACA Trade-Off: Low Premium, High Deductible

Wednesday, October 2nd, 2013

Insurance News Net reports:

“You might be pleased with the low monthly premium for one of the new health insurance plans under President Barack Obama’s overhaul, but the added expense of copayments and deductibles could burn a hole in your wallet.

An independent analysis released Wednesday, on the heels of an administration report emphasizing affordable premiums, is helping to fill out the bottom line for consumers.

(more…)

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