Category Archives: Health Care Reform

OSCAR Health Plans leaving NJ

PRESS RELEASE 8/23/16:

 

Today, we’re announcing that Oscar has decided to withdraw our plans from the New Jersey market beginning January 1, 2017. We will continue to serve the New York, Long Island, San Antonio, Los Angeles and Orange County markets, and we will begin serving the San Francisco market, effective January 1, 2017. We will continue to pay broker commissions through the end of 2016 on all policies placed with Oscar in New Jersey.

Read more ...

Medicare Part D Notices required by 10/14

Each year, Medicare Part D requires group health plan sponsors to disclose to individuals who are eligible for Medicare Part D and to the Centers for Medicare and Medicaid Services (CMS) whether the health plan’s prescription drug coverage is creditable. Plan sponsors must provide the annual disclosure notice to Medicare-eligible individuals before Oct. 15, 2016-the start date of the annual enrollment period for Medicare Part D. CMS has provided model disclosure notices for employers to use.

AETNA COVENTRY leaves SC individual Market

As expected, AETNA/Coventry is leaving the South Carolina individual medical market as of January 1.  This has a couple of important ramifications.   For more on their nationwide pullout of Obamacare, click here.

IMPACTS-  

  1.  IF you have AETNA/Coventry individual Coverage now-   you will have to make a new choice for January 1, and we will help with that.
  2. THIS leaves only two carriers in the state for next year – Blue Cross and Blue Choice, which ALSO means….
  3. IF you need MUSC as a hospital, now would be the time to talk to your providers, and get their recommendation on who to go to going forward.  MUSC has refused to do a contract with the Blues on the individual market and you WILL NOT BE ABLE to use them next year, unless something changes.

Just as a reminder, the Affordable Care Act was going to let you “…keep your doctors and hospitals if you want to.”  Love my job.

NY individual Plans get 20%+ increases, smaller networks

The New York State insurance Department has released average increases that they have approved, effective January 1.  CareConnect is going up 29.2%, Oscar 19.6% and United Healthcare 28%.

Read more ...

OSCAR Health Plans Building its own network

While I will attend a web conference next week on this, here is what they have released so far.  Note that nothing changes until January 1:

“For 2017, the Oscar experience in NY will be built around three world-class hospital systems—Mount Sinai, Montefiore, and the Long Island Health Network—and over 20,000 first-rate physicians. Rather than working through a rented network, we have contracted directly with these systems so we can build deeper partnerships with them and improve our members’ experience.

Read more ...

June 2019
M T W T F S S
« May    
 12
3456789
10111213141516
17181920212223
24252627282930

Sign Up To Our Newsletter

Reeve Conover is a Registered Representative. Securities offered through Cambridge Investment Research, Inc., a Broker/dealer member FINRA/SPIC. Cambridge and Conover Consulting are not affiliated. Licensed in SC, NC, NY, CT, NJ, and CA.
FINRA.org - SIPC - Brokercheck