Covered California

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Notices Sent: Covered California Commences 2015 Renewal

Screenshot from CoveredCA.com, the website of Covered California.

Screenshot from CoveredCA.com, the website of Covered California.

David Gorn, California Healthline

Covered California officially began mailing renewal notices for its 1.1 million enrollees who signed up during the first open enrollment period, officials announced Thursday.

People who want to keep their current plan will be automatically renewed. All they need do is pay their premium by Dec. 15 to continue their coverage beginning Jan 1, said Peter Lee, executive director of the exchange. People who want to make changes have until Dec. 15 to do so.

“If you’re happy with your plan, you don’t need to do a thing, you just pay the bill, you’re good,” Lee said. “If you want to shop around, we have the tools available online or with assisters to do that. Stability and consistency are good things, but we encourage you to shop for a better policy.” Continue reading

Second Obamacare Enrollment Likely to Be Even Tougher Than First

Miles Alva, 28, says getting insured is not a priority and would rather deal with the penalty. (Heidi de Marco/KHN).

Miles Alva, 28, says getting insured is not a priority and would rather deal with the penalty. (Heidi de Marco/KHN).

By Anna Gorman and Julie Appleby, Kaiser Health News

As states gear up for round two of Obamacare enrollment next month, they have their sights set on people like Miles Alva.

Covered California seeks to renew 1.2 million members — and enroll 500,000 new people.

Alva, 28, works part-time at a video store and is about to graduate from Cal State Northridge. Getting insured is about the last thing on his mind.

“It’s not a priority,” the television and cinema arts student said. “I am not interested in paying for health insurance right now.”

The second round of enrollment under the nation’s Affordable Care Act promises to be tougher than the first. Many of those eager to get covered already did, including those with health conditions that had prevented them from getting insurance in the past. Continue reading

Immigrants Scramble to Prove Eligibility for Covered California

A report from Berkeley's Greenlining Institute called on Covered California to make its enrollment website available in more languages than English and Spanish.

(Screen shot from the Spanish-language version of the Covered California website.)

By Daniela Hernandez, Kaiser Health News

When Fabrizio Mancinelli applied for health insurance through California’s online marketplace nine months ago, he ran into a frustrating snag.

The deadline is midnight, Tuesday, for those who were notified to provide documents proving their legal status.

An Italian composer and self-described computer geek, Mancinelli said he was surprised to find there wasn’t a clear way to upload a copy of his O-1 visa. The document, which grants temporary residency status to people with extraordinary talents in the sciences and arts, was part of his proof to the government that he was eligible for coverage.

So, the 35-year-old Sherman Oaks resident wrote in his application that he’d be happy to send along any further documentation. Continue reading

Covered California Launches 2015 Outreach Campaign

Covered California executive director Peter Lee, seen here at a November, 2013, press conference. (Max Whittaker/Getty Images)

Covered California executive director Peter Lee, seen here at a November, 2013, press conference. (Max Whittaker/Getty Images)

Covered California, the state’s health insurance exchange, kicked off its marketing and outreach campaign Monday for the upcoming 2015 open enrollment period. Officials say they forecast enrolling 1.7 million people, about 500,000 more than are presently signed up.

Peter Lee, the agency’s executive director, acknowledged the work ahead. “It won’t be easy,” he said. “In many ways, it will be harder than last year.”

For starters, the next open enrollment runs three months compared to last year’s six month period when more than three million people signed up either for Covered California or to Medi-Cal, the state’s version of Medicaid. Continue reading

Remaining Uninsured Face Challenges in Cost and Simply Signing Up

Leaburn Alexander works two jobs and does not have health insurance. Here, he is on the start of his 3-hour commute home from the job he works as an overnight hotel janitor. (Lisa Morehouse/KQED)

Leaburn Alexander works two jobs and does not have health insurance. Here, he is on the start of his 3-hour commute home from the job he works as an overnight hotel janitor. (Lisa Morehouse/KQED)

By Lisa Morehouse

When the Affordable Care Act rolled out last fall, Californians enrolled in both Covered California and expanded Medi-Cal in high numbers. But there are still millions in the state without health insurance. Undocumented people don’t qualify for Obamacare benefits. Many others still find coverage too expensive, or face other obstacles in enrolling.

One of those people is Leaburn Alexander. I meet up with him at 6 a.m. as he is finishing his shift as the night janitor at a hotel near the San Francisco Airport. He clocks out just in time to catch the hotel’s shuttle back to SFO, where he will catch a bus.

“Right now I’m on the beginning of my commute,” he tells me. “After an eight hour shift, my commute is like 2 and a half hours.”

I accompany Alexander on his commute to East Palo Alto, about 20 miles south. It actually takes three hours, on the hotel shuttle plus three more buses. He does this commute 5 days a week. Continue reading

Covered California Income Verifications Lead to Canceled Coverage

Screenshot from CoveredCA.com, the website of Covered California.

Screenshot from CoveredCA.com, the website of Covered California.

By Judy Lin, Associated Press

Some Californians who purchased individual health coverage through the state’s insurance exchange are suddenly being dropped or transferred to Medi-Cal, the state Medicaid program for the poor that fewer doctors and providers accept.

Covered California, which is responsible for determining and directing Californians to an appropriate health plan, has no estimate of how many people are affected, saying only that the changes are occurring as incomes are checked to verify the policyholders can purchase insurance through the exchange.

Since the shifts often happen without warning, there’s confusion and anger among policyholders.

Glendale resident Andrea Beckum learned last month that she and her husband had been shunted to Medi-Cal only after getting a call from their insurance broker telling them their Anthem Blue Cross policy had been canceled. Continue reading

People Found Ineligible for Obamacare Coverage Must Repay Subsidies

A report from Berkeley's Greenlining Institute called on Covered California to make its enrollment website available in more languages than English and Spanish.

The rule primarily affects immigrants. Many people have not provided sufficient documentation to prove lawful presence or citizenship in California.

By Julie Appleby, Kaiser Health News

Consumers getting government subsidies for health insurance who are later found ineligible for those payments will owe the government, but not necessarily the full amount, according to the Treasury Department.

100,000 Californians must provide proof of legal residency or lose eligibility for subsidies.

The clarified rule could affect some of the 300,000 people enrolled in a health plan through healthcare.gov. They face a Sept. 5 deadline to submit additional documents to confirm their citizenship or immigration status, and also apply broadly to anyone ultimately deemed ineligible for subsidies.

California runs its own exchange and is on a different timeline. Covered California will send notices starting next week to 100,000 people affected. They have until September 30 to respond.  Continue reading

On California Exchange, Only Kaiser’s Rates Will Go Down in 2015

Kaiser Permanente's lower rates on the California health exchange for 2015 may be meant to attract customers. (Ted Eytan/Flickr)

Kaiser Permanente’s lower rates on the California health exchange for 2015 may be meant to attract customers. (Ted Eytan/Flickr)

As all the other health insurers on California’s Obamacare exchange raise their rates for next year, Kaiser Permanente plans to lower them.

The Los Angeles Times reports that a new analysis by Citigroup shows Kaiser’s premiums dropping by 1.4 percent in 2015.

At the same time, the average premium across all plans on the Covered California exchange will rise 4.2 percent.

Citigroup health care analyst Carl McDonald told the Times he thinks Kaiser’s move is meant to draw customers: Continue reading

California’s 2015 Obamacare Premiums Will Increase Modestly

Screenshot from CoveredCA.com, the website of Covered California.

Screen shot from CoveredCA.com, the website of Covered California.

Officials with Covered California, the state’s Obamacare marketplace, say premiums will go up an average 4.2 percent statewide in 2015 for the 1.4 million Californians currently enrolled in insurance through the exchange.

Peter Lee, executive director of the agency, was clearly delighted. “This is good news for Californians,” he said, “and an example of how Covered California and the Affordable Care Act are working to make health insurance affordable.”

Lee said premiums would vary by people’s age and where they live in California. Californians will have a choice of plans from the state’s four major insurers: Anthem Blue Cross, Blue Shield, Kaiser and Health Net — as well as six regional players: Chinese Community Health Plan, L.A. Care, Molina Healthcare, Sharp Health Care, Valley Health Care and Western Health Advantage.

Lee said that for the million-plus people currently insured through the exchange:

  • 16 percent: will see rates remain stable or go down
  • 35 percent: will see premiums increase 1-5 percent
  • 36 percent: will see increases of 5-8 percent
  • 13 percent: will see increases over 8 percent, some as high as 15 percent

Continue reading

Survey: 3 Million Californians Newly Insured Under Obamacare

Under the Affordable Care Act Sandra Lopez, 41, owner of Las Fajitas in Newport Beach, obtained health insurance for the first time since arriving in the U.S. in 1990. (Heidi de Marco/Kaiser Health News).

Under the Affordable Care Act Sandra Lopez, 41, owner of Las Fajitas in Newport Beach, obtained health insurance for the first time since arriving in the U.S. in 1990. (Heidi de Marco/Kaiser Health News).

By Anna Gorman, Kaiser Health News

A significant portion of previously uninsured Californians gained medical coverage through the nation’s health care law – about six in 10 during the state’s first open enrollment, according to a survey released Wednesday.

All told, about 3.4 million people who didn’t have health insurance before sign-ups began last fall are now covered, according to the survey by the Kaiser Family Foundation.

The largest share of the previously uninsured — 25 percent — enrolled through the state’s Medi-Cal program, which has long covered poor families but was expanded this year to include adults without children. Nine percent purchased private plans through the subsidized insurance marketplace, Covered California, which opened in October. And 12 percent became insured through their jobs, the researchers found. Continue reading