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The Department of Managed Health Care cited one example in which consumers and advocates had to call the insurer 22 times to contest a decision. Still, the complaint still was not resolved until the department became involved.
The retroactive payments provide protection for poor patients who can be enrolled in Medicaid after becoming seriously ill. That enrollment process takes time, and the look-back provision helps guarantee coverage they would have been entitled to if they had enrolled earlier.
With federal support slashed for organizations that provided consumers help in making their health plan choices, insurance brokers have to pick up the slack.
This year, more than ever, it is important to know your options.
A battle brews as Republican Gov. Paul LePage says聽he won't implement the Medicaid expansion unless the Legislature funds Maine's share. Other states, such as Idaho and Utah, are keenly watching.
Medicaid is rarely associated with getting rich. But some insurance companies are reaping spectacular profits off the taxpayer-funded program in California, even when the state finds their patient care is subpar.
Open enrollment for health insurance on the Affordable Care Act exchanges started last week. Across the country, municipalities, insurers and grass-roots groups are working hard to help folks navigate the hoops.
UnitedHealth, a health industry goliath, has its hand in doctors鈥 offices, surgery centers, technology services and prescription drugs. It is the industry model, and CVS and Aetna, says one expert, are 鈥榳annabes.鈥
Premiums are rising for many reasons next year, and one is that insurers are charging a lot more for teenagers.
In this episode of 鈥淲hat the Health?鈥 Julie Rovner of Kaiser Health News, Stephanie Armour of The Wall Street Journal, Joanne Kenen of Politico and Paige Winfield Cunningham of The Washington Post discuss the start of open enrollment under the Affordable Care Act, legislative efforts on Capitol Hill on taxes and children鈥檚 health insurance, and recommendations of the president鈥檚 opioid commission.
States aren't getting nearly as much federal money this year to explain and campaign for Affordable Care Act policies. Some are trying to make up the shortfall; others lack the cash or political will.
Higher premiums loom for Americans in their late 50s and early 60s who are still too young for Medicare and don鈥檛 qualify for subsidies under Obamacare.
People hoping to get federal subsidized marketplace coverage may need to make sure their 2017 premiums are paid and that they filed all the correct documents with their 2016 taxes.
This year鈥檚 Obamacare open enrollment will be marked by a number of changes. KHN helps you navigate them.聽
The Vermont senator found a friendly audience when he took his 鈥淢edicare-for-all message鈥 to Canada.
Efforts in past years have cut uninsured rates among Hispanics from 43 to 25 percent, but navigators say they anticipate a challenging sign-up period.
Affordable Care Act supporters in Georgia say they are facing a daunting task in getting people signed up for health insurance.
Many of the gunshot survivors who suffered serious injuries face not only high deductibles and out-of-network charges but also lost wages.
Open enrollment for the federal health law鈥檚 marketplace plans begin Nov. 1. In most states, the sign-up period ends Dec. 15, about six weeks sooner than past years.
The bipartisan accord would restore funding for the cost-sharing reductions that President Donald Trump ended last week and would give states more flexibility to devise alternatives for providing and subsidizing health care.
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