Network Adequacy for Qualified Health Plans Federal regulations require that a Qualified Health Plan carrier (health insurance company) “Maintain a network that is sufficient in number and types of providers, including providers that specialize in mental health and substance abuse… Read More
As a new member of the health insurance marketplace, it’s easy to always dial the wrong 1-800 numbers and “wrong departments”. In the past there was one universal uninsured helpline. You would be able to contact them about all health insurance… Read More
This week the Center for Medicare and Medicaid Services (CMS) released new guidelines for a mid-year enrollment for health insurance. Enrollments can be completed completed through Healthcare.gov outside of the annual Open Enrollment (November 1st 2015 through January 31st 2016). However,… Read More
Fully-insured Nevada employers with less than 50 employees will be relying on their group health insurance company to provide their employees with 2015 1095 B “Health Coverage” forms. The IRS has issued Notice 2016-4 requiring the insurance companies to postmark… Read More
2016 Obamacare Individual Medical Insurance Open Enrollment is already shaping up to be much more successful than the past 2 years. Staff Changes at the Exchange SSHIX has a new Acting Insurance Commissioner Amy Parks. They also have a relatively new Exchange… Read More
Are you enrolled in a subsidized health insurance plan through HealthCare.gov and experiencing issues with your required document submission? You are not the only one. The Silver State Health Insurance Exchange, Nevada’s overseeing entity that regulates and monitors Obamacare policies,… Read More
CMS (Center for Medicare and Medicaid Services), who controls enrollment periods for states which use the FFM (Federally-Facilitated Marketplaces) enrollments, has just announced that there will be yet another Special Enrollment period in 2015. This includes Nevada. Their announcement specifies… Read More
As many as 80 million Anthem customers had their account information compromised earlier this week as a result of a Anthem Information Breach. Anthem was the victim of a “very sophisticated external cyber attack” according to Anthem president and CEO… Read More
This morning on the phone I was told, “I have had the same doctor and Anthem insurance for over 10 years, what do you mean they won’t accept my insurance now!” Finding a doctors who accept on-exchange health plans may… Read More
