About a week and a half ago I received the following email (posted w/permission w/identity removed):
Hello Mr Gaba. Last year I had a BCBS insurance through marketplace and this year I switched to a Physicians Health Plan offering, also through the marketplace. I thought I had done due diligence. I was interested in switching to the University of Michigan system. As I shopped for plans the PHP website listed literally hundreds of potential pcp's near me in Ann Arbor. But as I began to try and sign up with a new doctor and called the number listed for each doc (usually the same U-M switchboard number) I found that none of the docs listed were, in fact, accepting new patients.
At the moment I cannot find a new pcp through my new health insurance. Is this legal? Have I any recourse? Where can I find info on what to do? They suggest that I try to get my former doctor to fill out a prior approval or out of network form...Hoping you can direct me to somewhere; thank you for any direction you can offer me.
First-of-its-kind initiative will help people get the behavioral health care they need as they leave incarceration
Today, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), approved a first-of-its-kind section 1115 demonstration amendment in California which will provide a set of critical pre-release services and improve access to critically needed care for people returning home from jails and prisons.
For example, Medi-Cal will be able to cover substance-use treatment before a Medicaid beneficiary is released from jail, prison, or youth correctional facility. Additionally, the state will be able to help connect the person to community-based Medicaid providers 90 days prior to their release to ensure they can continue their treatment after they return to the community.
January 11, 2023: CMS marked another important maternal health milestone by approving Medicaid and Children’s Health Insurance Program (CHIP) postpartum coverage expansions in Alabama and a Medicaid postpartum coverage expansion in North Dakota through the American Rescue Plan (ARP). Nationally, more than 439,000 people across 28 states and the District of Columbia now have access to Medicaid and CHIP coverage for a full 12 months following pregnancy — up from just 60 days before the ARP. Postpartum coverage extensions form one of the cornerstones of CMS’ Maternity Care Action Plan — part of the Biden-Harris Administration’s Blueprint for Addressing the Maternal Health Crisis. Click here and here to learn more about Alabama’s approvals, and here to learn more about North Dakota’s approval.
More Than 212,000 Coloradans Signed Up for Health Insurance Coverage During Annual Enrollment Period
DENVER – Connect for Health Colorado (the Marketplace) reports that 201,758 Coloradans enrolled in a health insurance plan during the Open Enrollment Period for 2023 coverage. That is an increase of approximately 3,000 plan enrollments above last year’s total.
Biden-Harris Administration Announces Record-Breaking 16.3 Million People Signed Up for Health Care Coverage in ACA Marketplaces During 2022-2023 Open Enrollment Season
Nearly 50% increase in HealthCare.gov signups since President Biden took office, and 3.6 million people signed up for health care coverage on the Marketplaces for the first time this year
Today, the Biden-Harris Administration announced that a record-breaking more than 16.3 million people have selected an Affordable Care Act (ACA) Marketplace health plan nationwide during the 2023 Marketplace Open Enrollment Period (OEP) that ran from November 1, 2022- January 15, 2023 for most Marketplaces. President Biden promised to strengthen and build on the Affordable Care Act, and this year, the 10th year of ACA Open Enrollment, more Americans signed up for high-quality, affordable health insurance through the ACA Marketplaces than ever before. Since President Biden took office, the number of people who have signed up for an affordable health care plan through HealthCare.gov has increased by nearly 50%. Because of the President’s plan, millions of working families saved an average of $800 on their health insurance premiums last year.
MORE THAN 182,000 ENROLLED FOR 2023 COVERAGE THROUGH MARYLAND HEALTH CONNECTION
Enrollment reached an all-time high in 10th year of state-based marketplace
BALTIMORE (Jan. 24, 2023) – A record number of Marylanders – 182,166 – enrolled in coverage for 2023 through Maryland Health Connection, the state’s health insurance marketplace in its 10th year of operation.
Open enrollment began Nov. 1, 2022, and ended Jan. 15. People who enrolled in January will start coverage Feb. 1.
“We’re very happy to continue to have success in reaching Marylanders in need of affordable health coverage,” said Michele Eberle, executive director of the Maryland Health Benefit Exchange, which runs the state’s health insurance marketplace. Total enrollment has grown five consecutive years and by more than 15 percent since just before Covid-19 and the public health emergency.
LOS ANGELES, Calif. — Covered California hit the streets of downtown Los Angeles on Tuesday, to paint the town and encourage the uninsured to sign up for health insurance coverage. In a partnership with a diverse collaborative of local and California-based artists, Covered California unveiled a large-scale street art piece at the historic Grand Central Market to remind Californians that they have through Jan. 31 to sign up for comprehensive health care coverage.
“We are here to spread the word across Los Angeles and the rest of the state that time is running out to sign up for quality health insurance through Covered California,” said Jessica Altman, executive director of Covered California. “Visit CoveredCA.com today, find out how much financial help you can receive, and how affordable coverage can be for you and your family.”
Nevada Health Link Enrolled 96,379 Nevadans in Health Insurance During Open Enrollment
(CARSON CITY, NV) – Nevada Health Link is excited to announce that 96,379 Nevadans have enrolled in qualified, affordable health insurance plans during this year’s Open Enrollment Period (OEP), which ran from November 1, 2022 through January 15, 2023.
Of the over 96,000 Nevadans who enrolled in health insurance plans through NevadaHealthLink.com, 18,117 were new enrollees, meaning they were not previously enrolled in a plan on the marketplace.
“We are thrilled that thousands of Nevadans have taken advantage of their health and financial protection by enrolling in health plans this Open Enrollment,” said Ryan High, Executive Director of Nevada Health Link. “Our top priority is ensuring Nevadans are protected and have access to quality coverage and health care.”
This report provides a summary of information for week one of the beWellnm health insurance individual Marketplace Open Enrollment Period for plan year 2023 (OEP 2023). The report contains data from the beWellnm eligibility and enrollment platform for OEP 2023, and includes an overview of the following:
plan selections
new enrollees
enrollees renewing coverage
Customer Engagement Center call volumes
website traffic
Enrollment
This section contains enrollment data through January 15, 2022.
1. Total Plan Selections (net): Count of unique individuals who have selected a Plan Year (PY) 2023 Marketplace medical plan. Count includes all new and re-enrolling consumers (defined in Indicators 2 and 3), regardless of whether the consumer has paid the first month premium. Count does not include plans that were canceled or terminated.: 40,689
Approximately 35,000 Coloradans Chose the Colorado Option During the 2023 Open Enrollment
Insurance Commissioner Conway: “We’re working on making this program even better.”
DENVER - As announced by the Governor during his State of the State speech, the preliminary 2023 open enrollment figures for the Colorado Option make it clear that the Coloradans are excited and want the Colorado Option.
As of January 10th, approximately 35,000 people have enrolled in Colorado Option plans - approximately 25,000 through Connect for Health Colorado, the state’s health insurance marketplace, and another 10,000 via OmniSalud.
