by Barbara Kempen | Apr 18, 2024 | Affordable Health Insurance, Health Insurance Brentwood, Health Insurance Pacific Palisades, Health Insurance Santa Monica, Member Benefits, Prescription Drugs
Navigating the healthcare system can sometimes feel like solving a puzzle, especially when figuring out who sets the price of your medications. One key part of this puzzle involves Pharmacy Benefit Managers, also known as PBMs. They have a big but often overlooked...
by Barbara Kempen | Apr 17, 2024 | Affordable Health Insurance, Blue Shield of CA, Covered California, Health Insurance Brentwood, Health Insurance Pacific Palisades, Health Insurance Santa Monica
In the ever-evolving healthcare landscape, negotiations between insurance carriers and healthcare systems are critical for ensuring patients have access to the care they need and premiums they can afford. However, recent events have highlighted the challenges and...
by Barbara Kempen | Mar 11, 2024 | Affordable Health Insurance, Covered California, Federal Poverty Level, Health Insurance Brentwood, Health Insurance Pacific Palisades, Health Insurance Santa Monica, Special Enrollment Period
The Federal Poverty Level ( FPL) is a benchmark to assess individuals’ and families’ income levels relative to the federal poverty threshold. In California, health insurance premiums frequently adapt positively based on income in relation to the FPL....
by Barbara Kempen | Feb 16, 2024 | Affordable Health Insurance, Blue Shield of CA, Covered California, Dental Insurance, getting married, Health Insurance Brentwood, Health Insurance Pacific Palisades, Health Insurance Santa Monica, Member Benefits, Special Enrollment Period
Starting February 1, 2024, the Annual Open Enrollment Period ends and the Special Enrollment Period begins. During the Special Enrollment Period from February 1st to October 31st, 2024, anyone seeking to enroll in or change their existing health insurance must have...
by Barbara Kempen | Nov 13, 2023 | Affordable Health Insurance, Blue Shield of CA, Covered California, Health Insurance Brentwood, Health Insurance Pacific Palisades, Health Insurance Santa Monica, Member Benefits, Open Enrollment, Special Enrollment Period
Optum and St. Joseph Providence Health will terminate their health maintenance organization (HMO) agreements with Anthem Blue Cross effective January 1, 2024. As a result, Optum and Providence Health will no longer be part of the Anthem Blue Cross Commercial Pathway...
by Barbara Kempen | Oct 31, 2023 | Affordable Health Insurance, Blue Shield of CA, Covered California, Dental Insurance, Health Insurance Brentwood, Health Insurance Pacific Palisades, Health Insurance Santa Monica, Member Benefits, Open Enrollment, Prescription Drugs, Preventative Care, Retirement, Santa Monica Life Insurance
The Annual Open Enrollment Period (AEP), which runs between ?️October 15 and December 7, 2023, for renewals in 2024, is in full swing. CMS requires all agents to record any phone calls. Therefore, after you fill out the required Scope of Appointment (SOA), please...