Another Health Insurance carrier is feeling the pain of ACA (Obamacare)

Well one of the stars and big winners of ACA (Obamacare) was

at one time Molina Healthcare Inc..   Well, NOT ANY MORE.

Molina announced is cutting costs, shrinking its headcount and exiting

some Obamacare markets after a steep second-quarter loss, three months after pushing

out the brothers who’d led the firm their father founded.

The company said it’s eliminating about 1,500 jobs as part of a restructuring plan that

it hopes will save $300 million to $400 million by late next year. Molina also withdrew

its 2017 earnings outlook. The company also said that it will exit money-losing ACA

markets in UT and WI for next year and increase rates sharply elsewhere.

Read more in article by Zachary Tracer

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Christian Sharing is here to stay…and growing in numbers

Did you know there are fantastic NON-INSURANCE healthcare solutions out there?

Three major ministries in fact.  Right now over one million people have chosen this

option over traditional insurance.  One of them is me.

Which one is right for you if any?  I can verify they are looking better and better as

we get deeper into the ACA (Obamacare) health plans, HMOs, sky-high premiums,

and shrinking networks where your doctor is no where to be found.  I have been a

member of two different Christian Sharing ministries the last 4 years and can tell

you I love Christian Sharing Ministries.  I have known about them for over 15

years so anything you want to know from a member perspective, or a insurance

counselor perspective, I am game.  I am also available via email, screen share, & phone.

Thankfully Christian Sharing ministries are available ANY TIME OF THE YEAR.

That is 365 days a year compared to ACA plans where you only have just 45 days of

open enrollment per year (unless there is a life event like divorce, marriage, death,

loss of health benefits, etc. called special enrollment provision).  

Want to know more?

LETS GET STARTED…..

First, PLEASE READ THIS DISCLAIMER: remember Christian Sharing is

unlike insurance, meaning it is NOT HEALTH INSURANCE.  So do not use

insurance terms.  The good thing is, I invite you ask me any questions before you

make your final decision about whether Christian Sharing is right for you or

your entire family.  I am a licensed insurance counselor so I have over 30 years

of experience in many areas of healthcare cost containment not just insurance.

WHAT IS Christian Sharing?  What does Dave think?  Stay tuned.

Lets start with OPTION 1 in Christian Sharing:

It is a health care sharing program that enables Christians to share their

financial resources to pay each other’s medical expenses. Operated by a

Ministry, a 501(c)3 non-profit ministry, it offers a proven biblical model

for health care—Christians helping Christians! Since 1993, members have

had more than $1.4 billion of their health care costs shared and discounted

through the program. it is about half the cost of insurance, and you can rest

assured that your health care dollars will not be used for unbiblical procedures.

Biblically-based health care:

  • None of your money goes to support unbiblical lifestyle choices like abortion

or the “morning-after” pill.

  • You will be part of a community of Christians dedicated to sharing one

another’s burdens and praying for each other!

 

Exempt from penalties:

  • As a member, you’re exempt from the requirement to purchase health

insurance or face penalties due to a special provision in the Affordable Care Act!

No Limits on Sharing:

  • Members enjoy sharing of eligible medical bills with no sharing limits per

person or per year!

  • During the first month of membership, however, there is a $50,000 limit

on sharing of eligible medical needs.

  • Sharing is not by percentage responsibility, for example, 80/20 or 70/30—

it’s at 100% for eligible bills once your Annual Household Portion has

been met.

Prescriptions:

  • Prescriptions are eligible for sharing (for a six-month period) if they are

related to a new eligible illness, injury or accident.

  • Members have access to prescription discounts which can help you save

an average of 40 percent on all your medications – even if it is a medication

you already take.

PPO Network:

  • Private Healthcare Systems (PHCS) is one of the largest and strongest

PPOs in the country!

  • Using network providers saves members millions of dollars each year.

However, you’re able to use any doctor, specialist or provider you want,

even if they are not in the network! A penalty may apply for using a

non-network provider.

Provider Fee (similar to a “copay” and paid at time of visit/procedure):

  • $35 – for visits to a doctor or specialist or if you’re admitted to the hospital

  • $135 – for an ER visit, if you’re not admitted to the hospital

 

Member Perks:

  • $0-cost, 24/7 access to doctors via phone or video who can diagnose

conditions and prescribe medications

  • Dental discounts of up to 60 percent on many dental procedures such

as routine oral exams, unlimited cleanings, and major work such as

dentures, root canals, and crowns

  • Vision discounts of up to 30 percent off the retail price of eyewear

HOW MUCH DOES THIS COST?

Unlike insurance, members don’t pay premiums. Instead, they deposit

a monthly share amount, based on the program option they choose.

When looking at pricing, you will see that the options are based on your

choice of an Annual Household Portion (or “AHP”). The AHP is the

portion of your own eligible medical bills (new injuries, new accidents

and new illnesses) that you pay before eligible medical bills are

processed for sharing. Once you have satisfied your AHP, any eligible

medical bills for the remainder of the year in your household will be

processed for sharing at 100 percent.

 

View many options and your monthly share prices on my website:

 www.TheDataDontLie.com

I even included what Dave Ramsey says about Christian Sharing on the site.

I salute you for exploring the Christian Sharing option for your

health care needs. Please feel free to contact me with any follow-up

questions you may have under the contact section on my blog

or directly via email at   mark@markroden.com.

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2018 Open Enrollment dates for ACA & More From CMS

CMS has released the latest changes to ACA (Obamacare) for 2018 with a press release.

The open enrollment period for obtaining coverage for individual coverage will be November 1, 2017 through December 15, 2017 for plans starting January 1, 2018.  This is the same open enrollment as Medicare markets for those over 65.

You can read the full CMS press release here

CMS makes several policy changes to improve the market and promote stability, including:

  • 2018 Annual Open Enrollment Period: The final rule adjusts the annual open enrollment period for 2018 to more closely align with Medicare and the private market. The next open enrollment period will start on November 1, 2017, and run through December 15, 2017, encouraging individuals to enroll in coverage prior to the beginning of the year.
  • Reduce Fraud, Waste, and Abuse:  The final rule promotes program integrity by requiring individuals to submit supporting documentation for special enrollment periods and ensures that only those who are eligible are able to enroll. It will encourage individuals to stay enrolled in coverage all year, reducing gaps in coverage and resulting in fewer individual mandate penalties and help to lower premiums.
  • Promote Continuous Coverage: The final rule promotes personal responsibility by allowing issuers to require individuals to pay back past due premiums before enrolling into a plan with the same issuer the following year. This is intended to address gaming and encourage individuals to maintain continuous coverage throughout the year, which will have a positive impact on the risk pool.
  • Ensure More Choices for Consumers:  For the 2018 plan year and beyond, the final rule allows issuers additional actuarial value flexibility to develop more choices with lower premium options for consumers, and to continue offering existing plans.
  • Empower States & Reduce Duplication:  The final rule reduces waste of taxpayer dollars by eliminating duplicative review of network adequacy by the federal government.  The rule returns oversight of network adequacy to states that are best positioned to evaluate network adequacy.

The press release included recent data for 2017 open enrollment

*Recent statistics related to the Affordable Care Act:

  • Approximately one-third of counties in the U.S. have only one insurer participating in their exchange for 2017.
  • Five states have only one insurer participating in their exchange for 2017.
  • The premium for the benchmark second-lowest cost “silver plan” on Healthcare.gov increased by an average of 25 percent from 2016-2017.
  • Approximately 500,000 fewer Americans selected a plan in the exchange open enrollment in 2017 than in 2016.
  • Many states saw double digit increases in their insurance premiums including:
    • AZ – 116%
    • OK – 69%
    • TN – 63%
    • AL – 58%
    • PA – 53%

You can read the final rule here

 

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