Covered CA / Obamacare made another boo boo.

Jerome Stocks Jerome Stocks 1 Comment

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Folks, I got this as an “agent alert” but thought I would share it. This entire messed up system must be replaced.

During the 2017 renewal process the incorrect Advanced Premium Tax Credit (APTC) amount was sent to the health plan for some consumers. The eligibility determination and notice the consumer received from Covered California displayed the correct APTC amount. However, because the incorrect APTC was sent to the health plans, they invoiced the consumers with overstated APTC and understated premiums owed.

To correct this issue Covered California has systematically updated the incorrect APTC amounts with the health plans. Consumers have been re-enrolled in a plan with the correct APTC for January 1, 2017. Consumers do not have to report a change or make any updates to their application.

Covered California will be reaching out directly to these affected consumers via phone, email, and a mailed notice next week to advise them of the issue. The communications will include a dedicated hotline consumers can call to receive additional information.

Additionally, consumers will receive an invoice from their health plan reflecting the correct amount of APTC and premium for the month of February. It is at the health plan’s discretion tDuring the 2017 renewal process the incorrect Advanced Premium Tax Credit (APTC) amount was sent to the health plan for some consumers. The eligibility determination and notice the consumer received from Covered California displayed the correct APTC amount. However, because the incorrect APTC was sent to the health plans, they invoiced the consumers with overstated APTC and understated premiums owed.

To correct this issue Covered California has systematically updated the incorrect APTC amounts with the health plans. Consumers have been re-enrolled in a plan with the correct APTC for January 1, 2017. Consumers do not have to report a change or make any updates to their application.

Covered California will be reaching out directly to these affected consumers via phone, email, and a mailed notice next week to advise them of the issue. The communications will include a dedicated hotline consumers can call to receive additional information.

Additionally, consumers will receive an invoice from their health plan reflecting the correct amount of APTC and premium for the month of February. It is at the health plan’s discretion to collect the difference for the January invoice, as well as how the difference may be billed.

You are receiving this email because Covered California has identified consumers in your book of business that may be affected by these changes. This communication is intended to ensure you are informed of this issue ahead of consumers and are able to assist them in contacting Covered California for customer service support.

Please Note: Refer any affected consumers contacting you with questions regarding this matter to the email communication they will receive from Covered California next week.

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Comments 1

  1. The time to whack the piñata has past. Now you have to govern, which is harder. The idea that you can keep elements like coverage for pre-existing conditions while eliminating inducements to sign up healthy people makes for great sound bites. Now all you have to do is make it happen.

    Good luck. I honestly hope you find a way to do it–it would be great for America. But Republicans have had seven years to tell us what the plan is. Forgive the skepticism, but some of us are starting to think there is no plan beyond continuing to swing the stick at a now empty political piñata.

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