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Tuesday 1 January 2013

Anthem Health Insurance California Challenges Office Of Insurance

By Daniel Abrams


Anthem Health Insurance California plans just filed for their 2013 rate increases for individuals and families. This was met with instant disapproval from not only their members, but from the Dep. of Insurance also. Over time, Anthem Blue Cross with all of the major carriers have been steadily raising premiums for their individual plans. Their reasoning was to keep abreast of the interminable escalating costs of hospital therapy, pharmaceutical costs, and administrative wants.

Formerly, there had been tiny for members to do aside from pay the higher premiums, move to a less complete plan, or shop with another carrier. This was frequently tough to do as medical claims and existing conditions made it impossible to move from their current plan. As a result, many were forced to pay premiums they could not afford, or risk going without anthem health insurance California altogether.

This looked like a lose-lose situation, till Assembly Bill 52 (Feuer) was passed. This bill required anthem health insurance California and all carriers to file their proposed rate increased with the insurance commissioner first, beginning Jan 1, 2012. The rates would be filed together with paperwork supporting the rate increases, and couldn't be implemented without approval. This was hoped to stop" excessive, insufficient, or inequitably discriminatory"rate hikes on shoppers, and force anthem healthcare insurance California carriers to demonstrate that the rate hikes were in the best interest of plan members too. Since implementation of AB 52, many proposed rate increased were cancelled, postponed, or reduced, much to the relief of policyholders.

However , blue cross health insurance California plans do need to keep up with rising health care costs. Additionally , since the imposing of the Medical Loss Proportion obligation, each dollar was stretched further. While we all hear stories about top corporate executives ranking in millions on millions of dollars, it is important to remember the remainder of the people inside these insurance companies who do make the plans work. Directors who work out issues with claims or membership, those that make the talks with doctors and hospitals to ensure their members can stay with them, and the ones who ensure your plan pays according to your contract. These are the people that help blue cross medical insurance California members maintain perfect health and get the most from their health plan.

With big changes on the horizon, it is still to be seen if blue cross health insurance California will continue on as it has thus far. We all know many carriers are hoping to compete within the health insurance exchanges, and remain a major player in the industry. This year should be an engaging one, as insurance companies, insurance commissioners, and providers wind down the year of insurance as it was once, and head into the great unknown.




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