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Showing posts with the label Confluence

I am unvaccinated can I still get Health Insurance.

 We have been hearing some mean rumors about folks telling the unvaccinated that they can not get health insurance. If you lose coverage from a job then it opens a special enrollment and you have 60 days. We have had enough questions that we did a quick 10 minute video on it. For the unvaccinated, the Affordable Care Act protects you from being discriminated against. You can get a individual health plan on the Washington Healthplanfinder until January 15th, 2022. We recommend getting some assistance from an enrollment center as they cost nothing and some areas have over 70 health plans to choose from.  There are some carve outs. Large Group plans can add surcharges for the unvaccinated. Kroger  and Delta Airlines  are good examples of doing a soft mandate.  A Healthshare Ministry while allowed under the ACA is not insurance so if they can change their rules leaving subscribers no avenue of appeal. We do not work with these products because we like regulated pr...

Confluence Health dropping Premera, Lifewise, and Regence, not so fast let's talk about this.

  Confluence Health announced that they are going to terminate the contract with Premera January 31,2022. We started hearing about the negotiations back in May so we double checked with the Premera Filings in June. Our county is zone 7 and you can quickly see how we are priced compared to the rest of the state. You can also see that Premera intends to be in our area because it is literally in their filed plans. If they don't reach an agreement then professionals already have solutions.  We have had insurance companies leave the area before. The last we saw this was Soundpath Health a Medicare Advantage Plan bought by Premera closed its's doors January 1, 2019. We saw it when Premera, Lifewise and Molina left the individual marketplace during a contraction. At any given time, there is about two hospital systems negotiating with an insurance company. Insurance professionals have dealt with this before and have plans for when this happens.  We are recommending to not do a...

What Covid-19 & Vaccine phase is Washington State in?

At the Enrollment Center ,  have been seeing quite a few questions about where are we at with COVID-19 in Washington State. We enroll people into Medicare and Health Insurance so we have been on the front lines since last March. So here we go with questions.  1. First and foremost we are in a Special Enrollment Period for Healthcare . If you don't have healthcare then set an appointment and we can get a plan going as soon as possible. We have this Special Enrollment Period until May 15th. It may take a little while longer as there are some approvals in the background that occur during Special Enrollments.  1B Tier 1 currently 2. We are in Phase 2 of reopening in the state using the Roadmap to Recovery . We are not scheduled to be evaluated for another six days.  The key metrics are Trend in Case Rates, Trend in hospital admission, Percent ICU Occupation and Percent Positivity. Currently we have the highest rate of ICU Occupancy at 87%. The lower the Percent Positive...

Apple Health perks for Amerigroup, Coordinated Care and Molina

Since Wenatchee Insurance is the Full Service Enrollment Center located in Wenatchee, we receive a lot of requests about Apple Health. We wrote an early blog post about low and no cost care for children . We assist people with all income levels with professional assistance. We do not get paid for every policy that we write but that doesn't stop us from helping people.  Healthcare can be confusing. We always recomend connecting with a no cost broker and a navigator so that you get maximum customer service. For example if there is a payment issue with a insurance company and we are connected then we can sort it out quicker if there is an established affiliation.  One of the topics that came up recently is what is the difference of the three Apple Health Managed Care Providers. This blog post is going to hopefully answer those questions. Here we go: Fast Comparison Chart Amerigroup Washington . I strongly suggest that you check out their members handbook  as they go throug...