The California Department of Managed Health Care began investigating in May after patients complained they were told that certain medical providers were included when they chose a health plan, only to find out after their appointment that their doctor was not part of their network. Seeing an out-of-network doctor increases costs significantly for patients.
Dave Jones says Blue Shield of California didn’t play fair with individual policyholders, giving them until Dec. 31 to find new coverage.
The state agency Covered California negotiated medical insurance rates with 13 companies. If you live in the Sacramento region, there are four pre-selected providers to choose from.
The state’s largest health insurers, including Anthem Blue Cross, Blue Shield and Kaiser Permanente, will be among 13 plans competing for policies from millions of Californians who are expected to purchase coverage through the state’s new health exchange, officials announced Thursday.
Blue Shield of California says it has agreed to pay $2 million to settle a lawsuit with the city of Los Angeles that alleged the provider wrongly dropped policyholders after they became ill and other unfair business practices.
One of California’s biggest health insurers says it will cap its earnings at 2 percent of revenue and return amounts over that level to its customers, care providers and the community.
A state insurance regulator is asking Blue Shield of California to explain two recent rate hikes that average 37.5 percent for approximately 70,000 policyholders.
Blue Shield of California says an independent review has found that its most recent rate hikes on health insurance policies are not excessive and meet state and federal requirements.
Blue Shield of California is planning to go forward with scheduled health insurance rate increases despite calls from government regulators to delay the move.
Anthem Blue Cross is hiking rates 9.8 percent on average for individual insurance policyholders, on the heels of a rate hike in October that averaged 14 percent.
Blue Shield of California is seeking another round of rate hikes that would mean a cumulative increase averaging over 30 percent over a five-month span for nearly 200,000 policy holders.