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California sanctions insurer after it cut assisted living coverage to thousands
4+ day, 3+ min ago (336+ words) California regulators ordered Health Net to fix how it’s handling the termination of assisted living services for low-income residents after the insurer’s abrupt decision left patients and providers scrambling. The state’s corrective action plan requires Health Net to extend services…...
Calmatters: California Sanctions Insurer After It Cut Assisted Living Coverage To Thousands
1+ day, 19+ hour ago (315+ words) California regulators ordered Health Net to fix how it's handling the termination of assisted living services for low-income residents after the insurer's abrupt decision left patients and providers scrambling. The state's corrective action plan requires Health Net to extend services…...
California sanctions insurer after it cut assisted living coverage to thousands • The Mendocino Voice | Mendocino County, CA
2+ day, 6+ hour ago (324+ words) This was written by staff at the nonprofit newsroom CalMatters. It was republished by The Mendocino Voice in partnership with CalMatters to bring relevant nonpartisan news to Mendocino County readers. Learn more about CalMatters here. If Health Net does not…...
Advantage Plans Said No 4.1 Million Times in 2024. Four in Five Appeals Won. Nine in 10 Denials Were Never Appealed.
2+ day, 17+ hour ago (629+ words) Medicare Advantage plans denied millions of prior authorization requests last year, and most patients accepted that answer without a fight. What happened to the ones who pushed back reveals something uncomfortable about how those first decisions get made. The Full…...
State Regulators Penalize Insurer Over Coverage Cuts to Assisted Living Facility Residents
3+ day, 12+ hour ago (362+ words) State regulators have ordered health insurance giant Health Net to overhaul how it is winding down assisted living benefits for thousands of low-income Californians, after the company’s abrupt termination plan left vulnerable residents and their caregivers scrambling for alternatives. Under…...
There Is No Medicare Appeal When a Medigap Insurer Says No at 72. No Federal Form, No Hearing, Just the Next Company’s Application.
3+ day, 17+ hour ago (744+ words) When a Medigap insurer declines your application at 72, the federal appeals process that protects Medicare Advantage enrollees simply does not exist here, and the path forward depends on a sequence most applicants get dangerously wrong. The Full Benefits Desk desk....
The Spend-Down Was About to Consume Her Last $180,000. A 'Medicaid-Compliant Annuity' Turned It Into Monthly Income the Nursing Home Couldn't Touch
5+ day, 8+ hour ago (693+ words) When a husband enters a nursing home billing nearly $11,000 a month, the clock starts ticking on the couple's savings. A little-known federal rule gives the at-home spouse a narrow window to act before Medicaid decides how much of that… This…...
The Retirement Community Wanted $400,000 Up Front, '90% Refundable.' Families Learn What That Really Means When They Ask for It Back
1+ week, 2+ day ago (717+ words) The brochure says 90% refundable, and families believe it until they ask for the money back. What the contract actually promises lives on a very different page. This post may contain links from our sponsors and affiliates, and Flywheel Publishing may…...
Disney cuts spouse health coverage for employees after policy change
2+ week, 1+ day ago (381+ words) The change could reportedly hit lower-paid, hourly Disney workers especially hard Disney employees are getting a less magical update to their benefits. Employees were recently notified that, starting in 2027, they will no longer be able to add a spouse to…...
After the Nursing Home, the State Sends the Family a Bill for Everything It Paid, and Comes for the House. In 5 States, One Deed Signed While You're Alive Makes the House Unreachable.
2+ week, 2+ day ago (675+ words) When a parent dies after years in a nursing home, families often get a shock: the state wants the house back to cover what Medicaid spent. A single deed signed while you're still alive can stop that from happening, but…...