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News Articles: health insurance

Tagged as: 

  • Health

Rogue ACA insurance agents could face criminal charges under a proposed law

Consumers, without their consent, are being enrolled in Affordable Care Act plans or their coverage is switched. A powerful U.S. senator has introduced legislation to curb the growing problem.

July 25, 2024
|
By:
  • Julie Appleby
Sen. Raphael Warnock introduced legislation on July 11 to provide a three-year relief plan to cover those in the Medicaid coverage gap under private insurance. (X/Senator Reverend Raphael Warnock)

Tagged as: 

  • Health

‘Nothing matters when you can't take care of yourself when sick’: Warnock introduces Medicaid bill

On Thursday, July 11, U.S. Sen. Raphael Warnock introduced legislation that would temporarily relieve the thousands of Georgians stuck in the Medicaid coverage gap.

July 15, 2024
|
By:
  • Ambria Burton
Health insurers' lists of covered drugs have gotten tighter.

Tagged as: 

  • Health

Health insurers cover fewer drugs and make them harder to get

Insurance companies are covering fewer drugs than they used to, and patients have to jump through more hoops to get many of them. When shopping for insurance, check for coverage of the drugs you need.

June 27, 2024
|
By:
  • Sydney Lupkin
The United States District Courthouse sits on Mulberry Street on Tuesday, May 14, 2024, in Macon, Georgia. (Photo/Katie Tucker ktucker@macon.com)

Tagged as: 

  • News

Macon rehab center admits to altering records during fraud investigation. Owner pleads guilty

The owner of a Macon area rehabilitation center admitted on Wednesday to ordering two employees to alter documents during a 2019 federal investigation into fraudulent billing, according to the Department of Justice.

June 07, 2024
|
By:
  • Lucinda Warnke and
  • Alba Rosa
When he arranged to undergo top surgery, Cass Smith-Collins of Las Vegas selected a surgeon touted as an early developer of the procedure who does not contract with insurance. "I had one shot to get the chest that I should have been born with, and I wasn't going to chance it to someone who was not an expert at his craft," he says.

Tagged as: 

  • Health

Sign here? Financial agreements may leave doctors in the driver's seat

Agreeing to an out-of-network doctor's financial policy, which protects their ability to get paid and may be littered with confusing jargon, can create a binding contract that leaves a patient owing.

May 01, 2024
|
By:
  • Katheryn Houghton and
  • Emily Siner
In March, mom Indira Navas learned that her son Andres, 6, was kicked off of Florida Medicaid, while her daughter, Camila, 12, was still covered. The family is one of millions dealing with Medicaid red tape this year.

Tagged as: 

  • Health Care

Florida kicked their son off Medicaid in the 'unwinding' but not their daughter

Nearly 1-in-4 adults who lost Medicaid coverage in the past year are now uninsured, according to a new survey. As states winnow the rolls, many families are caught in confusing red tape.

April 18, 2024
|
By:
  • Phil Galewitz
The advice for anyone who got their IRS return rejected because a rogue agent signed them up for ACA health insurance: Ask for an extension and file a complaint.

Tagged as: 

  • Health

When rogue brokers switch a person's ACA health insurance, tax surprises can follow

Some tax filers' returns are being rejected because they failed to provide information about Affordable Care Act coverage they didn't even know they had.

April 15, 2024
|
By:
  • Julie Appleby
A record number of Americans are getting health insurance through the Affordable Care Act, and states that use the HealthCare.gov marketplace are vulnerable to a scheme where plans are switched without the consumer's permission.

Tagged as: 

  • Health Care

Unauthorized ACA plan switches drive call for action against rogue agents

Federal and state regulators are mulling what they can do to thwart the growing problem. Rogue health insurance brokers are switching consumers' plans without permission and collecting the commission.

April 08, 2024
|
By:
  • Julie Appleby
Insurance brokers say rogue agents are switching batches of customers to new plans without the customers' knowledge. The agents then collect monthly commissions on the Affordable Care Act plans.

Tagged as: 

  • Health

ACA health insurance plans are being switched without enrollees' OK

Rogue insurance agents access consumer information on the Affordable Care Act federal marketplace and make the changes. Policyholders can lose their doctors and end up owing back taxes.

April 01, 2024
|
By:
  • Julie Appleby
Sandra Johnson was responding well to an injectable drug to treat her persistent asthma, but then her insurance company stopped allowing her to get it in a process called "prior authorization."

Tagged as: 

  • Health

Her insurer stopped approving her medicine that worked. Will a new state law help?

When a law passed this January takes effect next year, health insurance companies will have three days — or sometimes 24 hours — to decide on prior authorization.

March 15, 2024
|
By:
  • Alan Yu
People who qualify for both Medicare and Medicaid face maddening challenges accessing health care. The government spends $500 billion on this care, yet patients often can't get what they need.

Tagged as: 

  • On Disabilities

Vulnerable Americans are stuck in a Medicare-Medicaid maze. Is a fix in sight?

A bipartisan Senate bill, dropping Thursday, promises better health care for some of the poorest, sickest Americans, who are known as "duals" because they qualify for both Medicare and Medicaid.

March 14, 2024
|
By:
  • Leslie Walker and Dan Gorenstein, Tradeoffs
Mary Lou Retton performs on the balance beam in the 1984 Olympics in Los Angeles. Last week, she said she couldn't afford health insurance and owes big hospital bills after a serious illness.

Tagged as: 

  • Health Care

Mary Lou Retton's health insurance explanation sparks some mental gymnastics

The gold-medal gymnast, who is recovering from a lengthy hospital stay, shouldn't have been denied coverage for preexisting conditions under current laws.

January 12, 2024
|
By:
  • Julie Appleby
A counselor, right, navigates a client through the Medicare signup process at the Aging and Disability Resource Center of Broward County in Sunrise, Florida. Medicare open enrollment season ends Dec. 7.

Tagged as: 

  • Health

Medicare open enrollment is ending. Ignoring the deadline could cost you

As the period for changing health plans ends, many seniors are tuning out. They could wind up with a surprise next year: higher costs and reduced access to health care providers.

December 08, 2023
|
By:
  • Susan Jaffe
Open enrollment starts Nov. 1 for Affordable Care Act marketplaces.

Tagged as: 

  • Health

Enrollment is open for ACA health plans. Here's what's to know about choosing one

If you buy your own health insurance through state and federal marketplaces, 'tis the season to compare prices, change coverage, and take advantage of subsidies. Here's what's new.

November 01, 2023
|
By:
  • Julie Appleby
An exam room at Piedmont Macon Medical Center.

Tagged as: 

  • Health

Georgia reinstates Medicaid coverage for thousands who got kicked off after error in renewals

Georgia is one of 30 states that was flagged by the federal Centers for Medicare and Medicaid Services late last month for its improper handling of automatic renewals, as the state continues to reevaluate eligibility under Medicaid and the Children’s Health Insurance Program.

October 16, 2023
|
By:
  • Sofi Gratas
  • Load More

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