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Sunday April 20th 2014

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Producers: California Not Exchange Paradise

CoveredCaliforniaAt first glance, the Covered California exchange enrollment system seems to be functioning better – and more transparently – than the federal exchanges’ HealthCare.gov enrollment site. The California exchange site has managed to bring in about 179,000 coverage applications since enrollment opened to the public Oct. 1. But agents and brokers in California warn against assuming that Covered California is working the way it ought to work. Problems with the California enrollment system include a faulty provider directory, continuing delays with agent certification, continuing delays with final plan approvals, and software bugs. Before the Patient Protection and Affordable Care Act (PPACA) exchange program came along, health plans were not always quick to make individual health plan provider directories available at point of sale. Consumers often had to call their favorite doctors and hospitals to make sure the providers were in network. But consumers generally knew they were dealing with large, well-established carriers with big provider networks according to a report at LifeHealthPro.