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Best Health Insurance Plans in Fresno California

April 10, 2011

 Are you a resident in the central valley looking for quality health insurance?  If you said yes then you are in the right place. I’d like to take a min and introduce you to Anthem Blue Cross. Anthem BC has been providing California medical insurance plans for over 70 years. Anthem has a network of 80,000 PPO doctors as well as 315 hospitals to ensure that you have access to the best medical care available.

Health Insurance Plans offered by Anthem BC of California

Anthem offers a wide choice of plans for individual and families for every budget and lifestyle. No matter where you’re at in your life Anthem is guaranteed to have a plan for you. Below you will find a list of plans offered to residents of the Golden State.

 

Premier Plus is Anthem’s Cadillac PPO plan with the highest level of medical benefits.

  • Robust benefits for both routine and unexpected medical care
  • Options include an unlimited number of doctors’ office visits for various covered services. You will be responsible for a predictable copayment, even if you haven’t satisfied your deductible.
  • Annual vision screening exam with copayment.

 

SmartSense® Plus –
Covers the essentials and more at some of our lowest monthly rates

  • Choose from a range of deductibles and co-insurance levels to change the plan to better meet your needs.
  • Immediate coverage with predictable copayments for the first three doctors’ office visits, per plan member, per calendar year.
  • Choice of prescription drug coverage options.

 

CoreGuardSM Plus
Affordable protection against significant unexpected medical costs

  • Wide array of covered services, including doctors’ office visits, hospital, surgical, and outpatient care.
  • Access to Anthem’s discounts for in-network covered health care services.
  • Higher percentage of member cost-sharing in exchange for lower premiums.

 

ClearProtectionSM Plus
Combines affordable protection with some immediate benefits

  • Innovative plan design helps limit your share of the costs for major medical expenses, such as surgery and hospitalization.
  • Immediate coverage for the first two doctors’ office visits for covered services.

 

Lumenos® HSA Plus
Traditional PPO coverage with added financial flexibility

  • Pair with an optional Health Savings Account (HSA) for more flexibility and potential tax advantages.
  • In-network covered services paid at 100% after you meet your deductible.

 

Lumenos® HSA 1500/5000
Traditional PPO coverage with added financial flexibility

  • Pair with an optional Health Savings Account (HSA) for more flexibility and potential tax advantages.
  • Available with or without maternity benefits, depending on which deductible you select.

 

Tonik®
Straight up, affordable coverage tailored to protect young adults from unexpected medical expenses

  • Covers four office visits per year before deductible, with $20 copay per visit. Additional visits covered in full after deductible is met.
  • Immediate coverage (no deductible) for generic prescription drugs.
  • Includes some dental and vision benefits; optional Enhanced Dental coverage is available.

PPO Share
A traditional PPO plan with a broad range of benefits

  • Unlimited doctor office visits with predictable copays, before the deductible.
  • Ideal for families with young children or planning to have children.

 

Select HMO
Our lowest priced HMO with an exclusive HMO network

  • Exclusive HMO Network includes over 20,000 doctors in 22 California counties.
  • Immediate, no-deductible benefits for in-network covered services.

 

HMO Saver
A mid-priced HMO that includes access to our entire HMO network

  • Includes access to our entire HMO network of more than 37,000 doctors.
  • $1500 medical deductable for hospital and emergency services helps keep premiums lower.

 

Individual HMO
Our richest HMO with no medical deductable and access to our entire HMO network

  • Includes access to our entire HMO network of more than 37,000 doctors.

Immediate, no-deductible benefits for in-network covered services.

Which healthPlan is right for you?

With all the options you have from Anthem finding the right plan on your own can be difficult, if you would like a recommendation specific to your needs or need more detailed information about any of  the Fresno health insurance plans available please pick up the phone and give me Adam Sepulveda a call. (559) 348-8387. All of my services are free of charge including quotes and plan recommendations.

Low Cost California Medical Insurance Plans for Children

April 6, 2011

For many families finding low cost medical insurance seems impossible. Fortunately for low to middle income families the California state sponsored Healthy Families program offers parents an affordable option. Healthy Families offers low-cost health, dental and vision care through contracts with selected insurance plans. Each county in the Golden State has different medical insurance plans to choose from.

Who qualifies for the healthy families program?

For parents seeking to enroll their children in Health Families insurance program the first must meet the Federal Income Guidelines set in place by California. These guidelines are subject to change each April.

How much does Health Families Cost?

 

The cost of the program depends of the monthly income and size of a family.   Health Families has provided an income chart to help parents determine if the children are eligible for the program. Income is broken down in three categories: A, B, & C. Families that fall into category A are eligible for free insurance through Medical.

What Child Insurance Plans are available in my county?

 

One it’s been determined which category the family falls into the next step is to identify which plans are available in your county.  Shown below are the Healthy Families plans available in the Fresno County area. To find out which plans are available in your county visit the Health Families website.

If you have any question or would like more information about the Health Families low cost California medical insurance plans for children please give us a call at 559-348-8387.

Tips for Saving Money on Small Business Health Insurance in California

April 2, 2011

 Are you a small business owner with 2-50 employees in California?  Are you providing small group health insurance to your employees?  Are you thinking about adding coverage? If you answered yes to any of these questions, I’d like to introduce you to a unique concept from Anthem Blue Cross and Employers, America’s small business insurance specialist, that can save you up to 30% on your premiums. 

Chances are, since you’re operating a business with employees, you’re also paying for workers’ compensation insurance.  Since the law requires employers to carry workers comp insurance, Anthem Blue Cross and Employers have joined forces to offer small businesses a program called Integrated MediComp. Integrated MediComp is group health insurance & workers compensation combined together. By combining them together you can save 10% – 30% on your monthly premiums. This unique program is available to most businesses in low to medium hazard groups.

Benefits for employees and employers

Since the plans are integrated together, if an employee is hurt on or off the job, they are allowed to seek initial treatment from their personal primary care physician.  If the employee was hurt on the job and requires additional treatment beyond the initial visit, the employee’s physician would then refer them to a workers’ compensation network doctor. The goal of this program is to combine group health insurance and workers’ compensation together to keep employees healthy on the job, or when injured, to allow them to return to work in the least amount of time.  Additional benefits are: 

  • 24-hour Coverage
  • Consolidated Invoices
  • Quick Claim Response
  • Prompt Benefit Payments
  • A Managed Care Approach
  • Fraud and Loss Control Services
  • Ease of Administration

Workers Compensation Cost Fact

Did you know that 54% of workers’ compensation fees are a result of non-medical costs such as temporary and permanent disability and vocational rehabilitation treatment?

By offering this unique product to small businesses, Anthem and Employers’ goal is to keep more money in your pocket by spending less on non-medical costs.

Need More Information?

To learn more and to see if your business qualifies for this special small business health insurance program for California, please contact Adam Sepulveda @ 559-348-8387 today for a free consultation and benefits quote. We cover the entire Golden State and are centrally located in Fresno, California.

Tips for Finding the Best PPO Health Insurance in California

March 27, 2011

Over and over, potential clients continue to ask the same question: Which carrier has the best PPO health insurance in California? Fortunately, for consumers in the Golden State, the Department of Insurance has provided a consumer-friendly PPO report card. The purpose of this report card is to allow consumers to compare PPO plans and how effectively they administer healthcare.

The PPO report card uses the national standards of quality care to effectively grade each health insurance carrier in California. The national standards address areas such as medical care for:

 

Each reporting insurer  has been given an overall grade, and consumers can find the components of those grades, down to the individual scores for dozens of particular best practices. The report card also provides results of important consumer satisfaction surveys.  Shown below is the current PPO report card from the CA Department of Insurance Web site as of 3/27/2011. For more detailed report card information visit:

www.interactive.web.insurance.ca.gov/ppo/front

 

 

If you have any questions about PPO health insurance in California or are looking for a plan recommendation for your specific healthcare situation please contact me Adam Sepulveda. As a licensed insurance agent my services are free of charge to you and I can provide you with detailed comparison quotes fromevery top carrier.  So please pick up the phone and call me today!

California Healthcare Insurance

March 11, 2011

 According to the California Department of Insurance website as of 3/10/2011 the top five health insurance companies in California in regards to market share are;

  • Anthem Blue Cross Life and Health Insurance Company
  • United Healthcare Insurance Company
  • Aetna life Insurance Company
  • Blue Shield of California Life and Health Insurance
  • Health Net Life Insurance Company

These companies are also the most recognized brands by consumers in the Golden State and also have some of the largest networks of doctors and hospitals.

Which Company provides the best health insurance in California for individuals?

 

A very common question I’m asked is which company provides the best health insurance.  Over and over again I continue to give the same answer; none of them can be considered the best. Each company has their own unique set of underwriting guidelines and often accepts and decline individuals differently. So depending on the applicants medical history one company may be a better fit than another.  To find out which company offers the right coverage for you contact an agent who represents multiple companies. Remember it’s easier to let the professionals sort it out.

Health Insurance Prices

Another common question I’m asked is which company provides affordable health insurance in California? This one’s a bit easier to answer, as all of the companies offer affordable options for just about any budget.   But there a few things to remember when buy insurance on price alone.

  • You never get more insurance coverage for fewer premiums. If a policy is cheaper then there’s probably more cost exposure for you. Make sure you understand the benefits and coverage before buying of price alone.
  • Never purchase insurance you can’t afford. Get a policy that fits your budget.
  • Whether you buy direct or through and agent remember premiums are always the same. You cannot get a better price on your premiums by buying direct from the insurance company.

 

Call Me for Free Health Insurance Advice

 

It’s my job to help you find the best health insurance in California . Please give me Adam Sepulveda a call at 559-348-8387 when you have questions or want recommendations specific to your situation.

 

At Fresno Health Insurance Services we cover the entire state of CA and can get you covered online without you ever having to leave your home

Anthem BC Small Group Health Insurance in California Updates

March 9, 2011

 Anthem BC of Ca has just announced changesfor thier Small Group Health Insurance in California RAF programs. Effective March 1, 2011; groups of six or more with 100% enrollment in any of the California Small Group Elements Hospital plans (Elements Hospital, Elements Hospital Plus and Elements Hospital Preferred) will no longer receive a guaranteed RAF of .90 with a renewal RAF of 1.06 or less:

Groups of six or more enrolling medical subscribers enrolling in 100% Element plans will receive 1.0 RAF.

Group may submit health questions for a lower RAF Effective March 1, 2011 

Groups of five or fewer employees can also get less than 1.10 with the submission of a completed health questionnaire.  

Underwriting will honor a .90 RAF for groups that meet the guidelines of the RAF program IF the group has already been received and/or the quote produced for the group reflects a quote date on or before February 28, 2011.

If you are looking for Small Group Health insurance in California for your company or just have additional questions about Anthems new RAF programs, please contact Fresno Health Insurance Services directly or visit us online at www.fresnohealthbenefits.com

California Medical insurance News – Aetna Advantage Plans for Individuals, Families and the Self-Employed

Aetna Health insurance companies have just announced a great new service to newly approved applicants of Aetna Advantage Plans! They will now be calling all applicants who have recently been approved or approved with a rate-up to offer them a warm Aetna welcome and inform them of their final rate.  These phone calls are a welcome change from the usual non personal letters recieved via mail.

Through these “welcome calls” Aetna will advise the primary applicant that the underwriting process of their application has been completed, encourage enrollment in EFT  and on Aetna Navigator and thank them for choosing Aetna.

Depending on the underwriting decision for their application, Aetna plans will explain the following:

  • If the applicant is approved, we will thank them for choosing Aetna, confirm their plan, rate and effective date and introduce them to Aetna’s self-service tools available for members.
  • If the applicant is approved with a rate-up, we will inform them of their final rate and offer the option to accept the rate or select an alternate plan option that helps meet their financial needs.

To find out more about Aetna’s potfolio of California medical insurance plans please contact Fresno Health Insurance Services.

Blue Shield of California Pending Rate Hikes Delayed 60 Days

February 2, 2011

On Tuesday February 1 2011 Blue Shield issued a statement that the company will comply with California DOI commissioner Jones’ request to delay rate increases that were scheduled on March 1 2011 on DOI regulated individual and family health insurance plans for 60 days. Blue Shield of California is waiting to ensure that rate hikes that were filed in October, 2010 are properly reviewed to the satisfaction of Commissioner Jones.

During the pending rate review Blue Shield has announced that all new Individual and Family plan enrollees will receive the lower rates published in January 1, 2011 until further notice.  These lower premiums will not last for long, so if you are interested in a Blue Shield of California plan please contact Fresno Health Insurance Services today for a free quote!

Blue Shield of California – Guaranteed Issue Child Only Plan Updates

January 27, 2011

In a current update from Blue Shield of California the company states that it looks like there will be fewer healthcare reform mandates being implemented in 2011 than originally aticipated. This month, Blue Shield has provided highlights on the prohibition on applying a pre-existing condition exclusion for enrollees under age 19 . 

Guaranteed Issue California health insurance plans for Applicants Under the Age of 19
As you may know, carriers must guarantee coverage for enrollees under age 19 – regardless of pre-existing conditions. For Individual and Family Plans, Blue Shield has an initial 60-day open enrollment period from January 1, 2011 through March 1, 2011, specifically for enrollees under age 19. Applicants under the age of 19 may apply for any available individual plan using our standard Individual/Family application. 

For free quotes and detailed plan information about Blue Shield of California Guaranteed Issue Child only health insurance plans please contact Fresno Health Insurance Services @ 559-348-8387.

Finding the Best Health Insurance in California – Each Policy Must Fit the Individual’s Circumstances and Budget

Finding the best health insurance in California translates to finding the best policy for you and/or your family. No single health plan is right for everyone. Your individual circumstances differ from anyone else’s. You have individual and family health needs to consider, as well as your income level to take into account. So, there are a few things to look at when finding the right insurance plan for you.

Most people think about the cost of health care first. And that is very important with limited money to spend on health care coverage. Most plans have deductibles, co-insurance, and co-pays involved. These are all types of out-of-pocket expenses you cover on top of your health care premiums. Deductibles help set the price of the monthly premiums. With a high deductible, the premiums go lower. The reverse is also true. Low deductible equals higher premiums. The deductibles are a set amount the covered person must meet each year before the plan kicks into place. After the deductible, co-insurance and co-payments apply as well. Co-insurance is the percentage of costs the patient covers of a bill. For example, an 80/20 plan means the insurance covers 80% while the patient covers the other 20%. Co-payments are a set amount paid at the time of a doctor visit or for a prescription. In finding the best health insurance in California for you, you need to consider all of this.

One of the more crucial items to consider in finding the best health insurance in California for you is how often you and your family go to the doctor. If you have small children, you likely see the pediatrician more than you see your own doctor. Some people have health conditions which require their doctor to monitor the condition.  If you go to the doctor quite often, you need a plan that covers doctor visits with co-pays. If you do not see the doctor but once or twice a year on average, you might consider a plan that offers limited doctor’s visits or does not provide coverage for doctor visits at all. Another item to consider is annual physicals. Some plans cover these completely while others provide no coverage. Still others have co-pays or co-insurance.

Finding the best health insurance in California also means other considerations as well. Do you need maternity coverage? Do you want full prescription drug coverage? Do you need mental health services? All of these factor into finding the right policy for you and your family.

 With hundreds of different plans on the market we are here to help. Fresno Health Insurance Services offers insurance plans from the best California health insurance companies such as Aetna, Anthem Blue Cross, Blue Shield of California, Health Net and Kaiser. If you have any questions about our products and services please contact us today for a consultation and quote.

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