March 8, 2020
Effective immediately, Aetna members will have access to the following resources:
Aetna will waive co-pays for all diagnostic testing related to COVID-19. This policy will cover the test kit for patients who meet CDC guidelines for testing, which can be done in any approved laboratory location. Aetna will waive the member costs associated with diagnostic testing at any authorized location for all Commercial, Medicare and Medicaid lines of business. Self-insured plan sponsors will be able to opt-out of this program at their discretion.
For the next 90 days, Aetna will offer zero co-pay telemedicine visits for any reason. Aetna members should use telemedicine as their first line of defense in order to limit potential exposure in physician offices. Cost sharing will be waived for all video visits through the CVS MinuteClinic app, Aetna-covered Teladoc offerings and in-network providers delivering synchronous virtual care (live video-conferencing) for all Commercial plan designs.
March 6, 2020
DURHAM, N.C. – Blue Cross and Blue Shield of North Carolina (Blue Cross NC) announced
that it will cover members’ cost for COVID-19 (Coronavirus Disease -19) testing and will not
require prior approval for COVID-19 testing and will speed access to other medically necessary
services for any members who are diagnosed with the disease.
These changes apply to Blue Cross NC’s fully insured, Medicare Advantage and Federal
Employee Program members. Self-funded employer groups will be given the option to apply
these changes to their employees’ plans.
There are many beneficial reasons to purchase health insurance for your small business. However, health insurance products and services are certainly not “one-size fits all.” Choosing the right insurer and the right plan are essential for making the most of your small business’s investment.
This article explains the four main factors our small business clients usually consider before they purchase insurance.
DID YOU KNOW…Employers who deduct premiums pretax should have a POP / Section 125 in place, or they could face stiff penalties.
Recent announcements by the IRS and DOL have indicated a "zero-tolerance compliance standard" for adherence to required published guidelines. Many employers are routinely ignoring IRS and DOL compliance requirements for properly establishing and maintaining IRS Section 125 plans to deduct insurance premiums, medical and dependent care expenses. If the employer is audited and the plan disqualified, there could be serious repercussions such as 1.) deductions may be disallowed back to inception, 2.) assessment of back taxes with interest 3.) IRS 'improper withholding' penalties and, 4.) daily DOL fines. The employer would then be required to reissue W-2's for every participant possibly for multiple years and each employee could be faced with a large tax bill.
Sky's The Limit can help you comply with the law!
Open enrollment for under age 65 individual policies is 11/1/2019 through December 15, 2019
For Immediate Release: November 1, 2019
The 2020 Open Enrollment Period runs from Friday, November 1 to Sunday, December 15, 2019. If you don't act by December 15, you can't get 2020 coverage unless you qualify for a Special Enrollment Period. Plans sold during Open Enrollment start January 1, 2020. Call Sky's The Limit for all your health insurance needs during open enrollment.
Annual Medicare Open enrollment starts October 15th and goes through December 7th 2019
For Immediate Release: October 15th, 2019
If you want to switch between one Medicare Advantage plan to another, you can do so each year during the Annual Election/Open Enrollment Period, which runs October 15 to December 7. Call Sky's The Limit for all your health insurance needs during open enrollment.
Blue Cross NC to Lower ACA Rates for Individuals by -5.5% in 2020
For Immediate Release: August 21, 2019
First individual market rate decrease for all 100 counties in Blue Cross NC history Durham, N.C. – Blue Cross and Blue Shield of North Carolina (Blue Cross NC) announced today that the North Carolina Department of Insurance (NCDOI) has approved its 5.5 percent average rate decrease for 2020 Affordable Care Act (ACA) plans offered to individuals. This is the first time in the history of Blue Cross NC, since entering the current individual market more than 25 years ago, that all 100 counties will see an average rate reduction.
Single Payer Proposals
Single-payer national health insurance, also known as “Medicare for all,” is a system in which a single public or quasi-public agency organizes health care financing, but the delivery of care remains largely in private hands. Under a single-payer system, all residents of the U.S. would be covered for all medically necessary services, including doctor, hospital, preventive, long-term care, mental health, reproductive health care, dental, vision, prescription drug, and medical supply costs. However, several variations are being proposed. Click the link below for a comparison. (PDF document)