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Blue Cross Enrollment for Employees Who Previously Waived Coverage

3/24/2020

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Blue Cross Enrollment for Employees Who Previously Waived Coverage

Blue Cross will allow a medical, dental and vision group special enrollment period (SEP) for fully insured and small business funding groups choosing to participate. This SEP event is in light of the COVID-19 pandemic and is intended to allow employees on groups to enroll that are not currently serving a group established eligibility waiting period and had previously waived group coverage.
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Here are the details:

  • The SEP will be for an April 1, 2020, effective date.
  • The enrollment period will be open for requests received between March 24, 2020 and April 3, 2020.
  • Enrollment requests must be managed through the group as the group must choose to participate (no formal notification to Blue Cross is needed) and must approve of all eligibility changes as such changes affect employer contributions, payroll deductions, etc. (payroll records are not required).
  • Employees serving the group established eligibility waiting period are not eligible to enroll. Employees that had previously waived coverage only are eligible to enroll.
  • Currently enrolled employees can use this period to add eligible dependents if desired.
  • This SEP event is open to all fully insured and SBF groups regardless of size. If the group wishes to participate, all they need to do is send in approved applications. Medical, dental and vision change cards to add dependents and/or new enrolling applications do not need the applicant’s signature. No further action is needed.
  • This SEP event does not apply to life and disability products.

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Open Enrollment Ends in 11 Days!

12/4/2019

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Just 11 days away! If you have not made your Open Enrollment appointment or finished your 2020 insurance enrollment with us, you are running out of time! 

​To help us out, please send us your best estimate for your 2020 household income so we can get updated rates to you and help you with your 2020 plan selection.
MAKE YOUR APPOINTMENT

D O   Y O U   Q U A L I F Y   F O R   A.  T A X   C R E D I T  ?
Here are a few of the rules:
  • You must file a 2020 tax return
  • You cannot be offered group health insurance through your employer or a spouse’s employer
  • If married, you must file MARRIED FILING JOINTLY
  • For your household size, you must make above the 138% income and below the 400% income shown below
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Tax Credit Review

5/29/2019

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We are about half way through this year already! We just wanted to touch base with you and make sure that you are en route to make the 2019 income we estimated during Open Enrollment last year. Below you will see the absolute MOST you can make per household size in order to prevent owing back your entire tax credit when you file your 2019 taxes.

Maximum Annual Income to Receive a Marketplace Tax Credit

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IF YOU THINK YOU WILL MAKE MORE THAN THE ALLOWED AMOUNT FOR YOUR HOUSEHOLD SIZE:

We NEED to make changes to the amount of tax credit you are accepting per month so that you DON'T owe it back in a lump sum at the end of the year when you file your taxes.
Please let us know where you stand in relation to the chart and please tell us if we need to make changes!
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Miscommunication Between Blue Cross & The Marketplace

11/30/2018

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After having to break the news to 100's of clients, we thought it may be easier to send out an email to everyone.
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Blue Cross is sending out notices that your premiums are going down… and for some this is true. However, for most everyone this is not 100% accurate. If you currently have a subsidy from Healthcare.gov, Blue Cross did not factor in the CHANGE in your subsidy this year. The premiums are calculated on the 2018 subsidy and what we are finding is that 2019 subsidies are going down.
When something seems too good to be true it's because it probably is.
​- Wise moms everywhere
We hate to be the ones to break the bad news to you but wouldn’t you rather know the truth and pay the correct premiums now vs. owing back the subsidy during tax season 2020? I love surprises but not the ones that hit my pocketbook a year later.
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We know you trust us and hope all of you know and understand we are just looking out for you. Please, please call to schedule your appointment with us today. 
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Open Enrollment 2019

10/3/2018

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​Open Enrollment for Individuals starts ​
November 1, 2018 & ends December 15, 2018.

schedule your appointment

​Here are a few things you will need to have prepared for our phone call:

  • 2019 estimated household income. Make sure to include every person that is on your tax return.​
  • Married? As a reminder, you must file a joint tax return with your spouse.
  • Does your employer or your spouse's employer offer group health insurance? If so, what is the cost for the employee only coverage?
  • Have you filed your 2017 tax return? Your 2017 taxes MUST have been filed to qualify for a tax credit in 2019.
  • ​Does your income fall between 138% and 400% of the FPL (below) according to your tax size household?
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HERE ARE THE OPTIONS THIS YEAR

MARKETPLACE (ACA) PLANS

  • Pre-existing conditions covered
  • Guaranteed Issue (No underwriting required)
  • Tax Credits available for those who qualify

HEALTH CARE MINISTRY SHARING PLANS

  • Substantial cost savings (40%-60%)
  • Alternative to traditional insurance - these are NOT insurance plans

ACCIDENT/CRITICAL ILLNESS GAP PLANS

  • Bridge the gap in the high deductible plans

SHORT TERM PLANS

  • Substantial cost savings (40%-60%)
  • Scaled down coverage without all of the ACA requirements (maternity, preventative, etc.)
  • Great for those who are super healthy and not concerned with covering pre-existing conditions

HUSBAND/WIFE GROUP PLANS

  • Pre-existing conditions covered
  • Guaranteed Issue (No underwriting required)
  • More cost effective than Individual plans
  • Affordable PPO network options available

WARNING:

DO NOT GO TO HEALTHCARE.GOV ALONE

Health Insurance is so complicated and confusing. If done wrong, it WILL mess you up for the rest of the year. Please let our team of professionals help guide you to the best option for you and your family at NO ADDITIONAL COST to you.
schedule your appointment
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Blue Cross Robocall Scams

9/6/2018

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There have been reports that individuals are receiving robocalls across the country that falsely claim to be made by “Blue Cross and Blue Shield.” These calls may seek to market insurance products or collect personal information from call recipients. Blue Cross and Blue Shield of Louisiana is NOT making these calls.  
If you receive one of these recorded calls claiming to be from Blue Cross and Blue Shield, there are tips you should follow: 
  • If you get a recorded call from a caller whom you did not authorize to call you, the call is likely fraudulent or malicious and you should hang up immediately.  
  • Do not respond to prompts to “press 1 to speak to the operator or get your name taken off the list,” and do not provide any personal information. If you respond, you’ll probably get more calls.  
  • Do not provide personal or financial information. 
  • It is advisable to block the numbers of the robocalls you receive from calling your cell phone, although these callers may continue to call you from other numbers or use “spoofing” technology that makes the same calls appear to come from different numbers.
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Reasons to use an independent agent

8/22/2018

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1. KNOWLEDGE

When you require legal advice, you contact a lawyer, and when a health issue arises, you visit your doctor, so when you need assistance with your insurance coverage, you need to use an industry expert. In addition to having many years of experience in the industry, independent insurance agents work with many different insurance companies and are knowledgeable about their individual strengths. Although one insurance company may provide unmatched claims service, another may offer more competitive rates. Based on what is most important to you, an independent agent will find the best match for you.
  • We write 1,000’s of policies each year and know the quickest way to get in and out of the system.
  • We know the insurance lingo – we are the experts.
  • We know which plans are best within each company.
  • We do the research and leg work for you.  We study the plans each year BEFORE talking to you.
  • We know the Louisiana insurance market.  The MarketPlace does not, nor are they licensed insurance agents.

2. CUSTOMER SERVICE

If you have coverage questions or worse, need help with a claim, would you rather reach an automated recording or an actual person when you call? More and more companies have switched to automated systems, often making it difficult and time consuming to reach the right person. However, at many independent insurance agencies, an actual person will still greet and assist you.
  • We make sure you get the benefits you need.
  • We want a long-term relationship with you.
  • We are there to assist you all year long.  You have one point of contact and one person to help you solve any issues that may arise.

3. PERSONAL SHOPPERS

Working with an independent insurance agent can be compared to having a personal shopper. Similar to the way in which a real estate agent sorts through properties to help you find your ideal home, an insurance agent reviews many different insurance companies’ rates and coverage options to help you secure policies that best suit your needs. You may believe that this comes at an additional cost to you, but independent agents do not add extra charges to insurance companies’ rates. So you can choose to work with an independent agent, who will handle your coverage needs, assist you with claims and answer any questions you may have, from billing issues to coverage concerns, always advocating on your behalf, at no additional cost to you.

4. UNDERSTANDING

Independent insurance agents understand that insurance can seem complicated and confusing, especially when you don’t deal with it on a daily basis. For this reason, your insurance agent will work to ensure that you fully understand your coverage, from what is and is not included, to the deductibles, coinsurance and copayments. After you purchase your policies, an independent agent’s work isn’t over – instead, we are available year-round to help answer your questions, update your policy and make coverage recommendations.

5. REPUTATION

Reputation plays a crucial role in finding a company you can trust, and many independent agencies take pride in the years, if not decades, they have spent serving their local communities. Not only can a company’s many years of service speak to its well-established reputation in the community, but it can also help you feel confident about its financial stability. Although there are many different ways to obtain insurance, would you rather obtain a quote from a startup Internet-based insurance provider that advertised on television, or call a local agent who your friends, co-workers and neighbors could recommend?

6. PROTECTION & PEACE OF MIND

Above all, working with an independent insurance agent will provide you with peace of mind, knowing that when you save money on your insurance, it won’t come at the expense of comprehensive coverage. When it comes to protecting your home, family, business and other invaluable assets, relying on an independent agent you can trust is a great place to start.
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BlueCare online doctor visits

8/13/2018

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We are happy to let you know that Blue Cross and Blue Shield of Louisiana and HMO Louisiana, Inc. members now have 24/7, 365 access to U.S.-trained, board certified doctors with BlueCare, the Blue Cross teleheath service. 

For the past few months, doctors have only been available at certain times on BlueCare. Now care will only be a click away, anytime day or night.

Here's how to sign up for BlueCare:

  1. Go to BlueCareLA.com or download the BlueCare (one word) app for Android or iPhone.
  2. Create an account with a username and password, which you will use for each BlueCare visit. 
  3. Use your member ID when logging into or creating a BlueCare account.
  4. BlueCare works on a computer, tablet, smartphone or any device with internet and a camera, and is open to dependents (children, spouse, etc.) covered on your plan.
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  • About Us
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    • Health >
      • Individual/Family Insurance
      • Group Insurance >
        • Employee Retention Credit
      • Short Term Insurance
      • Medi-Share Christian Ministry Sharing
      • Medicare Supplements
      • Travel Medical Insurance
      • Medical Tourism
      • Hospital Recovery Insurance
      • Accident Insurance
      • Critical Illness Insurance
    • Dental
    • Vision
    • Term Life Insurance
    • Pet Insurance
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