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Starting July 1, Covered California for Small Business (CCSB) is offering new Blue Shield plans, providing more options for enrollees. These plans include the Access+ HMO Network with Platinum, Gold, and Silver metal tier options, as well as the Bronze Trio HMO 7000/70. The two most popular Blue Shield High Deductible Health Plans (HDHP), Silver Full PPO Savings 2300/25% and Bronze Full PPO Savings 7000 plans, are also now available.
All of these plans offer benefits such as Wellvolution, Teladoc Mental Health, Nurse Help 24/7, LifeReferrals 24/7, and the Blue Card program for when members are outside of California.
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Effective October 1, 2022, the federal Centers for Medicare and Medicaid Services (CMS), is introducing a new broker mandate. If you or anyone on your staff communicate with Medicare-eligible individuals, read on.
The new rule requires brokers to add a disclaimer to communications related to CMS-regulated Medicare products, including in phone calls.
The required new disclaimer states: “We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.”
In addition, the new rules require that broker phone calls related to CMS-regulated Medicare products be recorded.
This helpful recent Newsweek article provides more detail. The text of the full CMS Final Rule can be found here.
California Agents & Health Insurance Professionals (CAHIP) is urging CMS to remove licensed and certified independent agents and brokers from the new requirement.
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