(This info applies to Individuals and Families under the age of 65 who are not on Medicare)

As you have probably been reading in the media, the ACA rollout and the California version, Covered California, is a disaster right now. Their contractors are scrambling to try to fix the mess on the CoveredCA.com website. We have been advising all of our clients, even if they already know that they want to enroll into the subsidized Covered CA exchange, that they wait until late in Nov. The deadline to apply for a 1/1/14 effective date is 12/15/13. You still have time.

The main problems are: 1) No reliable source to confirm if one’s doctors are in the reduced limited provider networks, 2) No info yet (rates, benefits, networks and formulary lists) for the off-Exchange plans, 3) The Covered CA website is not fixed yet, 4) No way to check prescription drug formulary lists on the reduced or limited drug formularies within the Exchange plans.

There is a paper, and pdf file version of the Covered CA enrollment application form that is much more reliable than the glitchy coveredca.com website. Please contact Lee Insurance Services at 925-284-2000 for a copy. You may submit a completed form to them to process for you.

As part of their ongoing service, Lee Insurance will review, correct, submit, confirm, monitor, troubleshoot and provide ongoing support for all applications that you submit to them. There are no fees for the free service, they are paid a nominal ongoing commission by the insurance carrier to provide you with their excellent local support.

Philip W. Lee
800-286-7445
www.Health-Insurance.com
www.HealthPlanTalk.com