Category: Health Coverage

Daily articles posted on health insurance changes for all lines of business. Whether you are an agent or a small business owner you will be captivated in how much this industry is changing in the United States today.

Massachusetts Court Orders UnitedHealthcare Affiliates to Refund Millions to Victims

Logan B.
Massachusetts Court orders Unitedhealthcare refund

UnitedHealthcare-Affiliated Insurers Ordered to Pay $165 Million for Misleading Consumers Historic Ruling Against Deceptive Sales Practices A Massachusetts Superior Court has ordered HealthMarkets Inc. and its subsidiaries, The Chesapeake Life Insurance Company and HealthMarkets Insurance Agency, to pay $165 million for engaging in what the court described as “egregious” and widespread deceptive practices. These companies, owned by UnitedHealth Group, have been found guilty of misleading thousands of Massachusetts consumers into purchasing supplemental health insurance policies they did not need or fully understand they were buying. This judgment—comprising $50 million in…

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Affordable Care Act Enrollment Breaks Records But Faces an Uncertain Political Future

Live Insurance News
Affordable Care Act 2025

Record ACA Enrollment Under Biden Administration The Biden administration has announced a groundbreaking achievement in health care access, with nearly 24 million Americans enrolling in Affordable Care Act (ACA) Marketplace plans for 2025. This record-breaking figure nearly doubles the enrollment totals from four years ago, solidifying the ACA as a critical pillar of American health care. The success is attributed to expanded federal subsidies, streamlined enrollment processes, and heightened outreach efforts under President Joe Biden’s leadership. The Role of Enhanced Federal ACA Subsidies A significant driver behind the surge in…

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From Repeal to Rescue: Why Republicans Are Backing Affordable Care Act Subsidy Extensions

Live Insurance News
Affordable Care Act

Republicans Warming to ACA Subsidies Amid Healthcare Challenges A recent Forbes article has brought attention to a growing shift among Republican lawmakers regarding their stance on extending health insurance subsidies under the Affordable Care Act (ACA). Commonly known as Obamacare, the ACA has long been polarizing, but this change signals a recognition of the program’s widespread impact. The subsidies, expanded under the Inflation Reduction Act (IRA) of 2022, have played a crucial role in making healthcare more affordable for millions of Americans. With these provisions set to expire at the…

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California’s New Law Restricts AI’s Role in Health Insurance Decisions

Nordstrom
AI in Health Insurance

California is taking a significant step to address public concerns regarding artificial intelligence (AI) in health care. Senate Bill 1120 (SB 1120), signed into law by Governor Gavin Newsom in 2024, prohibits health insurance providers from using AI as the sole basis for denying claims. The law aims to uphold the critical role of human judgment in health care decision-making. Striking a balance between technological advancements and ensuring patient care, the legislation is set to have both immediate and far-reaching impacts. AI’s Growing Role in Health Insurance and Its Controversies…

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Why New Insurance Rules Could Make Weight Loss Treatments Harder to Access

Nordstrom
weight loss medications

Independence Blue Cross Restricts Weight Loss Drug Coverage Starting January 1, 2025, Independence Blue Cross (IBX), the largest health insurer in southeastern Pennsylvania, will no longer cover certain weight loss medications, including GLP-1 receptor agonists like Wegovy and Ozempic, when prescribed solely for managing weight. The company will continue covering these medications for individuals with FDA-approved conditions such as Type 2 diabetes or cardiovascular disease. This change impacts both group and individual commercial plan holders, shifting the full cost of these drugs—ranging from $700 to $1,350 per month—to patients who…

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New Illinois Insurance Laws for 2025 Set to Take Effect January 1

Tate Ellison
New Illinois Insurance Laws

Illinois Insurance Reform Bills Aim to Expand Coverage and Accessibility Illinois will see significant legislative changes starting January 1, 2025, as new laws spanning healthcare, employee rights, travel, and driver’s licenses come into play. In this article we’re going to look at Illinois healthcare changes. These reforms were designed to expand coverage, ensure fairness in the workplace, and bolster safety measures statewide. Here’s a comprehensive look at the new laws and their implications for Illinois residents. Key New Insurance Coverage Mandates Support for Hearing Assistance House Bill 2443 mandates new…

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Discover the Comfort and Benefits of In-Home Care Services

Guest Author
In-Home Care Services

In a world where personal well-being takes center stage, more individuals and families recognize the immense value of professional home care. With increasing demands on time and the challenges associated with aging, home care services provide a beneficial solution. Care in the comfort of one’s home enhances quality of life, fosters independence, and ensures personalized attention. Benefits of In-Home Care In-home care is not just for the elderly. It significantly benefits various needs, from medical requirements to everyday assistance. Understanding these benefits can help make informed decisions about care options.…

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