The exchange has insisted it is working to fix problems, but KPIX 5 ConsumerWatch has found that Covered California may not even realize the scope of what needs to be fixed since the agency isn’t actually tracking complaints.
For months, KPIX 5 ConsumerWatch has been investigating consumer complaints about Covered California insurance policies. The months long investigation uncovered everything from too few doctors to complaints of insurance bait and switch.
State Investigating Covered California Insurers After KPIX 5 Reports On Customers Not Finding Doctors
State regulators are investigating whether two large insurance companies, Anthem Blue Cross and Blue Shield of California, may have broken state laws by misleading customers who signed up for their plans through Covered California.
For months, KPIX 5 ConsumerWatch has been reporting that many newly-insured consumers on Covered California haven’t been able to find a doctor under their new plans. Now, even insurers are telling some they are out of luck.
Two months after KPIX 5 ConsumerWatch first reported about some doctors listed on the Covered California exchange were actually not accepting the plans, insurer Anthem Blue Cross admitted that nearly 1,000 doctors were erroneously listed.
While open enrollment for coverage under the Affordable Care Act is closed, many of the newly insured are finding they can’t find doctors, landing them into a state described as “medical homelessness.”
A late surge of sign-ups pushed California’s health insurance exchange nearly 100,000 enrollees beyond the original projections of the Obama administration.
A new report on Covered California’s first enrollment period points out some of the much publicized problems, but also gave the state’s healthcare exchange some positive grades.
Small nonprofits offering insurance plans on California’s health care exchange are lagging well behind major insurers in sign-ups, potentially undermining a key goal of the federal Affordable Care Act, which sought to drive down costs by increasing competition.
Despite an extended deadline to sign up for health care under Covered California, some in the Bay Area are choosing to pay a penalty instead of insurance because of the cost.