Tag Archives: CCHP-SC

Blue Cross Blue Shield South Carolina 2016 health plans

14 Oct , 2015,
jtdickerson
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Blue Cross Blue Shield South Carolina 2016 health plan update: BlueEssentials

Earlier this week, the SChealthconnector team got a sneak peak of the NEW Blue Cross Blue Shield South Carolina 2016 health plans, marketed under the BlueEssentials label.

Consumer Choice Health Plan

So far, we have been very impressed with what we have seen! Blue Cross Blue Shield is one of the largest health insurers in the state of South Carolina, and is the only health insurer in South Carolina with an A.M. Best rating of A+ (Superior).

New for 2016: Dental and Vision Coverage on all Plans

All BlueEssentials 2016 plans include dental allowance for adults and children for exams and cleaning:

  • One exam every six months, $27 allowance first visit and $20 on the second visit.
  • One cleaning every six months, $40 allowance for adults over the age of 20, and $31 for a child.

Members are responsible for paying any additional balance for what is not covered. Members will submit a dental reimbursement form to Blue Cross Blue Shield of South Carolina for reimbursement.

Vision Benefits for children and adults, including low copayments on vision examsand discounts on lenses, frames and contacts:

Members Ages 20 and Older

  • One exam per benefit period with a $20 copayment for VSP provider
  • Frames and lenses options covered at a 20% discount
  • Contacts covered at a 20% discount

Members Age 19 or Younger

  • One exam per benefit period with a $25 copayment
  • $50 copayment on eye glasses every year and frames every two years

The vision network includes over 400 providers throughout South Carolina

New for 2016: Wellness Plus

We were extremely excited to find out that all Blue Cross Blue Shield BlueEssentials plans will offer the Wellness Plus benefit for 2016. Wellness Plus covers up to $500 for services not covered under your standard preventative doctor visits. Per BlueCross BlueShield South Carolina, this benefit is designed to help members with services normally considered “preventative” that fall outside of the PPACA prescribed preventative services list.

More competitive rates for 2016

As recently reported by the tireless folks over at ACAsignups.net, the South Carolina Department of Insurance recently released sample 2016 marketplace rates for the SC marketplace and rates for Blue Cross Blue Shield South Carolina 2016 health plans look extremely competitive! According to the data, BlueEssentials Silver plans appear to be the benchmark plan in many South Carolina counties!

 

Consumers Choice Health Plan of SC beats projections.

4 Aug , 2015,
jtdickerson
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As recently reported by various news sources, a recent audit by the Department of Health and Human Services Office of the Inspector General has revealed that 22 out of the 23 health insurance Co-Op’s formed as a result of the Affordable Care Act “Obamacare”, lost money in 2014.

What many of these articles fail to mention, however, is that here in South Carolina, Consumers Choice Health Plan has actually beat projections! As reported in the HHS OIG audit, as of 12/31/2014 net income for Consumers Choice Health Plan was -$3,808,177. Consumers Choice Health Plan South CarolinaWhat is important to note, however, is that projected net income for CCHP-SC was -$8,135,435. This means that Consumers Choice beat expectations by just over $4.3 million! This is obviously a positive development, and will hopefully prove to enhance competition and choice of health plans for South Carolina residents!

Consumers Choice Health Plan – Looking forward

It is also important to note that, looking forward, initial projections called for Consumers Choice to expect a net loss of $3,852,901 for 2015. Based on initial projections, Consumers Choice is not expected to turn a profit of $1,050,934 for 2016. Of course, given past performance in 2014, reality may be more optimistic. As most industry experts agree, sustainability in health insurance markets is not achieved overnight. A health plan must make incremental improvements to maintain sustainability, while providing quality and value for their membership. Given the positive results so far, we hope that Consumers Choice Health Plan can maintain its positive growth, and provide quality health plan options for South Carolina residents.

Read the full audit here.

If you need help getting enrolled with Consumers Choice Health Plan, please call us directly at 843-882.7062!