Wednesday, January 22, 2014

Covered California Update January 2014

Covered California Update

As a result of a major change in the Covered California Health plans, this is an update on the pediatric dental coverage you can expect to receive for enrollment.
As of January 1, 2014 Covered California must include these 10 categories of essential health benefits (vision and dental were not mandatory in the previous round)
• ambulatory patient care
• emergency services
• hospitalization
• maternity and newborn care
• mental health and substance abuse disorder treatment
• prescription drugs
• rehabilitation and habilitation services and devices
• lab services
• preventive and wellness services and chronic disease support
• children’s services, including dental and vision care

In a previous blog we had stated that the state of California had only the burden of offering some of these services – including pediatric dental coverage – but as of the new year, the coverage is now mandatory.  The good news is that Anthem Blue Cross, one of the larger health insurance companies, is one of the dental insurance companies that we are in-network with, as long as it is a PPO plan (can choose your own dentist).  Also, check your policy so that you are aware of visit frequencies and possible deductibles for preventative care.  As always, we are available to help with any questions, so please do not hesitate to call the office.