Tag Archives: atlanta

Humana Georgia 2016 Marketplace update

22 Sep , 2015,
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Quick Tuesday morning update for Humana Georgia marketplace health plan enrollees!

According to our sources at Humana, we have learned that Humana Georgia will discontinue Platinum plans offered on and off the marketplace in Georgia for 2016. Members who purchased a platinum plan thru the marketplace should be automatically transitioned to a Gold plan if they do not actively choose a new plan. However, we recommend that everyone currently enrolled in a Platinum plan take the time to review your options – we are happy to help!

We have also learned the Humana Georgia members enrolled in a Platinum plan outside of the marketplace will need to choose a new plan, and will not be automatically transitioned to a new plan for 2016!

In addition, if you purchased a Humana Georgia Catastrophic plan for 2015 on the marketplace and turn age 30 prior to January 1st, 2016, you should be automatically transitioned into a Humana Bronze plan for 2016. Of course, we always recommend you review your options (CLICK HERE TO SEE ALL PLANS) during open enrollment 2016.

We have also learned that Humana will DISCONTINUE offering the ChoiceCare network for individual health insurance plans in 2016.

Stay tuned to www.MyGeorgiahealthplan.com for breaking Georgia Health Insurance plan information for Open Enrollment 2016. Follow us on Facebook for all breaking news and updates!

Ambetter Georgia!

25 Oct , 2014,
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We are pleased to announce that we have recently added Ambetter Georgia by Peach State Health Plan to our portfolio of products offered to residents of Georgia! Ambetter Georgia prides itself as having health insurance plans that offer benefits, programs and support to help you lead a healthy, fulfilling life.

Ambetter Georgia

Ambetter is a great choice for budget conscience shoppers! Click here to compare plans and rates!

Need help getting enrolled in Ambetter? Have questions? Call us at 843-882-7062

Do you need to view Ambetter Georgias Provider Directory? CLICK HERE

New for 2015! We expect Emory University Hospital  to be added as an IN Network provider for Ambetter health plans offered on the marketplace in Georgia!

Are you looking for information about a specific Ambetter Plan?

CLICK HERE to view BRONZE Plans.

CLICK HERE to view SILVER Plans – Most Popular!

CLICK HERE to view GOLD Plans.

Some of the highlights of Ambetter Georgia’s plans include:

Comprehensive Medical Coverage Comprehensive Medical Coverage
Complete medical coverage that meets your medical needs and contains all of the Essential Health Benefits.

Member Incentive Program
Earn reward dollars just by staying proactive about your health. For 2015, every Ambetter member will receive a My Health Pays card. Ambetter rewards your healthy choices through the My Health Pays incentive program. Earn up to $125 on your My Health Pays card for:

• Completing your online Health Risk Assessment ($50)
• Getting your Annual Wellness Exam ($50)
• Getting your annual flu shot ($25)

Use your card to pay for out-of-pocket costs such
as copays, deductibles or monthly premium payments.

24/7 Nurse Line
Call and talk to a medical professional about your immediate health needs—at any time.

Prescription Coverage
Extensive Prescription Coverage. Get coverage for your medical prescriptions.

Optional Adult Dental Coverage
Coverage for services such as teeth cleanings, screenings and exams.

Integrated Care Management
Get well and stay well with preventive care and whole health services.

Optional Adult Vision Coverage
Coverage for services such as eye exams and prescription eyewear.


Ambetter has a very competitive price in many Georgia markets, including the following towns, cities and counties: Barrow, Chatahoochee, Clarke county / Athens, Elbert, Muskogee, Fayette, Fulton, Greene, Harris, Henry, Jackson, MAdison, MArion, Muscogee county / Columbus, Oconee, Spalding and Talbot county.


Ambetter in the News:

Peach State Health Plan receives approval to participate in Georgia Health insurance Marketplace“Ambetter” to provide affordable, quality health insurance plan alternatives to Georgians.

ATLANTA, Sept. 26, 2013 /PRNewswire/ — Peach State Health Plan (Peach State) announced today that it has received approval from the Georgia Department of Insurance and the Centers for Medicare and Medicaid Services (CMS) to participate in the Georgia Health Insurance Marketplace, where it will offer a line of products branded as “Ambetter from Peach State Health Plan.”

“Participating in Georgia’s health insurance marketplace is a natural progression to expand upon the affordable health solutions Peach State has offered to low-income individuals in Georgia,” said Patrick Healy, president and CEO of Peach State. “Our marketplace offerings will be under the product name Ambetter, a name that exemplifies our commitment to providing access to quality, integrated healthcare for individuals, while helping transform the communities in which they live, work and raise families.”

Ambetter health insurance plans are designed to deliver high quality, locally-based healthcare services to its members. With outreach programs focused on preventative care, members achieve healthier outcomes. Ambetter partners with Georgia-based health care providers and utilizes medical management and call center staff based in Georgia, contributing to the local economy.

With the implementation of the Affordable Care Act, health insurance marketplaces, or health exchanges, will offer consumers a place to shop, compare and select an affordable health plan.  Consumers can compare and purchase Ambetter products during the initial Open Enrollment period beginning October 1, 2013, through March 31, 2014, at www.ambetterhealth.com.

Peach State has been providing healthcare services to Medicaid members in Georgia since 2006.


Georgia Platinum Plan

3 Oct , 2014,
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Have you seen the 2014 Georgia Platinum Plans? I have heard many Georgia residents ask why they cannot seem to find a Platinum Plan to enroll in. YES, there are Georgia Platinum Plans available for purchase on the marketplace, however, these plans are only available in certain counties within Georgia for 2014. For example, residents in Savannah; Chatham County to be exact, residents can enroll in the Humana National Preferred Platinum 1000/1500 Plan on the health insurance marketplace in 2014. However, Georgia Platinum plans are available in nearly every county in 2014 if you are willing to purchase a health plan OFF EXCHANGE . For 2015, however, we expect Georgia residents to have a high quality PPO based Georgia Platinum plan available ON the marketplace/exchange in every county!


What is a Georgia Platinum Plan?

Platinum plans, as defined by the Affordable Care Act (ACA, or as some say, “Obamacare”) are health insurance plans that have an actuarial value of 90%.  In general, Platinum plans have higher monthly premiums, but lower out of pocket costs. For this reason, Georgia Platinum plans are more suited to people who expect to go to the doctor often, have regular monthly prescriptions, or expect to have other substantial medical expenditures throughout the year.

Georgia Platinum Plans

Need help finding a Georgia Platinum Plan? We can help!

Off-Exchange/Marketplace Health Plans

Off exchange plans are plans that are offered outside of the Federal Health Insurance Marketplace.  These plans, starting January 1, 2014, must comply with all of the laws that apply to health plans offered on the Federal Exchange/Marketplace at www.healthcare.gov. Just like plans on the marketplace, qualified health plans purchased outside of the federal marketplace must still cover the 10 essential health benefits as defined by the healthcare reform law. The biggest difference to YOU, the consumer? Anyone who purchases an off-exchange plan cannot qualify for Federal subsidies to offset health insurance premiums. Generally, most Georgia individuals and families making between 100% and 400% of the Federal Poverty level may be eligible for premium assistance through the Federal Exchange. I personally believe, that in certain unique situations, some Georgia residents who are eligible for a subsidy, may be better off forgoing the subsidy and buying an off exchange policy. Of course, diligent planning and research must be conducted before making a decision to forego purchasing a marketplace plan. In addition, many off-marketplace plans use more robust provider networks than those found in marketplace plans. Recently, newspapers near Georgia such as the Post & Courier and The State Newspaper published articles about the limited networks for many health plans available on the Federal health insurance marketplace. This is why we recommend working with an experienced Georgia Obamacare agent to be sure that you choose the plan that best suits YOUR unique needs.

 Who offers Georgia Platinum Plans?

Of course, as a full service Health Insurance Agency we offer Georgia Platinum plans through through both Humana & Assurant Health. Assurant Health currently offers 2 Georgia Platinum Plans: CoreMed Platinum 1 and CoreMed Platinum 2. Each of these plans allows the enrollee to select either the Coventry Healthcare network, the CIGNA PPO Network or the Aetna Signature Administrators Network. For benefit summaries for each of the two Georgia Platinum Plans available from Assurant, click the links below:

Assurant Platinum 1                                                                     Assurant Platinum 2

Who is Assurant? Great question. Assurant traces its roots to the founding of the LaCrosse Mutual Aid Association established in LaCrosse, Wisconsin in 1892, formed to provide consumers with disability insurance. Assurant Health now provides quality health care insurance products to customers with an emphasis on individuals who need coverage but are not part of a larger group plan. With a 120-year legacy, the business offers affordable health care products including major medical, supplemental and fixed-benefit plans for individuals, families and small employers. Financial ratings information for Assurant’s various companies can be viewed HERE.

In addition to Assurant, Humana offers Platinum plans on the marketplace in limited areas, as well as off-marketplace. CLICK HERE to learn more about Georgia platinum plans offered by Humana.

Who should consider a Georgia Platinum Plan?

Anyone who visits the doctor often, takes many prescriptions, or otherwise has high anticipated medical costs. Our analysis indicates that Georgia residents under the age of 50 may see the most value in a Georgia Platinum plan in 2014. In our analysis, many residents with high medical costs were better off paying higher Platinum plan premiums in exchange for much lower out of pocket costs. Please contact us today to help determine if you may be a good candidate for a Georgia Platinum plan. We can HELP!

Update – 10/28/2013

We really enjoyed this article from the New York Times, especially as it relates to Georgia Platinum plans :

WITH so much attention being paid to the troubled debut of the Obama administration’s health insurance exchanges, another alternative has largely gone unnoticed: unless you live in Washington, D.C., or Vermont, you can also buy insurance outside the exchanges — by going directly to insurance brokers, agents or company Web sites. Read More Here

Update – 11/12/2013

Platinum plans are 2nd most popular plans on the Kentucky Health Insurance Marketplace!

Young female with pricey tastes: Kentucky Obamacare numbers

If Obamacare data were a horse race, Kentucky would be leading the pack.
Kentucky has released in-depth, demographically detailed information about enrollments in its state-run Obamacare marketplace, setting a high bar for federal authorities to beat when they finally release their own enrollment data from HealthCare.gov later this week for the first time. Read More…