Grandfathered Cancellations February 2018?

Downgrade Options – That is, if you have a plan that is being discontinued, you may be able to change to another grandfathered plan.  If you send us a copy of your ID card or your cancellation letter, we can go through the various downgrade charts and see how we can help you out.

Grandfathered Rate chart as of 4.2017

This might be something that we will be checking out in Snopes.com…  Here’s an excerpt of an email I just got from someone that had contacted me about getting new coverage, as they had received a cancellation notice:

Received an Anthem letter today saying my Individual PPO Share Plan (#1920) isn’t being discontinued after all and the original letter was sent in error.

On a private facebook page for agents, they are getting the same news.  Watch this page for the final answer – updates. Or check Dave Flukers site, he might be a few hours ahead of me, sometimes. dave fluker.com

Blue Cross has made the difficult decision to reduce the number of Individual health plans they will offer in California for 2018. To reduce the administrative burden of maintaining multiple products/contracts, they  will be discontinuing about 200 grandfathered plans/contracts, many of which only have a few members. This change will impact around 14,000 members and some of these members may have other Anthem options to replace their plans.

Blue Cross advised us on 12.4.2017 that they are working on a process to allow agents to know which clients are affected.  They should have it done by Wednesday or Thursday.  Email dated 12.4.2017 8:45 AM

Click on icon on the right to get quotes for new plans.

In order to give grandfathered members impacted by this change plenty of time to plan for their coverage needs in 2018, they are notifying affected members over the next few days that their current plan will be discontinued on February 28, 2018. This includes some grandfathered plans in all regions of California.

We do have Affordable Care Act (ACA) EPO plan options available for members in Regions 1, 7 and 10 if they would like to continue with Anthem. It’s important to note that through February 28th, their coverage stays the same, all they need to do is keep paying their premiums.

  • If they pick another Anthem plan in 2018, their cost sharing payments for 2018 will roll-over to that new Anthem plan.
  • If they pick a plan from a different insurance company, they must enroll by December 15, 2017 for an effective date of January 1, 2018 for all of their 2018 cost sharing payments [not csr – enhanced silver, as the plans are grandfathered, not Covered CA] [OOP Out of Pocket Maximum – Deductibles – % of claim]   to apply to their new plan. Otherwise, if they change health insurance companies after 2018 begins, the 2018 cost shares they have with Anthem will not carry over to their new health insurance company.
  • Some of these members may have a grandfathered downgrade option, please check the downgrade matrix or contact us or your agent.
    • This matrix might not be accurate.  We are checking with broker support, right now.  12.6.2017 3:30 PM

Here are sample copies of letters these members will receive. The letters will vary slightly based on the members’ location and plan.

Cover letters for discontinuations Regions 1, 7 and 10

Cover letters for discontinuations for all other Regions

 

These plans appear to be the ones being cancelled
Based on my interpretation of the downgrade matrix

 

Contract Code

 

Offered By

 

Plan  Name

 

Current Medical

Deductible

7900,  1518,  PE25,  PE26 ABCL&H Basic  PPO  1000 1000
01CE ABCL&H CoreGuard 7500 7500
01CD ABCL&H CoreGuard 5,000 5000
01CC ABCL&H CoreGuard 3500 3500
01CB ABCL&H CoreGuard 2500 2500
01CA ABCL&H CoreGuard 1500 1500
01C9 ABCL&H CoreGuard 750 750
00RP ABCL&H Clear  Protection 3300 3300
00RN ABCL&H Clear  Protection 1000 1000
H062 ABCL&H PPO  Share 5900
00Y3 ABC PPO  Share 4100
7891,  1871 ABC PPO  Share 2950
7889,  7890 ABC PPO  Share 1750
1393,  1503,  7878,  Z828 ABC PPO  Share 1150
1930,  Z830 ABCL&H PPO  Share 1150
1929,  Z829 ABCL&H PPO  Share 550
7895,  1501,  1575,  1920,  7888,  7904 ABC PPO  Share 550
7898,  7906,  7897,  NM02,  1913,  Z831 ABC Individual HMO 0
PE48 ABCL&H RightPlan PPO  (Generic Rx) 0
PE49 ABCL&H RightPlan PPO  (Rx) 0
DN13 ABCL&H Tonik 1750
DN14 ABCL&H Tonik 3500
Z126,  Z127,  Z128 ABCL&H Lumenos HSA 1750/3500
Z132,  Z133,  Z134 ABCL&H Lumenos HSA 3500/7000
Z135,  Z136,  Z137 ABCL&H Lumenos HIA Plus 1750/3500
Z141,  Z142,  Z143 ABCL&H Lumenos HIA Plus 3500/7000
Z144,  Z145,  Z146 ABCL&H Lumenos HIA 1750/3500
Z150,  Z151,  Z152 ABCL&H Lumenos HIA 3500/7000
DX26,  DX27,  DX28 ABCL&H Lumenos HSA 1750/3500
DX32,  DX33,  DX324 ABCL&H Lumenos HSA 2950/5900
DX38,  DX39,  DX40 ABCL&H Lumenos HSA 3500/7000
DX47,  DX48,  DX49 ABCL&H Lumenos HIA Plus 2950/5900
DX53,  DX54,  DX55 ABCL&H Lumenos HIA Plus 3500/7000
DX62,  DX63,  DX64 ABCL&H Lumenos HIA 1750/3500
DX68,  DX69,  DX70 ABCL&H Lumenos HIA 2950/5900
DX74,  DX75,  DX76 ABCL&H Lumenos HIA 3500/7000
Z153,  Z154 ABCL&H SmartSense (Standard Rx) 550/1100
Z155,  Z156 ABCL&H SmartSense (Standard Rx) 1750/3500
Z157,  Z158 ABCL&H SmartSense (Standard Rx) 2950/5900
Z161,  Z162 ABCL&H SmartSense (Upgrade Rx) 550/1100
Z163,  Z164 ABCL&H SmartSense (Upgrade Rx) 1750/3500
Z165,  Z166 ABCL&H SmartSense (Upgrade Rx) 2950/5900
Z167,  Z168 ABCL&H SmartSense (Upgrade Rx) 5900/11800

 

These appear to be the ones that will remain.  If you have one being cancelled, you can switch over.

 

Contract Code

 

Offered By

 

Plan Name

Current Medical

Deductible

R418 ABCL&H Basic  PPO  2500 2500
01CF ABCL&H CoreGuard 10,000 10000
01CE ABCL&H CoreGuard 7500 7500
01CD ABCL&H CoreGuard 5000 5000
01CC ABCL&H CoreGuard 3500 3500
01CB ABCL&H CoreGuard 2500 2500
01CA ABCL&H CoreGuard 1500 1500
00RR ABCL&H Clear  Protection PPO  5000 5000
00RP ABCL&H Clear  Protection PPO  3300 3300
00Y4 ABC PPO  Share 8850
01LB ABCL&H PPO  Share 5900
01LC ABC PPO  Share 5900
H062 ABCL&H PPO  Share 5900
01LA ABC PPO  Share 4100
00Y3 ABC PPO  Share 4100
7891 ABC PPO  Share 2950
7889 ABC PPO  Share 1750
1930 ABCL&H PPO  Share 1150
1393 ABC PPO  Share 1150
PE43 ABC Select  HMO 0
7896 ABC HMO  Saver 1750
P958 ABCL&H RightPlan PPO  (no Rx) 0
PE48 ABCL&H RightPlan PPO  (Generic Rx) 0
01LE ABCL&H RightPlan (Generic Rx) 550
01LD ABCL&H RightPlan (Rx) 550
DN14 ABCL&H Tonik 3500
DN15 ABCL&H Tonik 5900
Z126,  Z127, Z128 ABCL&H Lumenos HSA 1750/3500
Z132,  Z133, Z134 ABCL&H Lumenos HSA 3500/7000
Z129,  Z130, Z131 ABCL&H Lumenos HSA 5900/11800
Z135,  Z136, Z137 ABCL&H Lumenos HIA Plus 1750/3500
Z141,  Z142, Z143 ABCL&H Lumenos HIA Plus 3500/7000
Z138,  Z139, Z140 ABCL&H Lumenos HIA Plus 5900/11800
Z144,  Z145, Z146 ABCL&H Lumenos HIA 1750/3500
Z150,  Z151, Z152 ABCL&H Lumenos HIA 3500/7000
Z147,  Z148, Z149 ABCL&H Lumenos HIA 5900/11800
DX44,  DX45, DX46 ABCL&H Lumenos HSA 5900/11800
DX59,  DX60, DX61 ABCL&H Lumenos HIA Plus 5900/11800
DX80,  DX81, DX82 ABCL&H Lumenos HIA 5900/11800
Z153,  Z154 ABCL&H SmartSense (Standard Rx) 550/1100
Z155,  Z156 ABCL&H SmartSense (Standard Rx) 1750/3500
Z157,  Z158 ABCL&H SmartSense (Standard Rx) 2950/5900
Z159,  Z160 ABCL&H SmartSense (Standard Rx) 5900/11800
Z163,  Z164 ABCL&H SmartSense (Upgrade Rx) 1750/3500
Z165,  Z166 ABCL&H SmartSense (Upgrade Rx) 2950/5900
Z167,  Z168 ABCL&H SmartSense (Upgrade Rx) 5900/11800

 

Child & Related Pages

Which plans are grandfathered?

  • Grand Fathered 4.2017 Rate Change
    • Grandfathered April 2016 Rate Increase
      • Grandfathered Plan vs 2017 Offerings?

5 comments on “Grandfathered Plans – Non Renewal 2.2018

  1. RE: Cancelled (grandfathered) Anthem Plan (#1920 PPO Share 550) & possibility of transferring into another closed (to new applicants) grandfathered plan not scheduled to be cancelled.

    According to the matrix you so generously provided I should be able to transfer into the following plans all of which are offered by Anthem Blue Cross and all are named “PPO Share”
    Plan # Deductible
    OOYA 8850
    O1LC 5900
    O1LA 4100
    OOYC 4100
    7891 2950
    7889 1750
    1393 1150

    Anthem told me some of then cancellation otices were sent out in error and they won’t give any info until one person manually sorts through them. I said I just wanted to know if the matrix is accurate should I need to replace my plan and the only thing she could offer was to have my agent call his broker’s Anthem phone # to determine if indeed a cancelled plan 1920 can transfer into the above-mentioned plans and if so, hopefully obtain plan descriptions as well. Thanks in advance Mr. Shorr.

    • This is what I got 12.6.2017 6:53 PM in reply to my inquiry to Blue Cross Broker Support

      The revised GF contract code list has not been finalized yet so we cannot provide downgrade options at this time.

      I’ll post the finalized information, when I get it.

        • Mr. Shorr,

          Please allow me to commend you on your phenomenal customer
          service. You really demonstrate the difference a competent, caring insr. agent can make.

          Dr. R.

          Broker Sales Support Case #: 0xxx

          Dear Mr. Shorr, Please be advised that contract code 1920 is not being discontinued. Thank you.

          Kind Regards,

          Deanna xxx| Agency Services Representative | Broker Sales Support

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