Health Insurance Information Update 2015 Presented by:

-Brand New Day -Central Health -Easy Choice -SCAN -Caremore -Health Net -United Health Care -Anthem Blue Cross -Blue Shield of CA -Care1st -Citizens Choice -Anthem Blue Cross -Blue Shield -Health Net -Molina -L.A. Care -Kaiser -Health Net -SHARP -Kaiser -Blue Shield Medicare Covered CA Exchange SHOP Plans (Small Health Options Program) Individual - Anthem Blue Cross -Blue Shield -Aetna -Cigna -Humana -Golden Rule -Assurant -Kaiser -United Health Care -Health Net -SHARP -Anthem Blue Cross -Blue Shield -Cigna -Aetna -SeeChange Health -United Health Care -Kaiser -Blue Shield OFF Exchange Group Plans (Small Health Options Program)

The Affordable Care Act, also known as Obamacare, aims to improve the health of Californians by increasing access to health care services. These include free preventive screenings and affordable options for quality health care for you and your family through the Covered California health insurance marketplace and the expansion of the Medi-Cal program. Who is Eligible? -U.S. Citizens and persons lawfully present in California with income above 138% of the federal poverty level ($15,856 for and individual.) -Financial assistance in the form of tax credits and discounts on monthly premiums will be available to persons whose incomes are up to 400% of the federal poverty level, or $94,200 for a family of four.

Medicare Advantage Enrollees $ pm/pm on Avg. Payment for all covered services for which Primary Care Physician is the responsible party, under each participating Health Plan, shall be made at a fixed capitation rate according to the following schedule: Medi-Medi Enrollees - When Enrollee is NOT assigned to the same PCP & IPA for both product lines Will revert to appropriate Medicare Advantage or Medi-Cal Only Compensation Medi-Medi Enrollees - When Enrollee is assigned to the same PCP & IPA for both product lines $150 pm/pm on Avg.

50 Seniors Enrolled to Qualify Must stay effective for 6 Months Annual Health Assessment Form 1500 MUST be completed 100 Enrollments X $200 = $20,000 *Paid at 20 Member Increments

The Cal Medi-Connect program aims to improve care coordination for dual eligible beneficiaries and drive high quality care that helps people stay health and in their homes for as long as possible. Additionally, shifting services out of institutional settings and into the home and community will help create a person-centered health care system that is also sustainable. A Cal MediConnect plan is a Medicare/Medi-Cal plan that will manage your Medicare and Medi-Cal benefits. Enrolling in a Cal MediConnect plan means that you keep your Medicare and Medi-Cal benefits with no extra cost but you must use your Cal MediConnect providers. You can also get additional transportation and vision benefits.

Los Angeles County Health Net Molina Health Plan L.A. Care Anthem Blue Cross Care 1 st Kaiser Permanente

Become one of the many physicians that have maximized their income and grown their practice. We offer all the things you need to INCREASE the financial performance of your practice, including: High capitation rates – some of the best in the market. Managed care program Membership retention program Marketing that drives patients to your office Ensure compliance with strict adherence to HIPAA & CMS rules & regulations. Federal & State guidelines & disenrollment follow up.

Physician and Medical Group Patient Base Significant Revenue and Income Increase Generate Establish