Julie Appleby

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Trump’s DOJ Accuses Medicare Advantage Insurers of Paying ‘Kickbacks’ for Primo Customers

The Department of Justice alleges that several major health insurers paid brokerages “hundreds of millions of dollars in kickbacks” to get agents to steer consumers into their Medicare Advantage plans, allegations the insurers strongly dispute.

Obamacare ‘Fixers’ Axed in Trump’s Reduction of Health Agency Workforce

These fixers, officially known as caseworkers, unraveled complex and arcane health insurance rules to solve people’s coverage issues. They worked in a little-known federal department with which most consumers never interact — until they need help.

Tax Time Triggers Fraud Alarms for Some Obamacare Enrollees

Consumers who were enrolled fraudulently in Affordable Care Act coverage could receive unexpected tax bills — the first and possibly only clue they were a victim of fraud. Getting help may become difficult as federal workers are laid off and funding for assistance programs is cut.

He Had Short-Term Health Insurance. His Colonoscopy Bill: $7,000.

After leaving his job to launch his own business, an Illinois man opted for a six-month health insurance plan. When he needed a colonoscopy, he thought it would cover most of the bill. Then he learned his plan’s limited benefits would cost him plenty.

Bill That Congressman Says Protects Medicaid Doesn’t — And Would Likely Require Cutting It

U.S. Rep. Nick LaLota, a Long Island Republican, told his constituents that he voted for the House-passed GOP budget resolution because it protects Medicaid, Medicare, and Social Security. However, the bill charges a committee with making cuts that likely can’t be attained without slashing Medicaid.

Most Insurance Covers IUDs. Hers Cost More Than $14,000.

The Affordable Care Act requires most insurance plans to cover preventive care, including many forms of contraception, without cost to patients — but not if they’re “grandfathered” plans, which predate the law.

Trump’s Order on Gender-Affirming Care Escalates Reversal of Trans Rights

The Jan. 28 executive order directs federal regulators to cut insurance coverage for hormonal or surgical treatments that help in young people’s gender transitions and cut federal funding for medical professionals or institutions that provide such care. It will likely be challenged in court.