Health insurance can be confusing, complicated and difficult to understand. Finding and getting affordable health insurance isn't easy. If you have low income, help may be available to you through state and public programs if you cannot afford private health insurance.
topics: affordable health insurance in California: Affordable Health Insurance, Low Cost Health Insurance through state insurance programs; California Health Insurance Plans: COBRA; Unemployed, Uninsured
also from State of California - Office of the Patient Advocate: web page: Individual Coverage languages: English from the web page: "Health coverage you buy yourself is called individual coverage. The laws that regulate individual plans are different from the laws that regulate group plans...
source:Foundation for Health Coverage Education file size: 24 pg.; languages: English from the brochure: "...In this booklet, we discuss some private insurance and publicly sponsored insurance programs. Use the worksheet on the next page to determine your income. Then use the income guidelines chart on page 4 to determine your eligibility for a publicly sponsored
insurance program..."
source:California HealthCare Foundation 4 pages; languages: English from the brochure:: "...Almost three million Californians purchase their own health insurance in the individual market and millions more are potential purchasers of individual coverage. However, many of these people remain uninsured because of the difficulty of selecting the best insurance option among scores of alternatives... "
also from California HealthCare Foundation: web page: Rules Governing California's Individual Health Insurance Market languages: English from the web page: "...issue brief examines the state and federal laws that apply to the individual health insurance market in California as of April 2005. It provides a comprehensive overview of the differences between individual and group coverage and explains the basic rules that apply to individual policies, including treatment for pre-existing conditions, guarantees on renewal, protections for higher-risk individuals who maintain their coverage, and regulations governing the transition from group to individual coverage..."
web page: Guide to Health Programs (Guía de Programas de Salud) languages: English from the web page: "... its sixth edition, The Guide to Health Programs (Guía de Programas de Salud) was created for families and community organizations. It describes various public and private programs that exist to increase access to health care services for low-income populations in California. While the guide is useful to those in need of insurance, it is also designed to be a resource to help health care workers and community-based organizations in their outreach to the community..."
California Health Coverage Tax Credit (HCTC) Program
source:Internal Revenue Service | United States Department of the Treasury languages: English from the web page: "...two separate lists of state-qualified health plans for the state of California, each serving a different purpose. Please review the information under each heading to determine which list is most appropriate for you..."
also from Internal Revenue Service | United States Department of the Treasury
: web page: HCTC: The Yearly HCTC languages: English from the web page: "...With the yearly HCTC, you pay your health plan premiums in full and then claim the credit on your tax return. The credit is refunded or applied as a credit toward you year-end taxes. This page provides general information on how the yearly HCTC works..."
source:The California Medicaid Project languages: English from the web page: "...Healthy Kids is a Medicaid health care program for low-income children under age 19 and for Pregnant Women of any age... "
source:California Managed Risk Medical Insurance Board languages: English from the web page: "The Access for Infants & Mothers (AIM) program provides low cost health insurance coverage to uninsured, middle income pregnant women..."
source:Access for Infants and Mothers (AIM) Program languages: English from the web page: "To qualify for AIM, you must be: 1.Pregnant: You must be pregnant, but not more than 30 weeks pregnant, as of the application date..."
source:California Healthy Families Program languages: English from the web page: "The Healthy Families Program is low cost insurance that provides health, dental and vision coverage to children who do not have insurance today and do not qualify for no-cost Medi-Cal..."
Insurance for Pre-Existing Condition, Chronic Medical Problem Coverage
source:State of California - Office of the Patient Advocate languages: English from the web page: "...Group plans and pre-existing conditions. A group plan, like one you have through your job, cannot refuse to cover you or decide to charge you more if you have a pre-existing condition... Individual plans and pre-existing conditions... In many cases, an individual health plan can refuse to cover you or decide to charge you more if you have a pre-existing condition..."
also from State of California - Office of the Patient Advocate: web page: Individual Health Insurance languages: English from the web page: "
Individual health insurance is insurance you buy on your own. Most insurance companies have on-line tools to help you find out how much individual health insurance will cost.
If you have a chronic illness or other health condition, it may be hard to buy individual health insurance...
source:HealthCare.gov - U.S. Department of Health & Human Services languages: English from the web page: "...Eligible residents of California can apply for coverage through the state’s Pre-Existing Condition Insurance Plan program run by the Managed Risk Medical Insurance Board..."
source:California Managed Risk Medical Insurance Board 30 pages; languages: English from the brochure: "The California Major Risk Medical Insurance Program (MRMIP) is a program developed to provide health insurance for Californians who are unable to obtain coverage in the individual insurance market...."
also from California Managed Risk Medical Insurance Board: web page: About MRMIB languages: English from the web page: "
The MRMIB was created in 1990 with a broad mandate to advise the Governor and the Legislature on strategies for reducing the number of uninsured persons in the state. The Board is comprised of volunteer members appointed by the Governor and the Legislature...
source:Kaiser State Health Facts languages: English from the web pages: "...Has High Risk Pool Program... Pool Open Only to Medically Eligibles ... Pool Open to HIPAA Eligibles ... Pool Open to Medically Eligibles..."
source:California Department of Health Care Services languages: English from the web page: "The Breast and Cervical Cancer Treatment Program (BCCTP) provides needed cancer treatment to eligible individuals diagnosed with breast and/or cervical cancer and who are in need of treatment..."
source:California Department of Insurance languages: English from the web page: "...The California Department of Insurance (CDI) believes that it is crucial for people living with HIV/AIDS to know their insurance rights. Being informed of your insurance rights can help you take charge of your future and allow you to effectively manage HIV/AIDS... "
California Health Insurance: Leaving a Job - COBRA
COBRA & HIPAA & HIPP: Individuals previously covered by an employer; individuals who have lost their job
source:California Department of Insurance languages: English from the web page: "...Cal-COBRA is California law that has similar provisions to federal COBRA. With Cal-COBRA the group policy must be in force with 2-19 employees covered on at least 50 percent of its working days during... "
source:California Department of Managed Health Care languages: English from the web page: "Cal-COBRA is also for people who use up their Federal COBRA. When your 18 months of Federal COBRA ends, you can buy 18 more months of health insurance under Cal-COBRA..."
"......Cal-COBRA is the California program that is similar to federal COBRA. Federal COBRA (the Consolidated Omnibus Budget Reconciliation Act of 1985) allows certain people to keep employer-provided group health coverage, in cases where they would otherwise lose coverage because of certain events such as divorce or loss of a job......"
source:State of California - Office of the Patient Advocate languages: English from the web page: "...There are laws that let you keep your group plan for up to 36 months and then buy individual insurance. You must pay the premiums yourself, but the cost and benefits may be better than you could get if you bought insurance on your own. And you cannot be denied coverage because of a pre-existing condition..."
source:Georgetown University Health Policy Institute languages: English from the web page: "...If you are leaving your job and you had group coverage, you may be able to stay in your group plan for an extended time through COBRA coverage..."
California Health Insurance: Basics; Consumer Guides to Health Insurance CA
source:California Department of Insurance languages: English from the web page: "Types of Health Insurance & How Health Insurance Works... How Is Health Insurance Marketed in California?... What Is COBRA and Cal-COBRA?... What Is the Health Insurance Portability & Accountability Act (HIPAA)?... Consumer Inquiries and Complaints..."
"...a series of definitions of various health insurance plans and programs available to Californians. As confusing as they may be, we have tried to provide simple definitions. Where relevant, we have also tried to provide links and additional frequently asked questions (FAQs)..."
"...Are you shopping for health insurance or wondering what health insurance options may be available to you? If any of the following questions apply, the links below may direct you to resources that could help..."
also from State of California - Office of the Patient Advocate: brochure: Compare HMO Costs
1 page; languages: English from the brochure: "Tips from California’s Patient Advocate...
web page: Health Care Costs
languages: English from the web page: "...Plan fees can add up. Check them carefully, so you know what you will have to pay for before you get care. Ask your plan for a list of fees. HMO and PPO costs have become more complex in recent years, and prescription drug costs are an increasing expense for many people...
source:Georgetown University Health Policy Institute file size: 44 pg.; languages: English from the brochure: "...As a California resident, you have rights under federal and state law that will protect you when you seek to buy, keep, or switch your health insurance, even if you have a serious health condition... This guide describes your protections as a California resident....."
source:Foundation for Health Coverage Education 2 pages; languages: English, Spanish from the brochure: "...hand-held guide available that outlines your state’s (California) public and private health care choices for individuals and groups in almost every demographic profile, as well as offers a reference list of phone numbers and Web sites..."
source:CoverTheUninsured.org file size: 9 pg.; languages: English from the brochure: "...You or your family members may qualify, even if you work. However,
these programs have income and asset limits. In California, the main programs are Medi-
Cal and Healthy Families..."
source:California Department of Insurance languages: English from the web page: "Consumer Services Division 300 South Spring Street, South Tower Los Angeles, CA 90013...
Consumer Assistance Phone 800-927-HELP (4357)
(Calling from within CA)... "
No charge or low-cost health care in California: State programs, Clinics
source:California Department of Health Services Office of Women’s Health 104 pages; languages: English, Spanish from the brochure: "...In these pages, readers will find a profile of women’s health at the state level from a variety of data sources. This data book uses the latest available information from various departments within the California state government, including Health Services
and Finance. Although we..."
source:Department of Public Health, City and County of San Francisco languages: English, Spanish from the web page: "...The Breast and Cervical Cancer Services (BCCS) is a public health intervention designed to expand services to underserved populations of women; to coordinate breast and cervical cancer screening services within the San Francisco public health system..."
source:Los Angeles County Department of Public Health Office of Women's Health languages: English, Spanish from the web page: "...This is a new California program which started on January 1, 2002. It will give eligible people immediate and free regular Medi-Cal or time-limited cancer-related Medi-Cal. To be eligible, you must..."
source:Disability Benefits 101 languages: English, Spanish from the web page: "...This is health coverage, available since February 2002, for California residents with a diagnosis of breast or cervical cancer who meet financial eligibility criteria..."
source:Centers for Disease Control and Prevention languages: English, Spanish from the web page: "...The California Department of Public Health WISEWOMAN program was originally funded as an enhanced research project in 2001, called Heart of the Family, or Corazón de la Familia, and received a new five year grant cycle funding in 2008. California will build upon the lessons learned and successes ..."
source:California Primary Care Association 2 pages; languages: English, Spanish from the web page: "...Find a clinic that matches your needs by using the form below..."
source: National Association of Community Health Centers (NACHC) languages: English from the brochure:"Community, Migrant, and Homeless Health Centers are non-profit, community-directed providers that remove common barriers to care by serving communities who otherwise confront financial, geographic, language, cultural and other barriers."
also from National Association of Community Health Centers (NACHC): web page: Find a Health Center languages: English from the web page: "If you need affordable health care, a Community Health Center may be what you're looking for... Click here to find the health center closest to your address or to see a list of health centers in your state or county/parish..."
"Federally-funded health centers care for you, even if you have no health insurance. You pay what you can afford, based on your income. Health centers provide
•checkups when you're well
•treatment when you're sick
•complete care when you're pregnant
•immunizations and checkups for your children
•dental care and prescription drugs for your family
•mental health and substance abuse care if you need it..."
source:California Department of Managed Health Care languages: English from the web page: (2006) "If you do not have health insurance, find out about low-cost or no-cost health insurance and other resources for you and your family. There are many resources in California. The ones listed here may help you..."
also from California Department of Managed Health Care: web page: HIPAA and Conversion Coverage languages: English from the web page: "If you have had health insurance for the last 18 months without a gap of more than 63 days, you may have the right to buy a HIPAA individual plan. However, you must first use up Federal COBRA/Cal-COBRA if you qualified for it..."
source:Health Affairs languages: English from the brochure: "ABSTRACT: The basic provisions of the proposal by George Halvorson and colleagues provide a realistic way for many states to afford coverage for their uninsured residents. In this commentary we suggest some modifications to achieve a more viable plan...."
source:California Department of Aging languages: English from the web page: "...Health Insurance Counseling and Advocacy Program (HICAP) offers consumer counseling on Medicare, Medicare supplement policies, Health Maintenance Organizations (HMOs) and long-term care insurance ..."
also from California Department of Aging: web page: Medigap Help - Helpful Links languages: English from the web page: "...Learn the basics of Medigap, plus what you should know before buying a Medigap... Buyer Beware... Understand your rights before you buy a Medigap... Special Considerations for Persons Under Age ..."
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