common health care information
DESCRIPTION
Common Health Care Information. Publicly Funded Programs for Basic Healthcare. Government sponsored ( funded ) health programs Not just for people with disabilities healthcare for anyone who qualifies Most are for people with low incomes. - PowerPoint PPT PresentationTRANSCRIPT
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Common Health Care Information
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Publicly Funded Programs for Basic Healthcare Government
sponsored (funded) health programs
Not just for people with disabilitieshealthcare for
anyone who qualifies Most are for people
with low incomes
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Publicly Funded Programs for Special Populations
Only for people who have disabilities Medi-Cal for Aged,
Blind and Disabled California Children’s
Services (CCS) Most are for people
with low incomes
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Financial Eligibility
Each program will have financial eligibility. This may be based onfamily income
family size
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Financial Eligibility
Resources • Money in
savings• Things you own
• Besides your home, one car and personal belongings (clothes)
• Bonds, stocks, etc.
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What is the Federal Poverty Level (FPL)
Combination of family size and income.A family of 4 who
earns $19,350 per year is at 100% FPL
$19,350 = 100% FPL
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What is the Federal Poverty Level (FPL)
• A family of 4 who earns $48,375 per year is at 250% FPL
$48,375 = 250% FPL
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What is Federal Poverty Level Programs that use
FPL have an eligibility level Medi-Cal for
children 6-18 without disabilities is 100% FPL
Healthy Families is 250% FPL
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Does immigrant status matter
Do you have to be a citizen or documented to use this program?
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Does immigrant status matter Public Charge
count against you for citizenship or a greencard
Would your sponsor have to repay for the healthcare you receive?
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Privately Funded Programs
provided by your employer or that you purchase on your own
Covers health, mental health, emergency care
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Important Terms to know
Health Maintenance Organization
Premium Deductible Co-Pay
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Health Maintenance Organization (HMO)
all of your care comes from the same group
general doctor (primary care) is a gatekeeper.
• the doctor you see first
• Need a referral from the gatekeeper to see a specialist
pays for all of your well and sick care.
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Premium
The amount you pay to be covered by the healthcare plan
Examples:• Healthy Families• 250% Working
Disabled Program• Private Insurance
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Deductible
The amount you must pay before the insurance begins to pay for care
Examples:• Private insurance
(indemnity)• Share of Cost Medi-Cal
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Co-pay
The amount you must pay each time you go for care
Examples• HMO• Healthy Families