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Health Reformis Here! Prsrt Std US Postage 201 Third Street, 7th Floor Paid San Francisco, CA 94103 Fairfield, CA www.healthysanfrancisco.org Permit No 8 Have you moved? To update your information, call Customer Service at (415) 615-4555. The following summary of benefits NEWS AND UPDATES Fall 2013 compares your current Healthy San Francisco Look inside for more information about Working together for your health A Publication for Healthy San Francisco Participants Access Program and the Medi-Cal managed health care options. care insurance program. Healthy San Francisco Medi-Cal Benefits Health Care Access Managed Care Health Insurance Health Reform Not insurance is Here! Cost Sliding scale based on income: $0 Program cost n March 2010, President Obama signed the Care Act provides new funding to make sure that $0-$60 Program cost $0 Copay Affordable Care Act into law. The purpose of the everyone, particularly those with limited incomes, can Affordable Care Act is to improve the value and get free or discounted health insurance if they meet $0-$137 Primary care* $0 Pharmacy I delivery of health care in the United States. One of the citizenship and income requirements. $0-$25 Pharmacy $0 ER visit ways to do this is by increasing the number of Americans $0-$50 ER visit $0 Same-day surgery with health insurance. In California, that means Medi-Cal, the state’s free public $0-$100 Same-day surgery $0 Inpatient health insurance program, will be expanded so that it’s Beginning January 1, 2014, most Americans will be $0-$200 Inpatient/Admitted available to more people beginning January 1, 2014. For 1273 HSF 0913 required to have health insurance (except for members * Cost varies according to the 19059 those people who earn too much to qualify for of Indian tribes, the undocumented, and those eligible Medi-Cal, Covered CaliforniaTM will be there to help complexity of the visit for religious or affordability exemptions). The Affordable them buy affordable private health insurance. Pharmacies & Limited to the pharmacies in your Limited to the pharmacies in your Prescription Drugs Medical Home Network plan’s network Our New Healthy San Francisco Doctors San Francisco Department of Public Primary care services are available Health clinics at clinics through your plan’s Website Launched! San Francisco Community Clinic network Consortium clinics WELCOME TO THE NEW Kaiser WWW.HEALTHYSANFRANCISCO.ORG! Chinese Community Health Care We’ve re-designed our website to Assoc. provide more information for our Brown & Toland participants, providers and visitors. Hospitals Hospital services are Hospital services are With the new design, it’s easy to find available ONLY at hospitals in your available at hospitals in your plan’s exactly what you’re looking for. Medical Home Network network We’ve added new content to help Emergency Services Emergency services are Emergency and post-stabilization answer your questions about health available ONLY at hospitals in your services available anywhere within reform and what it means to you. Medical Home Network the USA If you have a question, we have Plan Network Hospital services are available ONLY Hospital services are the answer! You can also send us Hospitals at San Francisco General Hospital available at hospitals in your plan’s questions through the website. network Give it a test run. Visit us at Non-emergency None Covered www.healthysanfrancisco.org and let Transportation us know what you think! Specialists Through your Medical Home ONLY Specialty care is available through providers in your Plan’s network For information only; please check with specific plans for further information. What is What Does Health Reform Mean What are for You as a Healthy My Options? Medi-Cal? Medi-Cal is California’s free public health insurance San Francisco Participant? program. It is paid for by the state and federal government. TM Medi-Cal Covered California Healthy San Francisco Over 8 million Californians currently depend on Medi-Cal for comprehensive health care services, including primary EALTH REFORM IS GOOD uninsured. Healthy San Francisco But you won’t be able to stay Free, comprehensive health State of California health A City and County health access and specialty care, hospitalization, prescription drugs, insurance, including doctor visits, insurance marketplace that can program. Healthy San Francisco NEWS FOR HEALTHY SAN coverage does not meet the on Healthy San Francisco if long-term care, and durable medical equipment. Beginning hospitalization, and prescription help you choose the right health is not health insurance. FRANCISCO PARTICIPANTS. health insurance requirements of you’re eligible for Medi-Cal or May 2014, dental services will also be available to adults H What is it? drugs. insurance for you and your family. Most Healthy San Francisco participants the Affordable Care Act. discounted coverage through through Medi-Cal. will now be eligible for free health Covered California. It will cover you if you get sick or Covered California can also help Health insurance is always a better TO ENROLL IN MEDI-CAL, YOU MUST: insurance through Medi-Cal or injured outside of San Francisco. you pay for health insurance. discounted health insurance through choice. Now, the Affordable Care Beginning October 1, 2013, Healthy 1. Apply. Covered CaliforniaTM. Act has made health insurance free San Francisco Application Assistors Certain legal immigrants Legal immigrants and U.S. citizens. Any San Francisco resident ages 2. Meet certain income and citizenship/legal residency or affordable for you if you meet can answer your questions and help and U.S. citizens who: 18-64 who does not have health rules. Healthy San Francisco Application Assistors can Remember, Healthy San Francisco is citizenship requirements. you enroll in Medi-Cal or Covered No income limits. insurance and is ineligible for help explain what you need to do and may be able to not insurance. So even though you California. And don’t forget to check • Earn under $15,860 health insurance through Medi-Cal help you enroll. Healthy San Francisco will still be there (single-person family) or You may qualify for discounts if or Covered California. are enrolled in Healthy San Francisco out the Healthy San Francisco website Who is and have access to health care for people who aren’t eligible to enroll (www.healthysanfrancisco.org) $32,500 (family of four) your family income is less than If you need help getting in touch with a Healthy services, you are still considered in Medi-Cal or Covered California. for updates. eligible? – or – $45,960 (single-person family) or San Francisco Application Assistor, you can call Healthy • Are aged, blind, or disabled $94,200 (family of four). San Francisco Customer Service at (415) 615-4555. Talk to your HSF Assistor to get help Talk to your HSF Assistor to get help figuring out your family income. figuring out your family income. Beginning in October 2013: Talk to your HSF Assistor for help. Talk to your HSF Assistor for help or referral – or – Get more information at Apply online at www.coveredca.com www.healthysanfrancisco.org What is – or – How do Apply over the phone at (855) 355-5757 I sign up? – or – Apply in person at SF BenefitsNet Covered 1440 Harrison Street TM Monday - Friday from 8:00am to 5:00pm California ? Covered California was created by the state of California to help Californians purchase affordable private health insurance. It does this by offering Enroll Now! high-quality health insurance choices that have been prescreened so you can focus on what works You can start enrolling in new coverage options beginning October 1, 2013. Keep in mind, best for you and your family. Covered California is only open for enrollment until March 31, 2014. Act now to take advantage Most importantly, Covered California is the only of this new opportunity! place where you can access federal subsidies • Talk to your HSF Assistor for help or referral to help you pay for health insurance. Covered • Apply online at www.coveredca.com California is for people who earn too much to • Apply over the phone at (855) 355-5757 qualify for Medi-Cal and must individually buy private health insurance. If you’re not sure what you’re eligible for, Healthy San Francisco is here to help. Talk to your HSF Assistor or call Customer Service at (415) 615-4555. What is What Does Health Reform Mean What are for You as a Healthy My Options? Medi-Cal? Medi-Cal is California’s free public health insurance San Francisco Participant? program. It is paid for by the state and federal government. TM Medi-Cal Covered California Healthy San Francisco Over 8 million Californians currently depend on Medi-Cal for comprehensive health care services, including primary EALTH REFORM IS GOOD uninsured. Healthy San Francisco But you won’t be able to stay Free, comprehensive health State of California health A City and County health access and specialty care, hospitalization, prescription drugs, insurance, including doctor visits, insurance marketplace that can program. Healthy San Francisco NEWS FOR HEALTHY SAN coverage does not meet the on Healthy San Francisco if long-term care, and durable medical equipment. Beginning hospitalization, and prescription help you choose the right health is not health insurance. FRANCISCO PARTICIPANTS. health insurance requirements of you’re eligible for Medi-Cal or May 2014, dental services will also be available to adults H What is it? drugs. insurance for you and your family. Most Healthy San Francisco participants the Affordable Care Act. discounted coverage through through Medi-Cal. will now be eligible for free health Covered California. It will cover you if you get sick or Covered California can also help Health insurance is always a better TO ENROLL IN MEDI-CAL, YOU MUST: insurance through Medi-Cal or injured outside of San Francisco.
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