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California Health Advocates

Details: The Health Insurance Counseling & Advocacy Program (HICAP) provides free, objective information and counseling on Medicare. Find your local HICAP and get answers regarding your Medicare rights and benefits. Fact Sheet Knowledge Center. We provide detailed Medicare information broken down into “bite size” pieces. Our 30+ comprehensive

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About Us - California Health Advocates

Details: About California Health Advocates. Founded in 1997, California Health Advocates is the leading Medicare advocacy and education non-profit in California. We receive financial support from private and public organizations. See our grantors and sponsors, meet our staff, read articles mentioning CHA, or read about our first 10 years. Our work includes:

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The Basics - California Health Advocates

Details: Medicare Basics. Medicare is a federally-sponsored health insurance program for people age 65 and older; people younger than 65 with a disability; people diagnosed with amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig’s disease; and those with end-stage renal disease (ESRD).

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Fact Sheets - California Health Advocates

Details: Detailed Medicare information broken down into “bite size” pieces. Our 36 fact sheets cover 9 major Medicare and other health insurance related topic areas (see index of fact sheets). Why subscribe? Professional-level material in an easily downloadable, printable format. Perfect for client handouts and group presentations.

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Health Care Reform - California Health Advocates

Details: Health care reform became law in March 2010 through 2 bills: Patient Protection and Affordability Care Act of 2010 (PPACA); and Health Care and Education Reconciliation Act of 2010 (HCERA). This section links to articles and resources on various aspects of health care reform, some affecting people with Medicare, and some affecting the pre

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HICAP - California Health Advocates

Details: Note: California Health Advocates supports HICAP through our membership program, training, technical assistance and educational materials, yet, CHA and HICAP are separate programs. HICAP is run through the California Department on Aging, which also manages their 1-800-434-0222 hotline.

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About HICAP - California Health Advocates

Details: HICAP (the Health Insurance Counseling & Advocacy Program) offers free, one-on-one Medicare counseling. Trained volunteer counselors can answer your questions and help you understand your Medicare rights and benefits, including how to appeal denials of coverage; Medicare supplemental insurance (Medigap policies); Medicare Advantage plans; employee and retiree coverage; and long-term care

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Our Team - California Health Advocates

Details: CHA is deeply grateful to our Board of Directors for their support and leadership. Our Board includes a dynamic group of individuals with experience serving as health advocates, senior citizens and/or disability community advocates, attorneys, professors, researchers, business and non-profit executives, and Health Insurance Counseling & Advocacy Program managers.

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Medi-Cal & Medicare for People with Disabilities

Details: Medi-Cal, the Medicaid program in California, provides health coverage to people with low-income and asset levels who meet certain eligibility requirements.Medi-Cal can supplement Medicare services and help pay Medicare premiums, deductibles and copayments.In certain cases, Medi-Cal may also be used to pay private health insurance premiums.

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Stanislaus - California Health Advocates

Details: Stanislaus County Dept. of Aging and Veteran Services; Address: 3500 Coffee Road Suite 19 Modesto CA 95355 – Google map Telephone (209) 558-4540: Fax (209) 558-8104

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TRICARE For Life (TFL) & Veterans Affairs (VA) Benefits

Details: TRICARE For Life (TFL) TRICARE For Life (TFL) is a program that provides health coverage to all military retirees, their spouses, survivors and other qualified dependents. TFL: Has no premiums or copayments for Medicare-covered services other than the Part B Medicare premium; Provides supplemental medical coverage for all Medicare Part A and B services

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COBRA & CalCOBRA Insurance - California Health Advocates

Details: 1 California law requires most companies to extend COBRA benefits for a total of 36 months when a person is entitled to fewer than 36 months of federal COBRA coverage. Some companies are exempt from this requirement. Contact the California Department of Insurance or call 1-800-927-4357 to find out if your employer is required to comply with this extension.

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Fraud & Abuse - California Health Advocates

Details: Call the health care provider listed on the Medicare Summary Notice or Explanation of Benefits and inquire about the questionable item(s). In many cases, it may be the result of a billing error, which can easily be corrected. If your question is not resolved and you still think the charges are fraudulent, call Senior Medicare Patrol: 1-855-613

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Contact - California Health Advocates

Details: California Health Advocates 5380 Elvas Avenue, Suite 221 Sacramento, CA 95819 – map 916-231-5110 • Fax: 916-231-5114 [email protected] Jasmine G. Suo Operations Manager

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San Mateo - California Health Advocates

Details: Self Help for the Elderly; Address: 1710 S. Amphlett Blvd., Suite 100 San Mateo, CA 94402 – Google map Telephone (650) 627-9350: Fax (650) 627- 9359: Program Manager

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Medi-Cal (for People with Medicare)

Details: Medi-Cal, the Medicaid program in California, provides health coverage to people with low-income and asset levels who meet certain eligibility requirements.While there are several ways to qualify for Medi-Cal, this section focuses only on Medi-Cal beneficiaries who also qualify for Medicare — individuals who are over a certain age and/or disabled.

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Long-Term Care Insurance: An Overview

Details: 5. Health Screening. Health screening (also known as medical underwriting) is a process insurance companies use to determine if they will sell you an LTC policy. If you already need LTC, or you have a serious medical condition, companies will not sell you an LTC policy. Health screening procedures vary by company.

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Appeals - California Health Advocates

Details: California Health Advocates > Appeals. If you are a beneficiary in Original fee-for-service Medicare, you have the right to appeal if Medicare denies payment for the services you receive. You have similar rights if you are in a Medicare Advantage (MA) plan and/or Medicare Part D prescription drug plan. Here, we explain these rights as well as

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Summary of Medicare Benefits and Cost-Sharing for 2021

Details: California Health Advocates > The Basics > Summary of Medicare Benefits and Cost-Sharing for 2021. The chart below is a comprehensive list of Medicare Part A and B costs, including premiums, deductibles and coinsurance. Medicare supplemental insurance, known as Medigap, can help cover some of the gaps in coverage and pay for part or all of

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Billing & Claims - California Health Advocates

Details: Regardless of what type of health coverage you have, it is important to keep a record of medical visits, treatment and providers involved in your care, as well as all billing-related paperwork. Here, we’ve compiled information to help you stay organized, keep records and file claims.

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Low-Income Help - California Health Advocates

Details: If you have low income and assets, you may qualify for help with some of your Medicare costs from one or more of the programs below. California’s Medicaid program, known as Medi-Cal, pays for certain care Medicare doesn’t, and helps pay the cost-sharing for the benefits and services Medicare does cover.Medicare Savings Programs (MSPs) also pay for some of Medicare’s cost-sharing, such as

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Santa Cruz - California Health Advocates

Details: Senior Network Services; Address: 1777 A Capitola Road Santa Cruz, CA 95062 – Google map Telephone (831) 462-5510: Fax (831) 476-4396: Program Manager: Bill Proulx [email protected]

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Guaranteed Issue - California Health Advocates

Details: During guaranteed-issue periods, companies must sell you one of the required Medigap policies at the best price for your age, without a waiting period or health screening.Guaranteed-issue periods are generally shorter than open enrollment periods and do not include as many choices.. You can usually apply for a guaranteed-issued Medigap policy as early as 60 days before your current benefits

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Disabilities - California Health Advocates

Details: Medicare provides health benefits for some people younger than age 65 with disabilities, including end-stage renal disease (ESRD).Here, we’ve compiled information about how to qualify for Medicare if you have a disability, other disability benefits programs and insurance options you can use with Medicare if you have a disability.

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Enrollment & Disenrollment in Medicare Advantage Plans

Details: Enrollment. If you want to join a Medicare Advantage (MA) plan, you must have Medicare Parts A and B. Your Part B premium will continue to be taken out of your Social Security or Railroad Retirement benefits check, unless you are enrolled in a Medicare Savings Program (MSP) or have full Medi-Cal (see our section on Low-Income Help).. You cannot be denied enrollment in an MA plan due to a pre

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Understanding Medicare’s Annual Wellness Visit: Frequently

Details: A thorough review of health, education and counseling about the preventive services covered by Medicare and referrals for other care if needed. Establishing a schedule for Medicare’s screening and preventive services you qualify for over the next 5 to 10 years.

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Overview of Medicare Advantage Plans

Details: Medicare Advantage (MA) is also known as Medicare Part C. An MA plan is an alternative to Original fee-for-service Medicare. MA plans are sponsored by Medicare, which pays private insurance companies to provide health services to beneficiaries who enroll in these plans.

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Medigap - California Health Advocates

Details: Medigap policies are a form of private supplemental insurance that pay for part or all of Medicare’s coinsurance and deductibles. Certain policies also cover health care costs that Medicare doesn’t cover, such as emergency medical care in foreign countries, and excess charges from a provider who does not accept assignment.. Unlike certain Medicare Advantage (MA) plans, Medigap policies do

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Senior Medicare Patrol - California Health Advocates

Details: About SMP. Senior Medicare Patrol (SMP) helps Medicare and Medicaid beneficiaries avoid, detect, and report health care fraud. They both protect beneficiaries and help preserve the integrity of the Medicare and Medicaid programs by recovering and avoiding the billions of dollars typically lost to health care fraud each year.

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News - California Health Advocates

Details: California Health Advocates (CHA) seeks new board members for new three year term beginning July 1, 2020. Nominations are due by March 31, 2020.

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The Process of Complaint Investigations

Details: Health Facilities Evaluator Manager II District Office Manager Licensing and Certification, East Bay Office . Goal of this presentation •To show how the investigation is pursued •Who is responsible •What regulations are used •What is a “substantiated” complaint allegation

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Relief Payments from the CARES Act Will Not Be Counted as

Details: We at California Health Advocates would also like to hear about it at [email protected] Additional Resources Q&A on How Federal Unemployment Benefits and Economic Impact – This document created by the National Council on Aging, provides information on federal unemployment benefits and how they may or may not affect your eligibility

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Medicare Fraud Alerts - California Health Advocates

Details: SEPTEMBER 26, 2013 – The roll out of the new health care program known as “Obamacare” begins October 1st, with enrollment from October 1, 2013 – March 31, 2014. This alert warns of the growing number of scams that take advantage of people’s confusion surrounding the new health care program, and provides simple tips on how to avoid them.

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Updated! ~ Do You Have an Aetna Medicare or First Health

Details: First Health Part D plans are listed because First Health contracts with Aetna. First Health Part D plans have prescription drug benefits only. Aetna Medicare plans include stand-alone prescription drug plans (PDP) and Medicare Advantage (MA) plans that cover prescription drugs as well as medical and hospital benefits.

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Enrollment in Medicare Part D (Prescription Drugs)

Details: Drop your current coverage and join a Medicare Advantage plan or other Medicare health plan that covers prescription drugs. If you are covered by TRICARE, Department of Veteran’s Affairs (VA) or the Federal Employee Health Benefits (FEHB) Program , you will be happy to know that all 3 programs offer creditable drug coverage .

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Tulare - California Health Advocates

Details: Do you have comments or concerns about your Medicare coverage? Issues regarding getting your needed prescriptions from your Part D plan, or a Medicare Advantage plan representative's marketing practices?

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Other Health Insurance

Details: Medicare is a federal health care program for seniors and people with disabilities. It does not cover health care services such as dental care, glasses and hearing aids. In addition, Medicare does not cover 100% of certain covered costs.

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San Francisco - California Health Advocates

Details: Self Help for the Elderly; Website: hicap.org: Address: 601 Jackson Street, 2nd Floor San Francisco, CA 94133 – Google map: Telephone (415) 677-7520: Fax

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Frequently Asked Questions about Long-Term Care Insurance

Details: The California Partnership for Long-Term Care is a program of the California Department of Health Care Services (DHCS). It is an innovative partnership between consumers, the State of California and certain participating insurance companies.

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Stand Out in Your Outreach: Tips for Success at Health Fairs

Details: Many health fairs repeat at the same time every year. Some ideas of places to contact include: Your local Area Agency on Aging, as they often have a list of upcoming events each month. Senior centers in your area; ask for the dates for their health fairs. Your local Parks and Recreation Department as they also have a list of events.

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Medicare Advantage - California Health Advocates

Details: A Medicare Advantage (MA) plan is an alternative to Original fee-for-service Medicare. Medicare pays MA plans to manage beneficiaries’ health care. Currently, 3 types of MA plans exist. This section includes information on these plans, questions to consider when choosing a plan and special rights if your plan terminates coverage.

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Medicare Savings Programs (MSPs) - California Health Advocates

Details: If you are already enrolled in both Medicare parts, contact your California Department of Health Care Services (DHCS) county office to apply for these programs or the 250% California Working Disabled (CWD) program. Note: Having Medicare is not required to enroll in the CWD program.

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Mission - California Health Advocates

Details: California Health Advocates believes that its mission and vision should be achieved by adhering to the following basic core values: Respectful partnerships and common understanding among stakeholders Acting ethically and with integrity

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2021 Fact Sheet Index - California Health Advocates

Details: F. Medicare and Other Health Insurance Coverage F-001 Employer Group, COBRA, Extended Continuation of Coverage, and Individual Health Insurance 06-19-19 F-002 People with Medicare and TriCare for Life 12-16-13 F-003 Medicare and Veterans Administration Medical Benefits Package 10-04-12 F-004 COBRA & Medicare 05-11-20 G. Billings and Claims

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Medicare for People with Disabilities: An Overview

Details: If you think a physician or health care plan is denying your disability rights, file a complaint with your medical group, your plan and the U.S. Department of Justice (202-353-1555). If you need help, contact your local Health Insurance Counseling & Advocacy Program (HICAP) office (1-800-434-0222) for free counseling and information. back to

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How to Qualify for Extra Help/Low-Income Subsidy (LIS

Details: Eligibility for Extra Help/LIS for 2021. You are automatically enrolled in a drug plan with the Extra Help/Low-Income Subsidy (LIS) program for 2021 if you qualify for Medi-Cal or a certain type of Medicare Savings Program (Qualified Medicare Beneficiary, Specified Low-Income Medicare Beneficiary or Qualified Individual program). The chart below explains what you will pay for your Part D

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Are You Practicing Cultural Humility? – The Key to Success

Details: Cultural competence has become a ‘buzz’ word in the world of public health and health care. Academic institutions, health care and service providers, and governmental agencies across the country are focusing on developing “cultural competence” as a way to address health disparities and create health equity.

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When Medicare Advantage Plans Terminate Coverage

Details: Insurance companies must let you buy 1 of these 8 standardized Medigap plans — A, B, C, F (with or without the high deductible option), K, L, M or N — regardless of your health condition, unless you are younger than 65 and have end-stage renal disease (ESRD).

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Open Enrollment - California Health Advocates

Details: During open enrollment, companies must sell you one of the required Medigap policies at the best price for your age, without a health screening (also known as medical underwriting). However, companies may impose a waiting period for pre-existing conditions.. Here, we’ve compiled the information you need to know about this important timeframe.

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Why Can’t Medicare Negotiate Lower Drug Prices for Part D?

Details: This is a very different scenario than in other countries, like Canada and Europe, where all government health plans bargain with the drug companies to protect their citizens. “Per capita drug spending in the U.S. is about 40% higher than in Canada, 75% greater than in Japan and nearly triple the amount spent in Denmark,” according to an

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