其他資源


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Location and Time

Thursday, May 30: 10:00 – 12:00

Fremont Family Resource Center — Pacific Room  
39155 Liberty St.  
Fremont, CA 94538  

RSVP

http://tinyurl.com/cqn57dy

Flyer

PDF flyer for the May 30th Forum (to be posted)

Meeting Materials

To be posted.

May 30th Power Point Presentation

Handouts

Online Evaluation

May 30th Forum Q & As

¿Cuáles documentos debo traer a la cita de determinación de elegibilidad?

Usted debe traer alguna forma de identificación (ejemplo: su licencia de conducir o una identificación con foto), prueba de residencia (un recibo de algún servicio público u otro documento de correspondencia donde aparezca su dirección), comprobante de ingreso (los dos últimos talones de pago, la última declaración de impuestos, cheque del seguro social) y si tiene, prueba de ciudadanía. Para información más detallada, consulte aquí.

¿Cuántos residentes sin seguro hay en el Condado de Alameda?

De acuerdo con la Oficina del Censo de EE.UU., en el 2010 había alrededor de 199,000 residentes sin seguro en el Condado de Alameda. Para más información y reportes sobre las personas sin seguro del Condado de Alameda, haga clic aquí.

¿Hay algún programa especial en el Condado de Alameda para los que no tienen seguro?

Sí. El Condado de Alameda ofrece un programa llamado HealthPAC. Este programa ofrece servicios de salud a los residentes del Condado de Alameda cuyo nivel federal de pobreza es inferior al 200% y no tienen seguro. Si queda inscrito en este programa, tendrá acceso a servicios de salud gratuitos o de bajo costo en ciertas clínicas y centros médicos. Para encontrar una clínica donde pueda inscribirse y conocer más sobre el programa, por favor haga clic aquí.

¿Qué debo esperar de la primera cita con el médico?

Cuando usted va a una clínica a su primera cita, primero debe registrarse en la recepción. Recuerde traer:

  • Una identificación con foto
  • Cualquier tarjeta que le hayan entregado en la cita de determinación de elegibilidad

El personal de recepción le preguntará su nombre, cobrará el copago o tarifa (si aplica), y le dará otras instrucciones. Después debe esperar a que le llamen. El tiempo que debe esperar dependerá de qué tan ocupada esté la clínica. Un auxiliar médico le llamará y tomará su peso, presión arterial y temperatura, después le hará preguntas sobre su historia médica y le preguntará el motivo de su consulta. Después le atenderá el médico. Recuerde traer:

  • Todos los medicamentos que está tomando,
  • Una lista de preguntas que desee formularle al médico,
  • Un cuaderno para escribir las instrucciones del médico
¿Qué debo esperar durante la determinación de elegibilidad en una clínica?

En esta cita, el personal de la clínica examinará cuáles programas podrían cubrir el costo de sus servicios de salud. Le harán preguntas sobre los miembros de su familia, su ingreso, su residencia y su condición migratoria. Toda la información migratoria es confidencial. Sacarán copia de los documentos. Después de esta cita, el personal de la clínica le dirá para cuáles programas califica y hará una cita para que le atienda un médico.

¿Qué puedo esperar cuando llame a una clínica?

Si usted está llamando para hacer una cita y nunca le han atendido en esa clínica, debe prepararse para esperar. Primero, haga una cita para determinar la elegibilidad e inscribirse en los programas de cobertura de salud. Después de eso, puede hacer una cita médica con un médico u otro proveedor.

Cuando llame, la clínica le hará algunas preguntas sobre su familia, si tiene seguro, y su ingreso, para saber a cuáles servicios y cobertura de salud podría calificar. Ellos harán una cita para revisar su información y le dirán cuáles comprobantes de ingreso debe traer.

Consulte aquí más información sobre lo que puede esperar.

Sept 16, 2013Low Income Health Program Transition to Medi-Cal

Alameda County Health Care Services Agency and Alameda County Social Services Agency just completed a new report on the transition to Medi-Cal for those persons currently enrolled in the Low-Income Health Program or HealthPAC.

The report can be found here: Low Income Health Program Transition to Medi-Cal 

About Us

Each week, achealthcare.org provides assistance to thousands of uninsured residents that are looking for health services.  The website was created by a collaboration of safety net health providers. It is currently being maintained by Alameda County Health Care Services agency, and a workgroup of the original partners still meet on a regular basis to discuss content changes.

Background:

In 2009, safety net partners conducted a baseline assessment of the uninsured in Alameda County.  In the process of writing the report, it was discovered that there was no comprehensive, consumer-friendly online resource that provided information to Alameda County residents about health care and health insurance options.

In 2010, staff from the community health centers, the public health department, the local Medi-Cal managed care plan, and 211 met to develop content for a web resource. In 2011, achealthcare.org was launched.

 

Partners include:

 Alameda Alliance for Health


 Alameda County Medical Center


 Alameda Health Consortium


Alameda County Health Care Services Agency

 Behavioral Health Care Services

 Public Health Department


 Alameda County Social Services Agency


For more information, please contact:

Danice Cook
Alameda County Health Care Services Agency
danice.cook@acgov.org

Access for Infants and Mothers, AIM

Women between 200% and 300% FPL and residing in California may enroll in the AIM (Access for Infants and Mothers) program through her pregnancy and up to 60 days after birth. A mother’s enrollment in AIM will enroll her child in Healthy Families for that period of time (it is still to be determined whether and how these AIM-linked infants will enroll in Medi-Cal instead of Healthy Families in 2014).  (Healthy Families is a low-cost insurance program that provides health, dental and vision coverage to children who do not have insurance and do not qualify for Medi-Cal. The Healthy Families program began transitioning to Medi-Cal in January 2013. It is still to be determined whether and how these AIM-linked infants will enroll in Medi-Cal instead of Healthy Families in 2014.)

How and Where to Apply

  • Visit the AIM website for information on how to enroll, eligibility, and a paper mail-in application.
  • Call 1-800-433-2611 for Enrollment Assistance.
  • Enrolling in AIM as a resident of Alameda County will enroll you in Anthem Blue Cross HMO, which will manage your plan post enrollment.

AIM Services

More detail on benefits and cost see the AIM program handbook on the AIM website.

Mothers and infants enrolled in AIM are eligible for the following:

Physician & Professional Services • Alcohol & Drug Abuse Treatment

  • Preventive Care
  • Skilled Nursing
  • Maternity Care
  • Home Health Services
  • Hospital Services
  • Blood & Blood Products
  • Diagnostic X-ray and Laboratory Services
  • Family Planning
  • Maternity Care
  • Prescription Drugs
  • Serious Emotional Disturbance
  • Health Education Services
  • Inpatient/Outpatient Alcohol & Drug Abuse
  • Emergency Health Care Services
  • Medical Transportation
  • Physical, Occupational, Speech Therapy
  • Durable Medical Equipment  (Appropriate for use in home)
  • Home Health Care Services
  • Mental Health Care
  • Skilled Nursing Care

What to Expect After Applying

Normal processing time for a complete application is 10 days. You will receive a letter from the AIM Program once enrolled. If the application is incomplete, you will receive a letter requesting the additional information needed and the processing time will be longer. You will receive an evidence of coverage booklet and an insurance card from the health plan you selected once enrolled in AIM. The effective date of coverage is 10 days after  enrollment.

Cost and Payment

Cost is 1.5% of your total adjusted annual household income after income deductions (total cost, not monthly premium).

More Information

See the AIM website or click here for information on pregnancy health insurance options.

Next Section: Medicare

Acerca de nosotros

Ampliación de cobertura de salud y aumentar el acceso a la atención de alta calidad

El acceso a la atención en colaboración (en colaboración) del Condado de Alameda fue establecido en 2001 para construir alianzas estratégicas entre las organizaciones y desarrollar estrategias en todo el condado para “ampliar la cobertura de salud y aumentar el acceso a la atención sanitaria de alta calidad” en el condado de Alameda.

Entre los Miembros de la Asociación están:

La atención en colaboración está compuesta por los dirigentes de las organizaciones de atención de salud en el Condado de Alameda un gran número de personas de bajos ingresos sin seguro médico, las personas con Medi-Cal, y otros programas públicos de seguro médico.

Ingrid Lamirault, MPH, Chief Executive Officer (Chair)
Alameda Alliance for Health


Wright Lassiter, III, Chief Executive Officer
Alameda County Medical Center


Jane Garcia, MPH, Chief Executive Officer,
La Clínica de La Raza

Sherry Hirota, Chief Executive Officer,
Asian Health Services

Ralph Silber, MPH, Executive Director
Alameda Health Consortium


Alex Briscoe, MFT-I, DPS, Agency Director
Alameda County Health Care Services Agency

Marye Thomas, MD, Director
Behavioral Health Care Services

Anita Siegel, RN, MPH, Acting Director
Public Health Department


Yolanda Baldovinos, MSW, Agency Director
Alameda County Social Services Agency


Para obtener más información, póngase en contacto con el personal del Condado de Alameda de acceso a la atención de colaboración:

Beth Newell, Project Analyst
Alameda County Access to Care Collaborative
bethn@alamedahealthconsortium.org

Luella Penserga, MPH, Project Director
Alameda County Access to Care Collaborative
luellap@alamedahealthconsortium.org

Este sitio web fue posible gracias al generoso apoyo de:

and

Aged Individuals

Medicare

Medicare is the federal health insurance program for people age 65 and older. For more information on enrollment and eligibility see Coverage, Service Eligibility and Payment (Medicare).

The ACA expanded Medicare’s coverage of free preventive services, such as screenings for colon, prostate, and breast cancer.

Individuals may be eligible for no-cost Medicare options if they, or their spouse, worked and paid Medicare taxes for at least 10 years, or 40 quarters.

Medicare Part D Prescription Drug Plan

The ACA has narrowed the gap in Medicare Part D prescription drug plan costs to make it more affordable. Previously, when a Medicare beneficiary entered the “donut hole” they became responsible for the total cost of a covered drug until they spent enough on medications to be considered “catastrophic,” after which point the prescription drug plan would again share the cost of the covered drug. As a result of the ACA, that coverage gap will be closed entirely by 2020. Aged individuals will still be responsible for 25 percent of their prescription drug costs.

Alliance CompleteCare

Alliance CompleteCare is a health plan for residents of Alameda County that combines Medicare, Medi-Cal and Part D prescription drug coverage with no premiums, deductibles, or co-pays, as well as dental and vision care.

For more information, call 1(877) 585-7526 or visit their website.

Supplemental Security Income (SSI)

Supplemental Security Income is a federal cash assistance program for low-income, low resourced individuals. Aged individuals and/or couples are eligible for SSI if income is not greater than the current SSI monthly benefit in California ($886.40 for an individual/$1122 for a couple). Assets are limited to $2000 per individual, or $3000 for a couple. These individuals are automatically linked to Medi-Cal.

More Information

For more resources for aged individuals, see this section of the website.

Next Section: Children

Alameda County Social Services

Provides services to Alameda County residents, including: food assistance, cash assistance, child and family services, employment training and other services. See Alameda County Social Services for more information.

See office locations here.

Alameda 縣是否為沒有參加保險的人士提供特殊計劃?

是的。Alameda 縣提供一項名為 HealthPAC的計劃。此計劃向處於聯邦貧窮線 200% 以下且未參加保險的Alameda 縣居民提供健康服務。加入此計劃後,您可在某些診所和機構獲得免費或低價健康服務。若欲尋找一間您可加入的診所,或欲知有關此計劃的詳情,請按此處

Alameda 縣有多少居民沒有參加保險?

根據美國 人口普查局的統計,2010 年 Alameda 縣在約有 199,000 名居民沒有參加保險。如需更多有關 Alameda 縣未參保人士的資料及報告,請按此處

Alimentación de emergencia

Línea de asistencia del Condado de Alameda para conseguir alimentos

Llame al 1-800-870-3663 (FOOD) de lunes a viernes, de 9 a.m. a 12 p.m. y de 1 p.m. a 4 p.m.

La línea de asistencia para conseguir alimentos es el programa de referencia del banco de datos del condado, sobre alimentos, que conecta a las personas con programas de alimentación de emergencia en su vecindario.

Durante los meses de verano la línea puede usarse para remitir a los niños a donde pueden obtener almuerzos gratuitos y durante noviembre y diciembre se puede usar para remitir a programas de alimentación de vacaciones.

Además las personas que llaman reciben información sobre otros programas, como Mujeres, Bebés y Niños (WIC) y Cupones para alimentos.

El personal y los voluntarios de la línea de asistencia para conseguir alimentos pueden atender llamadas en 140 idiomas.

Alliance Group Care/IHSS

Alliance Group Care is an employer-sponsored plan that provides comprehensive health care coverage to In-Home Supportive Services (IHSS) workers in Alameda County through a contract with the Public Authority for IHSS in Alameda County.

To learn more about eligibility and to request an application, contact the Public Authority at (510) 577-3551.  For information, see here.

Alliance Group Care/IHSS

Alliance Group Care/IHSS de Alliance Group Care es un plan patrocinado por el empleador que provee cobertura integral de salud a los trabajadores de Servicios de Apoyo en el Hogar (IHSS) del Condado de Alameda a través de un contrato con la Autoridad Pública para los IHSS del Condado de Alameda.

Para saber más sobre los requisitos de elegibilidad y para pedir una solicitud, comuníquese con la Autoridad Pública al (510) 577-3551. Para información, consulte aquí.

Alojamiento de emergencia

Si usted desea una lista de albergues abiertos al público que provean camas, llame al 211 para obtener la información más actualizada.

Announcements

Please spread the word about this community event to colleagues, customers, friends, and community partners!

Alameda County Supervisor Nate Miley in partnership with the County Public Defender’s office will be hosting a special event:

Oakland Community Festival
Saturday, June 18, 2016 from 11am-3pm
Verdese Carter Park
9600 Sunnyside Street in Oakland

This family-friendly event that will feature activities for young people of all ages and essential services that assist working families and those who have been involved with the criminal justice system. Activities will include: intake for reducing or expunging criminal convictions, Medi-Cal and CALFresh enrollment, a bounce house, healthy cooking presentations, a basketball tournament, first aid demonstrations and much more.

https://alamedasocialservices.org/public/pdfs/oaklandcommunityfestival_2016-06-18_english.pdf

https://alamedasocialservices.org/public/pdfs/oaklandcommunityfestival_2016-06-18_spanish.pdf

Apoyo para conseguir vivienda

Lista de albergues del Condado de Alameda
Si usted desea una lista de albergues abiertos al público que provean camas, llame al 211 para obtener la información más actualizada.

Homeless Action Center (HAC)
Asesoría legal para las personas sin hogar y para los enfermos mentales

Servicios de salud para las personas sin hogar
Servicios de salud y ayuda para las personas sin hogar de todo el Condado de Alameda.

Servicios Sociales de Alameda
Servicios de alojamiento y servicios para las personas sin hogar

EveryOne Home
Trabajando para acabar con el problema de las personas sin hogar del Condado de Alameda

Vivienda y desarrollo de la Comunidad
Recursos de vivienda y para resolver el problema de las personas sin hogar del Condado de Alameda

Appendix D: Price of Insurance with Covered California

Actual costs for insurance premiums on the Exchange depends on individual age, family size, and income.

The following shows some examples to give individuals a range of possibilities.

Silver Plan Silver Plan - 4person

Table of Contents

Asistencia alimentaria

Llame a la línea de asistencia del Condado de Alameda para conseguir alimentos, para obtener información sobre alimentación de emergencia o para solicitar cupones para alimentos. 1-800-870-3663 (FOOD)

Ingrese a Departamento de Servicios Sociales del Condado de Alameda para información sobre asistencia alimentaria y para solicitar cupones para alimentos/Programa de Asistencia de Nutrición Suplementaria (SNAP).

Asistencia monetaria/CalWORKS

El programa CalWORKS provee asistencia financiera y servicios enfocados en el empleo, temporales, para las familias con niños que devengan ciertos ingresos. Para más información ingrese a Servicios Sociales del Condado de Alameda o llame al 1-888-999-4772.

Can my health insurance company cancel my insurance?

To learn more about your rights or file a complaint, see this section.

Capacitación para trabajar

Job Star
Una lista de centros de desarrollo profesional del Condado de Alameda

East Bay Works
Una asociación de entidades públicas, entidades sin fines de lucro y organizaciones privadas de los condados de Alameda y Contra Costa que ayuda a las empresas y a quienes buscan empleo a suplir sus necesidades laborales. Encuentre aquí los Centros integrales de desarrollo profesional (Oakland)

Cash Assistance/CalWORKS

The CalWORKS program provides temporary financial assistance and employment focused services to families with children who have a certain income. For more information see Alameda County Social Services or call 1-888-999-4772.

Changes for Former Foster Care Youth

How does the Affordable Care Act Help Former Foster Youth?

  • Former foster youth will be eligible for Medi-Cal until age 26 under the federal Affordable Care Act.
  • To qualify, individuals must have been in foster care on their 18th birthday.

How Do California Former Foster Youth Enroll?

  • Youth who are already 21, but under the age 26, must wait until January 2014 to enroll in Medi-Cal for former foster youth.
  • In the meantime, these youth should enroll in Alameda County’s Low-Income Health Program (LIHP) through Health Care Services Agency. In January 2014, individuals enrolled in the low income health plans will be transferred to Medi-Cal.
  • Youth who turn 21 between July-December 2013 will maintain coverage until age 26 and do not need to take any additional steps to enroll so long as Medi-Cal is currently on (if a youth is/was dis-enrolled for some reason, he/she can re-enroll as long as he/she is under 26).
  • Youth who turn 21 after January 2014 will maintain coverage until age 26 and do not need to take any additional steps to enroll so long as Medi-Cal is currently on (if a youth is/was dis-enrolled for some reason, he/she can re-enroll as long as he/she is under 26).

 Does the Affordable Care Act Help Youth Who Move Out of State?

  • California will provide coverage to former foster youth from other states who were in care on their 18th birthday. Therefore, if a youth was in foster care on their 18th birthday in another state and they move to California, they can obtain Medi-Cal.
  • However, it is not clear if other states will choose to extend coverage to former foster youth from other states, and the federal government has not yet finalized regulations that will determine whether other states are required to provide this coverage. Therefore, if a youth whose dependency was established in California moves to another state, he/she must check with that state to see if they can obtain coverage from that state until age 26.

What is Alameda County doing to help Former Foster Care Youth?

  • Alameda County Social Services Agency (SSA) is in the process of working through all of the new requirements related to ensuring these former foster youth maintain and receive health coverage. SSA’s Department of Child and Family Services is waiting for additional guidance from the State, and will provide updates as more details come forward.
Changes to Health Care Coverage Across California

This section explains how certain ACA requirements, specifically the establishment of a health insurance marketplace (an “exchange”) and related features, will be implemented in California.

The Exchange: Covered California

The ACA mandates that every state create a health insurance marketplace, otherwise known as an “exchange.” Exchanges are places where uninsured consumers can compare selected private health insurance plans in their area. The idea is to make it easier for the public to see the costs, benefits, and quality of each plan before purchasing one. California has decided to run its own exchange; some other states have decided to let the federal government run their exchanges.

Individuals and families eligible for exchange based plans will enroll and manage their coverage through California’s exchange, known as Covered California. People can shop for plans that meet their needs and level of income using a comparison tool. Insurance companies on Covered California must offer Qualified Health Plans (QHPs) that provide minimum essential coverage. These QHPs vary according to the proportions of total health costs that an average person would pay.

Many different insurance companies are participating and competing in the marketplace, which keeps premiums and costs low for participants. Covered California plans in Alameda County, plan types, and provider network information can be found to the right.

Covered California: Eligibility & Enrollment

Covered California is open to all citizens and legal permanent residents who wish to enroll, if they are not already covered by other public, private, or
employer-sponsored insurance. Adults under the age of 30 who do not want to pay higher premiums for plans with more comprehensive coverage can enroll in a catastrophic health plan through Covered California, which will have low monthly premiums but less coverage.

Individuals and families can enroll in QHPs by phone, online, or by visiting a Certified Enrollment Entity (see page 9 for partial list of eligible entities). When individuals look to enroll, they should check to see that the physician they would like to see and the hospital that they are most likely to go to are in the network for the insurance providers that they are interested in.

Alameda County CoveredCA Plans

Enrollment Online: www.CoveredCA.com

When a client logs onto the Covered California website and completes their secure identification information, Covered California will then show a selection of customized plans that are available to the client based on age, income, and location.

When an application is completed through Covered California, there may be enough information to determine preliminary eligibility for other assistance programs (i.e., CalFresh or CalWORKs). If an applicant appears eligible for another program, they will be referred to the appropriate county agency for a final eligibility determination and enrollment into those other programs.

Behind the Scenes: CalHEERS

Covered California created a new electronic database system to manage enrollment information.

CalHEERS (California Health Eligibility Enrollment and Retention System) maintains all client records for Covered California plan enrollees and communicates with other databases that contain information on client income and eligibility for other programs (e.g., the Internal Revenue Service (IRS) and the Social Security Administration). CalHEERS is designed to utilize information from other county, state, and national databases that contain client identification, tax, and citizenship information.

Enrollment by Phone: Customer Service Call Center

One new system to assist in enrolling people in Covered California QHPs is the Covered California Customer Service Call Center. These Centers will field enrollment, eligibility, and case management calls. Covered California will begin enrollment on October 1, 2013. Consumers can contact Covered CA at 1-888-975-1142. Calls will be answered by one of the three new state call centers in California: Concord (Contra Costa), Fresno, and Rancho Cordova (Sacramento).

When Covered California Customer Service Center agents receive a call, they will ask basic questions in order to conduct a “quick sort” for enrollment eligibility:

  • Number of people in the family?
  • Anyone seeking coverage who is under age 19?
  • Anyone seeking coverage who is pregnant?
  • Anyone seeking coverage who is elderly or disabled?
  • Annual income?

If a caller appears to be potentially eligible for Medi-Cal (California’s low-income health care program; see page 11) through the “quick sort,” the caller will be transferred to a local county-based and county-staffed customer service call center to do a Medi-Cal eligibility determination.

Covered California will also perform case management of those enrolled in Covered California health care plans, including updating information, assisting with annual renewals, and managing enrollees with Advanced Premium Tax Credits (APTC) and/or Cost-Sharing Reductions.

Advanced Premium Tax Credits (APTC) & the Reconciliation Process

Low- to middle-income individuals and families (between138% and 400% of the Federal Poverty Level [FPL])4 that enroll in plans through Covered California may be eligible for federal subsidies, or Advanced Premium Tax Credits (APTC), for their health care coverage. These tax credits are assessed on an income-based sliding scale when they receive insurance through Covered California. APTC will lower the amount individuals will pay towards their monthly premiums.

Individuals and families have the option of receiving their tax credits upfront each month to pay for the premium, or receiving their credit when they file their taxes at the end of the year. If they choose to take the upfront monthly credit, this money will go directly from the federal government to the health insurer to pay a portion of their premium. If they choose to receive the tax credit at the end of the year, the federal government will send the tax credit to the individual/family in a lump sum, similar to how they send tax refunds.

The upfront monthly tax credit amount will be a projected estimate based on the income documents that the individual provided from the past year.

The estimation of income is based on:

  • Current income (from the IRS)
  • Expected change in income (must be reported to the Exchange)

At the end of the year, Covered California will conduct a reconciliation process that may require repayment if the subsidy given was based on incorrectly estimated income for that year.

Cost-Sharing Reductions

Individuals or families with income between 100% and 250% FPL may also be eligible for cost-sharing reductions, which allow them to enroll in a plan with lower out-of-pocket costs. To access these savings, an eligible individual or family must enroll in a Silver Plan through Covered California. (The lower out-of-pocket costs are reflected in the Silver Plan cost calculators available through Covered California.) The exact amount of out-of-pocket support provided will depend on the income of the individual or family enrolling in the plan.

Individuals and families do not have to keep track of any cost-sharing reductions, or submit paperwork for reimbursement.

Like the premium tax credits, the cost-sharing reductions are paid directly to the health insurance plan by the federal government. However, unlike the premium tax credits, for cost-sharing reductions there is no reconciliation requirement at the end of the tax year, even if individual or family income changes during the year.

Certified Enrollment Entities (CEEs)

Certified Enrollment Entities (CEEs) are organizations that provide education, outreach, and enrollment assistance to consumers, and help them apply for and maintain coverage.  There are two types of CEE programs – In-Person Assistance (IPA), also called Certified Enrollment Counselors, and the
Navigator Program.  Click here to apply to be a Certified Enrollment Entity through Covered California.

Eligible Covered California Certified Enrollment Entities include but are not limited to:

  • American Indian Tribe/Tribal Organizations
  • Chambers of Commerce
  • City Government Agency
  • Community Clinics
  • Community Colleges and Universities
  • Faith-Based Organizations
  • Labor Unions
  • Non-Profit Community Organizations
  • Ranching and farming organizations
  • Resource partners of Small Businesses
  • School Districts
  • Tax Preparers
  • Trade, industry, professional organizations

Certified Enrollment Entities provide in-person assistance, education, and outreach, as well as developing retention and enrollment strategies to reach
people who are uninsured.

Organizations must apply to become certified entities. All entities are trained and registered to provide in-person assistance. Selection will be
based on an organization’s strategy for enrolling eligible and currently uninsured individuals in coverage, educating individuals on the types of
subsidized and non-subsidized health plans, and encouraging individuals to retain insurance.

Certain CEEs, mostly insurance agents, are compensated through the types of plans that the individuals they assist enroll in. Other entities, such as community clinics, are eligible to receive compensation for enrollment per person enrolled.

Certified Enrollment Counselors and the Navigator Program

There are some key differences between how Certified Enrollment Counselors (also known as IPAs) and the Navigator Program function and receive compensation.

Differences in roles and responsibilities for IPAs and the Navigator Program are:

  • Navigators conduct broader public education activities to raise awareness about Covered California, the Qualified Health Plans, and associated policies and opportunities. Navigators are compensated through a grant.
  • IPAs are compensated per successful application or per successful renewal.

Below are charts outlining the key differences between In-Person Assistance and the Navigator Program

Assister and Navigator ChartNext Section: Health Care Coverage Options in Alameda County

Child Care

Alameda County has three Resource and Referral agencies that can help you find a program that fits your family’s needs. These programs help all parents, including parents of children with special needs, navigate the public and private early childhood and school age care system.

BANANAS
Serving Albany, Alameda, Berkeley, Emeryville, Oakland, and Piedmont
5232 Claremont Avenue
Oakland, CA 94618
(510) 658-0381

4C’s of Alameda County
Serving Castro Valley, Hayward, San Leandro, and San Lorenzo
22353 City Center Drive, Suite 200
Hayward, CA 94541
(510) 582-2182

4C’s of Alameda County
Serving Fremont, Newark, and Union City
22353 City Center Drive, Suite 200
Hayward, CA 94541
(510) 790-0655

Child Care Links
Serving Dublin, Livermore, Pleasanton, and Sunol
1020 Serpentine Lane, Suite 102
Pleasanton, CA 94566
(925) 417-8733

Head Start – Alameda Family Services
2325 Clement Ave
Alameda, CA 94501
(510) 629-6350

Head Start – YMCA Early Childhood Services
2009 10th Street
Berkeley, CA 94710
(510) 848-9092

Head Start – CAPE, Inc
3095 Independence Dr.
Building B Suite A
Livermore, CA 94551
(925) 443-9380

Head Start – Child Family & Community Services, Inc.
32940 Alvarado-Niles Road, Suite 450
Union City, CA 94587
Phone: (510) 796-9512

Head Start – City of Oakland
17 locations:
Oakland, CA
(510)-238-3165

Head Start – Unity Council
1900 Fruitvale Ave, Suite 2A
Oakland, CA 94601

For further information on child care in Alameda County, click here.

Children

Most low-income children are eligible for Medi-Cal. Families with higher incomes may have a share of cost. Immigrant children who have not been Legal
Permanent Residents for over 5 years may qualify for health care coverage through Medi-Cal, while their parents may qualify for health insurance through Covered California.

One option for children who do not qualify for Medi-Cal due to their family’s income/assets being too high is the Kaiser Child Health Program (CHP), which is available through Kaiser. Eligibility requirements for CHP can be found here.

Foster youth are now eligible for Medi-Cal until the age of 26. Adoption Assistance recipients are eligible for Medi-Cal up to age 18 or later, depending on age at adoption and/or presence of a mental or physical condition.  More information on Foster Care and Adoption Assistance here.

Next Section: Disabled Individuals

 

 

Children’s Health Insurance Enrollment

Alameda County, under the guidance of Supervisor Wilma Chan, has accepted a challenge from U.S. Department of Health and Human Services Secretary Kathleen Sebelius to connect all eligible kids to coverage.

With its partners, Alameda County has committed to:

  • Work with partners in the community to contact, engage and enroll families
  • Use technology – exploring lessons from other counties using the One E-App electronic application – to help families and service providers enroll children faster and easier
  • Maximize its use of existing county resources – staff, outreach, and materials – to help enroll more children

See the March 16, 2011 Press Advisory for more information.

Facts on Uninsured Children

  • 17,000 uninsured children in Alameda County
  • 10,000 eligible but not enrolled in public health insurance programs
  • Adolescents aged 12-18 comprise 45% of uninsured children
  • 38% of uninsured children live in Oakland, 14% in Hayward, and 11% in Fremont

For more data on uninsured children, see this fact sheet.

Source: 2009 American Community Survey, U.S. Census Bureau and 2009 California Health Interview Survey, UCLA.

Coma saludablemente

Sitio web del Departamento de Salud Pública del Condado de Alameda para información sobre nutrición

  • información sobre nutrición
  • información sobre actividad física
  • eventos de servicios de nutrición
  • talleres educativos sobre nutrición.

Recursos electrónicos sobre salud del Departamento de Salud Pública del Condado de Alameda

Busque por código postal para encontrar:

  • Lugares donde se pueden realizar actividades físicas (es decir, deportes, danzas, ejercicio, artes marciales, parques y recreación).
  • Una lista Farmers Markets (mercados de agricultores)
  • Una lista de mercados de frutas y verduras económicos
  • Proveedores médicos especializados (es decir, nutricionistas, dietistas, psicólogos, psicoterapeutas) especializados en el control del peso

Bay Area Nutrition and Physical Activity Collaborative (BANPAC)

Campeones del Cambio—Red para una California Saludable

Community Screening and Enrolling Sites for the Uninsured

A number of community organizations, clinics, and government offices provide screening and enrollment into health insurance and coverage programs, such as Medi-Cal, HealthPAC, and other programs.  Clinics offer this service for their patients.

Berkeley

LifeLong Medical Care
2344 6th Street
Berkeley, CA 94710
(510) 704-6010
*Medi-Cal, HealthPAC, FamilyPACT

Fremont

Tri-City Health Center
39500 Liberty Street
Fremont, CA 94538
(510) 770-8040
*Medi-Cal, HealthPAC, FamilyPACT

Hayward

Alameda County Medical Center- Winton Wellness Center
24100 Amador Street, Suite 250
Hayward, CA 94544
(510) 266-1700
*Medi-Cal, HealthPAC, FamilyPACT

Tiburcio Vasquez Health Center
22331 Mission Boulevard
Hayward, CA 94541
(510) 471-5880
*Medi-Cal, HealthPAC, FamilyPACT

Livermore

Axis Community Health
3311 Pacific Ave
Livermore, CA 94660
(925) 462-1755
*Medi-Cal, HealthPAC, FamilyPACT

Newark

Alameda County Medical Center- Newark
6066 Civic Terrace Avenue
Newark, CA 94560
(510) 505-1600
*Medi-Cal, HealthPAC, FamilyPACT

Oakland

Alameda County Medical Center- Highland Hospital
1411 East 31st Street
Oakland, CA. 94602
(510) 437-8500
*Medi-Cal, HealthPAC, FamilyPACT

Alameda County Medical Center- Eastmont Wellness Center
6955 Foothill Boulevard, Suite 200
Oakland, CA 94605
(510) 567-5700
*Medi-Cal, HealthPAC, FamilyPACT

Asian Health Services
818 Webster Street
Oakland, CA 94607
(510) 986-6880
*Medi-Cal, HealthPAC, FamilyPACT

Frank Kiang Medical Center
(a clinic of Asian Health Services)
250 East 18th Street, 2nd Floor
Oakland, CA 94606
(510) 986-6860
*Medi-Cal, HealthPAC, FamilyPACT

Healthy Communities – Save a Life Wellness Center
2580 San Pablo Ave.
Oakland, CA 94612
(510) 444-9655
*Medi-Cal, HealthPAC

La Clinica de La Raza – Transit Village
3451 E. 12th Street
Oakland, CA 94601
(510) 535-4000
*Medi-Cal, HealthPAC, FamilyPACT

La Clinica de la Raza – Clinica Alta Vista
1515 Fruitvale Avenue
Oakland, CA 94601
(510) 535-6300
*Medi-Cal, HealthPAC, FamilyPACT

La Clinica de la Raza – San Antonio Neighborhood Health Center
1030 International Blvd
Oakland, CA  90406
(510) 238-5400
*Medi-Cal, HealthPAC, FamilyPACT

LifeLong Medical Care – East Oakland
10700 MacArthur Blvd, Suite 14b
Oakland, CA 94605
(510) 704-6010
*Medi-Cal, HealthPAC, FamilyPACT

LifeLong Medical Care – Downtown Oakland Clinic
616 16th Street
Oakland, CA 94612
(510) 704-6010
*Medi-Cal, HealthPAC, FamilyPACT

Native American Health Center
2950 International Boulevard
Oakland, CA 94601
(510) 535-4400
*Medi-Cal, HealthPAC, FamilyPACT

West Oakland Health Center
700 Adeline Street
Oakland, CA 94607
(510) 835-9610
*Medi-Cal, HealthPAC, FamilyPACT

East Oakland Health Center
7450 International Boulevard
Oakland, CA 94621
(510) 430-9401
*Medi-Cal, HealthPAC, FamilyPACT

Pleasanton

Axis Community Health
4361 Railroad Avenue
Pleasanton, CA 94566
(925) 462-1755
*Medi-Cal, HealthPAC, FamilyPACT

San Leandro

Health Care Services Agency
1000 San Leandro Blvd., Suite 300
San Leandro, CA 94577
1-800-422-9495
* Medi-Cal, HealthPAC, Kaiser Child Health Plan

Union City

Tiburcio Vasquez Health Center
33255 9th Street
Union City, CA  94587
(510) 471-5880
*Medi-Cal, HealthPAC, FamilyPACT

Note: If you are uninsured, there may be a wait at the health clinics.  It may take days, weeks, or longer to complete your registration and establish membership at a clinic. After you establish membership, you may set up an appointment to be seen.  If you are already a member at a clinic, you can call as needed for appointments.

Conflictos relacionados con el seguro médico

Si tiene un conflicto con su compañía de seguros de salud, por favor haga clic aquí para más información.

Conflictos relacionados con el seguro médico y ayuda con la factura del hospital

Manejo de conflictos con su compañía de seguros de salud

Si tiene un conflicto con su compañía de seguros de salud, a continuación encontrará recursos de utilidad.

Medicare

Asesoría legal de Oakland para adultos mayores llamando al (510) 839-0393 ó 1-800-393-0363

Medi-Cal

Mediador en asuntos de interés público de Medi-Cal llamando al 1-888-452-8609

Seguro médico privado

El Departamento de Atención Médica Administrada (DMHC) de California ayuda a los consumidores a resolver problemas con los planes de salud, incluyendo asuntos relacionados con la atención médica, recetas, exámenes preventivos y servicios de salud mental. También puede ayudar en procesos de quejas y derechos de atención de salud. El DMHC está disponible las 24 horas del día, los 7 días de la semana. Comuníquese con el Centro de ayuda de la Administradora de salud (HMO) al 1888-HMO-2219.

Las personas con proveedor preferido de salud (PPO), proveedor exclusivo de salud (EPO), plan de acuerdo al lugar de prestación del servicio (POS), indemnidad, o plan colectivo pueden contactar al Departamento de seguros de California al 1-800-927-HELP (4357).

Para más información sobre quejas específicas relacionadas con su plan de salud, consulte esta lista de problemas comunes.

Para saber más sobre sus derechos de servicios de salud, ingrese a Californians for Patient Care.

Ayuda para pagar la factura del hospital

Las leyes de California limitan el monto que se le puede cobrar a las personas sin seguro o con cobertura insuficiente por tratamientos médicos de alto costo. Para información sobre los derechos del consumidor, consulte en HospitalBillHelp.org

Para información más detallada y para buscar políticas de descuento de los hospitales consulte el sitio web estatal: Ley de California sobre Precios Justos de Hospital.

Contact Us

Thank you for visiting Health Care Alameda County. Your feedback is important to us.  We appreciate any suggestions you have on ways to improve this website or other information you would like to be included.

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Context & Information About Specific Populations

Although the ACA introduces sweeping changes for everyone, specific populations will be affected in many different ways. This section details other changes and other health-related programs that are applicable to individuals of the following categories.

Next Section: Aged Individuals

Coverage, Service Eligibility, and Payment

This section provides additional information on each of the health insurance programs listed in the Eligibility Chart: Health Care in Alameda County, 2014 (page 13). Each program has its own page that can be a quick resource for community partners to get basic information. The sections briefly
describe how and where to go to enroll, what services are provided under the program, what to expect after applying, and general cost information.

Next Section: Medi-Cal

Covered California

Individuals and families eligible for Covered California will enroll and manage their coverage through California’s health insurance exchange called Covered California. People can shop for plans that are right for their income and their needs using a comparison tool. Open Enrollment for Covered California is from October 1, 2013 through March 31, 2014. Consumers must enroll in a plan by December 15, 2013 for a January 1, 2014 plan start date. Enrollment after December 15 will delay plan start dates. After 2013, open enrollment will be October 1 through December 15 for the following January 1 start date.

How and Where to Apply

  • Log in online to Covered California at: http://www.CoveredCA.com
  • Call the Covered California state call center at 1-888-975-1142.
  • Go to a Certified Enrollment Entity (locations to be updated when known).

Covered California Services

Minimum Essential Coverage through Qualified Health Plans. This includes the 10 essential health benefits.

  1. Ambulatory patient services
  2. Emergency services
  3. Hospitalization
  4. Maternity and newborn care
  5. Mental health and substance use disorder services, including behavioral health treatment
  6. Prescription drugs
  7. Rehabilitative and habilitative services and devices
  8. Laboratory services
  9. Preventive and wellness services and chronic disease management
  10. Pediatric services, including oral and vision care.

Other coverage options through Qualified Health Plans may also be available.

What to Expect After Applying

Your enrollment in the exchange will be handled by Covered California.   Applicants will create a user account. With your login name and password you
will be able to track your enrollment through the website or by calling Covered California directly.

Cost and Payment

Premiums and co-pays will vary according to the Qualified Health Plan selected through Covered California. See Appendix D: Standard Benefits for Individuals.  The last day to submit payment is the 4th work day prior to the end of the month before coverage begins (i.e. December 26, 2013 for January 1, 2014 start date).

More Information

For more information on Covered California, please click here.

Next Section: HealthPAC

Covered California

Individuals and families eligible for Covered California will enroll and manage their coverage through California’s health insurance exchange called Covered California. People can shop for plans that are right for their income and their needs using a comparison tool. Open Enrollment for Covered California is from November 15, 2014 through March 31, 2015. Consumers must enroll in a plan by December 15, 2014 for a January 1, 2015 plan start date. Enrollment after December 15 will delay plan start dates.

How and Where to Apply

Covered California Services

Minimum Essential Coverage through Qualified Health Plans. This includes the 10 essential health benefits.

  1. Ambulatory patient services
  2. Emergency services
  3. Hospitalization
  4. Maternity and newborn care
  5. Mental health and substance use disorder services, including behavioral health treatment
  6. Prescription drugs
  7. Rehabilitative and habilitative services and devices
  8. Laboratory services
  9. Preventive and wellness services and chronic disease management
  10. Pediatric services, including oral and vision care.

Other coverage options through Qualified Health Plans may also be available.

What to Expect After Applying

Your enrollment in the exchange will be handled by Covered California.   Applicants will create a user account. With your login name and password you will be able to track your enrollment through the website or by calling Covered California directly.

Cost and Payment

Premiums and co-pays will vary according to the Qualified Health Plan selected through Covered California. See the Federal Poverty Level Guidelines for the 2015 Benefit Year. The last day to submit payment is the 4th work day prior to the end of the month before coverage begins (i.e. December 26, 2014 for January 1, 2015 start date).

More Information

For more information on Covered California, please click here.

Cuidado infantil

El Condado de Alameda cuenta con tres entidades de recursos y remisiones que pueden ayudarle a encontrar un programa adecuado para las necesidades de su familia. Estos programas ayudan a todos los padres, incluidos los padres de niños con necesidades especiales, a orientarse en el sistema de cuidado de niños en edad escolar y preescolar, público y privado.

BANANAS
Presta sus servicios en Albany, Alameda, Berkeley, Emeryville, Oakland y Piedmont 5232 Claremont Avenue Oakland, CA 94618 (510) 658-0381

4Cs (Concilio Comunitario del Cuidado Infantil) del Condado de Alameda
Presta sus servicios en Castro Valley, Hayward, San Leandro y San Lorenzo 22353 City Center Drive, Suite 200 Hayward, CA 94541 (510) 582-2182

4Cs (Concilio Comunitario del Cuidado Infantil) del Condado de Alameda

Presta sus servicios en Fremont, Newark y Union City 22353 City Center Drive, Suite 200 Hayward, CA 94541 (510) 790-0655

Child Care Links
Presta sus servicios en Dublin, Livermore, Pleasanton y Sunol 1020 Serpentine Lane, Suite 102 Pleasanton, CA 94566 (925) 417-8733

Head Start – Alameda Family Services (Servicios familiares de Alameda)
2325 Clement Ave Alameda, CA 94501 (510) 629-6350

Head Start – Servicios para la primera infancia de la YMCA
2009 10th Street Berkeley, CA 94710 (510) 848-9092

Head Start – CAPE, Inc
3095 Independence Dr. Building B Suite A Livermore, CA 94551 (925) 443-9380

Head Start – Child Family & Community Services, Inc.

32940 Alvarado-Niles Road, Suite 450 Union City, CA 94587 Teléfono: (510) 796-9512

Head Start – Ciudad de Oakland
17 ubicaciones: Oakland, CA (510)-238-3165

Head Start – Unity Council
1900 Fruitvale Ave, Suite 2A Oakland, CA 94601 Para más información sobre cuidado infantil en el Condado de Alameda, haga clic aquí.

Data & Reports

In 2011 the U.S. Census Bureau estimated that there are over 195,000 people in Alameda County that were uninsured.

Despite being without health insurance, more than half of the low-income uninsured are receiving free or low-cost primary care through community and county health centers.

The availability of free and low-cost primary care is made possible by the support of county, state, federal, and private foundation funds.

Increasing Access to Health Care for Low-Income Uninsured Resident of Alameda County, California. Baseline Assessment 2007
Alameda County Access to Care Collaborative
Results of the 2007 Forums on Access to Health Care for All Alameda County Residents
Alameda County Access to Care Collaborative

For other reports on the health of Alameda County residents, please see:

2013

Low Income Health Program Transition to Medi-Cal 
Alameda County Health Care Services Agency and Alameda County Social Services Agency

Alameda County Eligbility and Enrollment Systems for Low-Income Health Coverage Programs (Report)
Alameda County Health Care Services Agency and Alameda County Social Services Agency

Eligbility and Enrollment Systems Maps, Appendix D
Alameda County Health Care Services Agency and Alameda County Social Services Agency

Preparing for 2014 ACA Implementation: Enrollment, Eligibility, & Retention (Presentation)
Alameda County Health Care Services Agency and Alameda County Social Services Agency

2012

Data on the Uninsured in Alameda County (2011) (PDF)
Alameda Health Consortium

Data on the Uninsured in Alameda County (2010) (PDF) also available in PowerPoint
Alameda County Access to Care Collaborative

State and Federal Health Care Reform in Alameda County
Alameda County Health Care Services Agency

2011

Reports on the 2011 Alameda Countywide Homeless County & Survey
EveryOne Home: Ending Homelessness in Alameda County

Project New Start: A Lifestyle Change Program for Youth
Alameda County Public Health Department

Home Visiting Programs in Alameda County: Program Review and Evaluation
Alameda County Public Health Department & First Five Alameda County

Restorative Justice: A Working Guide for Our Schools
Alameda County Health Care Services Agency: School Health Services Coalition

2010

Response to Serving the Medi-Cal SPD Population in Alameda County
Alameda County Access to Care Collaborative

School Readiness in Alameda County 2010
First 5 Alameda County: Every Child Counts

The Health of Alameda County Cities and Places
Just Cause Oakland and Alameda County Public Health Department

Alameda County Medical Center, Annual Report 2010: A Legacy of Care
Alameda County Medical Center

Rebuilding Neighborhoods, Restoring Health: A Report on the Impact of Foreclosures on Public Health: September 2010
Just Cause Oakland and Alameda County Public Health Department

Hunger: The Faces & Facts (2010). A Study of Emergency Food Recipients in Alameda County
Alameda County Community Foodbank

The Health of Alameda County Cities and Places: August 2010
Alameda County Public Health Department

His Health: Alameda County Male Health Status Report 2010
Alameda County Public Health Department

Alameda County School-based Behavioral Health Framework
Alameda County Health Care Services Agency: School Health Services Coalition & Behavioral Health Care Services

Alameda County Violence Facsheet updated for 2010
Urban Strategies Council

 

2009

Data on the Uninsured in Alameda County 2008
Alameda County Access to Care Collaborative

Alameda Countywide Homeless Count and Survey: December 2009
EveryOne Home: Ending Homelessness in Alameda County

Graduate Medical Education: Investing in the Future, ACMC Annual Report 2009
Alameda County Medical Center

2008-2009 Annual Report
First 5 Alameda County: Every Child Counts

The Community Driven Eden Area Livability Initiative: Principles, Priorities, and Projects
Eden Area Livability Initiative

2008

Community Profile: A guide to the unincorporated community of Alameda County: Ashland, Castro Valley, Cherryland, Fairview and San Lorenzo. Eden Area Livability Initiative – Integrated Strategic Vision & Plan
Eden Area Livability Initiative

Reentry Health Care in Alameda County: Initial Assessment and Recommendations of the Alameda County Reentry Health Task Force
Reentry Health Taskforce, Urban Strategies Council

Life and Death From Unnatural Causes: Health and Social Inequity in Alameda County
Alameda County Public Health Department

Forging Partnerships, ACMC Annual Report 2008
Alameda County Medical Center

2007-2008 Annual Report
First 5 Alameda County Every Child County

Oakland/Berkeley Community Action to Fight Asthma, May 2008
Alameda County Public Health Department

2007

Restoring Wellness, ACMC Annual Report 2007
Alameda County Medical Center

Select Health Indicators for Cities in Alameda County, 2007
Alameda County Public Health Department

Sexually Transmitted Disease Morbidity Report: Making Sense of Sexually Transmitted Diseases
Alameda County Public Health Department

Health of Alameda County Adults: Selected Findings of the 2003 California Health Interview Survey
Alameda County Public Health Department

Data Update of A Profile of Family Violence in Alameda County: A Call for Action
Alameda County Public Health Department

AIDS Epidemiology Report for Alameda County 1980-2006
Published 2007

2006

Alameda County Health Status Report 2006
Alameda County Public Health Department

Coming into Focus, ACMC Annual Report 2006
Alameda County Medical Center

Youth and Wellness in Alameda County, 2006
Alameda County School Based Health Center Coalition

More Than a Toothache: Untreated Dental Disease in Our School Children
Alameda County Public Health Department

Oakland on the Rocks: Surveying Teens About Alcohol ‘n Oakland
Alameda County Public Health Department

Violence in Oakland: A Public Health Crisis – Alameda County Violent Death Reporting System, 2002-2004
Alameda County Public Health Department

Click here for more reports from the Alameda County Department of Public Health Department

Desempleados y COBRA

Si pierde el trabajo, usted puede ser elegible para ampliar sus beneficios de salud a través de su anterior empleador hasta por 18 meses, mediante una disposición federal llamada COBRA (Ley Ómnibus Consolidada de Reconciliación de 1986).

La ley federal COBRA aplica para todos los empleadores y planes de seguro grupal que cubran a 20 o más empleados. Cal-COBRA es una ley de California que aplica para todos los empleadores y planes de seguro grupal que cubran de 2 a 19 empleados.

Según esta ley, los exempleados, retirados, cóyuges y personas a cargo tienen derecho a ampliar su seguro de salud pagando su parte de la prima de seguro de salud y la parte del empleador. COBRA puede resultar costoso porque los empleadores ya no contribuyen con su parte de la prima.

La Ley de Recuperación y Reinversión de Estados Unidos (el paquete de estímulo económico) provee ayuda para personas que se quedaron sin empleo recientemente. Los trabajadores desempleados elegibles pagarán sólo el 35% del total de la prima de COBRA para continuar la cobertura de salud que tenían a través de su trabajo; el gobierno federal reembolsará a los empleadores o a los planes de salud el restante 65% de la prima. Este subsidio está disponible hasta por 15 meses para trabajadores elegibles que hayan perdido su trabajo el 31 de mayo de 2010 o antes. Para más información sobre este subsidio consulte aquí.

Para hablar con un asesor de beneficios de COBRA, por favor llame al 1-866-444-3272.

Para preguntas frecuentes sobre COBRA, por favor ingrese al sitio web del Departamento del Trabajo.

Consulte el sitio web de Cal-COBRA para más información o haga clic aquí para ver las preguntas frecuentes sobre Cal-COBRA (PDF).

Determining Eligibility for Health Care Programs

Eligibility for public health care programs is generally based on income, age, residency status, family size, and other situations such as pregnancy and disability.

Alameda County has created a comprehensive chart that shows eligibility for health care plans and programs in 2014. Use this tool to determine which plans clients are eligible for.

How to Use This Chart

The 2014 Eligibility Chart for health care programs in Alameda County is intended to make it easier to determine client eligibility for various programs. Begin by looking at the age of the client, and if he/she has any special status (e.g., disabled, pregnant).

Next, look at their residency status and then estimate the household/family income. Use this information to determine which health care program the
individual is likely to be eligible for.

Note: Legal Permanent Residents (LPRs) with less than 5 years residency may be treated differently in 2014. Previously, LPRs with less than 5 years residency were eligible for state only funded Medi-Cal if they met all other eligibility requirements for the program. Beginning sometime in 2014, this will change.

  • As of legislation passed in June 2013, LPRs with less than 5 years residency, between 0 and 138% FPL, and without dependent children, will be eligible for a Covered California plan. The state will cover their premium costs, cost-sharing, and any Medi-Cal benefits not offered through their plan.  Starting in 2014, or when the California Department of Health Care Services and Covered California have operational capability, this group will enroll into Covered California during open enrollment but remain eligible for state-only Medi-Cal if they miss the open enrollment period. Until such operational capability is reached, LPRs with less than 5 years residency will remain covered under Medi-Cal.
  • LPRs with less than 5 years residency, with Medi-Cal eligible children, will still be eligible for state-only Medi-Cal (same as current policy). LPRs with < 5 years residency and greater than 138% FPL to 400% FPL are eligible for tax credits to purchase a Covered California plan.
  • Adults and families who have been Legal Permanent Residents for 5 or more years and are below 138% FPL are eligible for Medi-Cal. Those between 138% FPL and 400% FPL are eligible for Covered California.

Expanded Program & Population Information

For more information on health care plans, including information on enrollment, coverage, payment, contact, and follow-up, see Coverage, Service Eligibility, and Payment.

For more information on specific populations and a description of the programs related to health and health access that clients may
be eligible for, see Context and Information for Specific Populations.

Next Section: Eligibility Chart, Health Care in Alameda County: 2014

Disabled Individuals

Social Security Disability Insurance (SSDI)

Social Security Disability Insurance (SSDI) pays monthly benefits to individuals and certain members of their family if the disabled recipient has worked long enough and recently enough to qualify. To receive SSDI, you need 40 credits (10 years), 20 of which were earned within 10 years of becoming disabled.

“Disability” under Social Security is based on your inability to work. Individuals are considered “disabled” under Social Security eligibility rules if:

  • They cannot do work they did before;
  • They cannot adjust to other work because of their medical condition(s);
  • AND their disability has lasted or is expected to last for at least one year, or will result in death.

Individuals are automatically enrolled in Medicare Part A & Part B after receiving disability benefits for two years. Individuals with certain disabilities can receive Medicare sooner.

More information on SSDI can be found here.

Supplemental Security Income (SSI)

Supplemental Security Income (SSI) is a federal cash assistance program for disabled individuals.  Disabled individuals and/or families are eligible
for SSI if their income is not greater than the current SSI monthly benefit in California ($886.40 for an individual/$1122 for a couple).  Assets are limited to $2000 for an individual and $3000 for a couple. These individuals are automatically linked to Medi-Cal.

For disabled individuals, SSI does not count income or wages that are used to pay for items or services that facilitate employment.

More information in SSI can be found here.

Next Section: Mental/Behavioral Health Consumers

Domestic Violence and Sexual Assault

Highland Hospital Sexual Assault Center
(510) 534-9290 or (510) 534-9291 24 hours a day

Alameda County Family Justice Center
470 27th Street, Oakland, CA 94612
(510) 267-8800

For further information see the: Domestic Violence Resource Guide – Alameda County Public Health Department

Eat Healthy

Alameda County Public Health Department’s website for Nutrition Information

  • nutrition information
  • physical activity information
  • events on nutrition services
  • nutrition education workshops.

Alameda County Public Health Department’s Health E-Resource

Search by zipcode to find:

  • Places that provide physical activities (i.e. sports, dance, exercise, martial arts, parks and recreations).
  • A list of Farmers Markets
  • A list of low-cost produce markets
  • Specialized medical providers (i.e. nutritionists, dietitians, psychologists, psychotherapists) that specialize in weight management

Bay Area Nutrition and Physical Activity Collaborative

Champions for Change—Network for a Healthy California

Ejercicio

Recursos electrónicos sobre salud del Departamento de Salud Pública del Condado de Alameda

Búsqueda por código postal para encontrar:

  • Lugares donde se pueden realizar actividades físicas (es decir, deportes, danzas, ejercicio, artes marciales, parques y recreación).
  • Una lista Farmers Markets (mercados de agricultores)
  • Una lista de mercados de frutas y verduras económicos
  • Proveedores médicos especializados (es decir, nutricionistas, dietistas, psicólogos, psicoterapeutas) especializados en el control del peso

Playworks

Playworks es una organización nacional sin fines de lucro que apoya el aprendizaje proporcionando juegos y actividad física segura, saludable e inclusiva en las escuelas durante el receso y durante todo el día. Playworks presta servicios a nivel nacional, incluidos Oakland y East Bay.

Emergency Food

Alameda County Food Helpline

Call 1-800-870-3663 (FOOD) Monday – Friday, 9 am to 12 pm and 1 pm to 4 pm.

The Food Helpline is Alameda County Food Bank’s countywide referral program that connects people with emergency food programs in their neighborhood.

During the summer months the line can be used to connect children with free summer lunch, and during November and December the line can be use for referrals to holiday food programs.

In addition callers receive information about other programs, such as Women, Infants and Children (WIC) and Food Stamps.

The Food Helpline staff and volunteers can assist callers in 140 languages.

Emergency Housing

If you need a list of open shelter beds, call 211 for the most up-to-date information.

Estoy embarazada o puedo estar embarazada y necesito que me atienda un médico. ¿A dónde debo ir?

Si usted está embarazada o puede estar embarazada, se le dará una cita de inmediato. Busque una clínica aquí. Asegúrese de decirle por teléfono al personal de la clínica que usted cree que está embarazada para que le hagan la cita rápidamente. Para más información por favor haga clic aquí o llame al Centro de información sobre Salud Pública al 1-800-605-4636.

Estoy indocumentado, ¿a dónde puedo ir para que me atienda un médico?

En las clínicas le atenderán sin importar su estado de inmigración. Busque una clínica cercana aquí.

Normalmente, los programas de seguro de salud pública, como Medi-Cal y Healthy Families, no cubren a los inmigrantes indocumentados (excepto en caso de embarazo y emergencias). Sin embargo, hay otros programas que cubren el costo de los servicios. Las clínicas pueden determinar su elegibilidad e inscribirlo(a) a usted y a su familia en estos programas. Haga clic aquí para un listado de clínicas donde pueden determinar su elegibilidad para estos programas.

Estoy inscrito en Medi-Cal; ¿dónde puedo conseguir un médico?

Si usted se encuentra en Regular Medi-Cal, puede acudir a la mayoría de las clínicas de atención integral. Use la función de búsqueda de este sitio web para ver una lista de las mismas.

Si usted tiene un plan de salud de Medi-Cal a través de Alameda Alliance for Health o Blue Cross, llame al departamento de servicios de afiliados para conseguir un médico.

Si usted tiene Medi-Cal y desea inscribirse en un plan de salud, conozca más aquí.

Exercise

Alameda County Public Health Department’s Health E-Resource

Search by zip code to find:

  • Places that provide physical activities (i.e. sports, dance, exercise, martial arts, parks and recreations).
  • A list of Farmers Markets
  • A list of low-cost produce markets
  • Specialized medical providers (i.e. nutritionists, dietitians, psychologists, psychotherapists) that specialize in weight management

Playworks
Playworks is a national nonprofit organization that supports learning by providing safe, healthy and inclusive play and physical activity to schools at recess and throughout the entire school day. Playworks operates nationwide, including Oakland and the East Bay.

Facturas del Hospital

Las leyes de California limitan el monto que se le puede cobrar a las personas sin seguro o con cobertura insuficiente por tratamientos médicos de alto costo. Para información, consultar en HospitalBillHelp.org y el sitio web estatal Ley de California sobre Precios Justos de Hospital para obtener información sobre las políticas de descuento de los hospitales.

FAQ

Frequently Asked Questions

Food Assistance

Call the Alameda County Food Helpline for information on emergency food or applying food stamps. 1-800-870-3663 (FOOD)

See Alameda County Department of Social Services for information on food assistance and applying for SNAP/food stamps.

Forum Materials – May 30th

Location and Time

Thursday, May 30: 10:00 – 12:00

Fremont Family Resource Center — Pacific Room  
39155 Liberty St.  
Fremont, CA 94538  

RSVP

http://tinyurl.com/cqn57dy

Meeting Materials

To be posted.

May 30th Power Point Presentation

Handouts

Online Evaluation

May 30th Forum Q & As

Forum Materials – Nov 15

Video Recording

Watch live streaming video from ssaweb at livestream.com

Meeting Materials

Power Point Presentation

Alameda County – Health Care Reform Guide

2014 Eligibility Chart

Online Evaluation

How to Enroll (English)

How to Enroll (Spanish)

How to Enroll (Chinese)

How to Enroll (Vietnamese)

How to Enroll (Khmer)

How to Enroll (Farsi)

How to Enroll (Tagalog)

Flyer

Location and Time

Friday, November 15th: 10:00am – 12:00pm

City of Hayward Council Chambers, 2nd Floor
777 B Street
Hayward,  CA  94541
Forum Materials – Oct 10

Livestream

Watch live streaming video from ssaweb at livestream.com

Meeting Materials

Power Point Presentation

Alameda County – Health Care Reform Guide

2014 Eligibility Chart

Online Evaluation

How to Enroll (English)

How to Enroll (Spanish)

How to Enroll (Chinese)

How to Enroll (Vietnamese)

How to Enroll (Khmer)

How to Enroll (Farsi)

How to Enroll (Tagalog)

Flyer

Location and Time

Thursday, October 10: 10:00am – 12:00pm

Allen Temple Baptist Church
Family Life Center Gym
8501 International Blvd
Oakland, CA 94621
Fumar

Guía de recursos del Condado de Alameda para dejar de fumar
510-267-8000

Línea de ayuda para fumadores de California
Un programa telefónico que le puede ayudar a dejar de fumar.

Español
1-800-45-NO-FUME (1-800-456-6386)

Inglés
1-800-NO-BUTTS (1-800-662-8887)

Cantonés
1-800-838-8917

Coreano
1-800-556-5564

Mandarín
1-800-838-8917

Vietnamita
1-800-778-8440

HCSA Health Care Reform In-Service Session – June 27th

HCSA Health Care Reform In-Service Session

On June 27th, HCSA hosted an in-service information session on Health Care Reform eligibility and enrollment changes.  The topics covered included:

  • General introduction to health care reform eligibility and enrollment changes;
  • Updates from State of California;
  • Updates and preparation in Alameda County;  and
  • Ongoing communications and information

 

Presentation Recording

If you were unable to attend the session on June 27th, the entire session can be viewed online here (the presentation begins at the 13:20 minute mark).

acphdmediaproductions on livestream.com. Broadcast Live Free

http://livestre.am/4w7p9

Meeting Materials

HCSA In-Service Presentation Slides

Frequently Asked Questions – June 27th session

If you have any questions, please send them to healthreform@acgov.org .


 

Health Care Coverage Options in Alameda County

There are many changes to health care and publicly subsidized health care programs in 2014. This section explains the eligibility changes to existing Alameda County programs as well as new eligibility rules under health care reform.

Medi-Cal

Medi-Cal is California’s federally funded low income health program. Beginning in January 2014, Medi-Cal expanded to include income-eligible childless, non-disabled adults.  Eligibility for Medi-Cal is calculated in two ways, but the program remains the same:

1.  Modified Adjusted Gross Income (MAGI) is a method of calculating income based on IRS tax records. Using the MAGI method eliminates a separate asset test.  (The asset test looks at family resources, such as checking accounts, savings accounts, and other property. The asset limits are $2000 for an individual and $3000 for a couple.)

Populations evaluated under this methodology include:

  • Low-income children, ages 0-19, NOT considered eligible for Medi-Cal through participation in foster care, adoption assistance, CalWORKS, and Supplemental Security Income (SSI) programs.  Income limits are up to 138% FPL; families with incomes higher than this may have a Share of Cost. Families with incomes higher than 250% are ineligible for certain Medi-Cal Programs. See the 2015 FPL Guidelines.
  • Childless, non-disabled adults, ages 19-64, up to 138% FPL.
  • Parents or adult caretakers of a child who qualifies for Medi-Cal.
  • Pregnant women (women up to 138% FPL receive full-scope, no-cost Medi-Cal, while those between 138% FPL and 200% FPL are eligible for pregnancy services).    California is still debating if pregnant women above 138% to 200% FPL can receive full-scope coverage through Covered California, with state assistance. Details to be determined.

2.  Populations not using the MAGI methodology include those who qualify for Medi-Cal automatically through enrollment in other programs such as: foster care, adoption assistance, CalWORKS, and SSI.  These programs, with the exception of foster care and adoption assistance, require an asset test. The income guidelines are usually below 133% FPL.

HealthPAC

HealthPAC, the Health Program of Alameda County, provides affordable health care to low income, uninsured people living in Alameda County, through an approved network of local health care clinics and facilities.  For a list of HealthPAC providers, click here. In 2014, this program is available to Alameda County residents under 200% FPL who are not eligible for other health care programs. Find more information on eligibility, enrollment, and service locations in the HealthPAC Participant Handbook. This Handbook is subject to change as new policies and program rules become available.

Next Section: Determining Eligibility for Health Care Programs

Health Care Services ACA In-Service Session

HCSA Health Care Reform In-Service Session

On June 27th, HCSA hosted an in-service information session on Health Care Reform eligibility and enrollment changes.  The topics covered included:

  • General introduction to health care reform eligibility and enrollment changes;
  • Updates from State of California;
  • Updates and preparation in Alameda County;  and
  • Ongoing communications and information

 

Presentation Recording and Slides

If you were unable to attend the session on June 27th, the entire session can be viewed online here (the presentation begins at the 13:20 minute mark).  http://livestre.am/4w7p9

 

HCSA In-Service Presentation Slides.

 

Frequently Asked Questions – June 27th session
Answers to all of the questions submitted during the June 27th session are complete and can be found by clicking the following link.

 

Health Education and Other Resources

Vasectomies now available to Alameda County men with Medi-Cal! Vasectomies are now available to Medi-Cal recipients through the Urology Department at Highland Hospital.  The service will also be available soon through Planned Parenthood Mar Monte.  Call the Alameda County Family Health Line at (888) 604-4636 for updated information about where vasectomies are available.

Resource Guides

Clinics in Alameda County

Alameda County Public Health Department

Health Insurance Info

If you are uninsured or looking for more information on health insurance, see the links below.

Low Income Coverage Options – Information on Medi-Cal, HealthPAC, FamilyPACT, Kaiser Child Health Plan, Alliance Group Care.

Pregnancy Insurance Information – Information on obtaining health insurance if you are or think you are pregnant.

Unemployed & COBRA –Information on extending health insurance coverage if you are recently unemployed.

Private Health Insurance: Individuals & Small Business – Resources on purchasing health insurance.

Medicare – Resources on Medicare for seniors and persons with disabilities.

Need Help with Prescription Drug Costs – Resources on free or low-cost prescription drugs.

Insurance Disputes & Hospital Bill Assistance – Resources on dealing with disputes with your insurance company and assistance in paying high medical bills.

To find a clinic or health services near you, click here.

Health Reform

For any questions, please contact: healthreform@acgov.org

Alameda County Health Care Reform Guide

    Alameda County Health Care Reform Guide

AC Guide

2013 Health Reform Implementation Forums: Eligibility, Enrollment, and Retention

Alameda County HCSA and SSA will be hosting a series of health reform implementation forums for community-based organizations beginning later this Spring.  The forums will focus on upcoming changes to Eligibility, Enrollment, & Retention systems.

Dates and Locations:

  • March 28: 10:00 – 12:00: Marina Community Center – 15301 Wicks Blvd. San Leandro.  Titan Auditorium.  Materials  
  • May 30: 10:00 – 12:00: Fremont City Council Chambers — 3300 Capitol Ave.  Building A  Fremont, CA 94538.   Materials
  • September 209:00 – 12:00: Nile Hall, Preservation Park — 1233 Preservation Park Way Oakland.  ICPC Forum, “Alameda County Children’s Policy Forum Series: Serving Children and Families in the Age of Health Care Reform” Materials
  • October 10:  10:00 – 12:00: Allen Temple Baptist Church, Family Life Center Gym. 8501 International Blvd. Oakland, CA 94621   Materials
  • November 15: 10:00 – 12:00: City of Hayward Council Chambers – 2nd floor; 777 B Street; Hayward,  CA  94541  Materials

Forum Objectives:

  1. Update community-based organizations on implementation developments on enrollment and retention processes and procedures from the State of California;
  2. Update community-based organizations on county plans regarding enrollment and retention activities;
  3. Inform community based organizations about potential and evolving opportunities for CBOs; and
  4. Receive guidance and suggestions from community-based organizations on activities and resources that can promote enrollment and retention.

Covered Topics:

1.  Updates from State of California

  • Overview of programs, timeline for implementation
  • Regulatory changes around coverage
  • Covered California media campaign
  • Assister and Navigator Program
  • CallCenter
  • CalHEERs

2.  Updates from Alameda County

  • Strategies to assist with enrollment and retention (HealthPAC, Medi-Cal, and Exchange-based programs)
  • Overview of available materials
    • Links to materials from the State, Fact sheets, FAQs, meeting materials and presentations

3.  Ongoing communications and information

  • Website, email address, links to materials from the State, Fact sheets, FAQs, meeting materials and presentations

4.  Potential Role and Opportunities for Community Organizations

5.  Suggestions and Feedback

Suggested Participants:

Directors, Operational Managers, Program Planners, Project Managers, Enrollment and Retention Managers

Questions

Questions or suggestions for future topics can be sent to healthreform@acgov.org.  If you cannot attend the meeting, presentations, materials and FAQs will be posted on achealthcare.org.

Reports

Alameda County Eligbility and Enrollment Systems for Low-Income Health Coverage Programs (Report)
Alameda County Health Care Services Agency and Alameda County Social Services Agency

Eligbility and Enrollment Systems Maps, Appendix D
Alameda County Health Care Services Agency and Alameda County Social Services Agency

Preparing for 2014 ACA Implementation: Enrollment, Eligibility, & Retention (Presentation)
Alameda County Health Care Services Agency and Alameda County Social Services Agency

2011-12 Health Reform Forums – Supervisor Wilma Chan

For presentations and readings from the 2011-2012 forums from Supervisor Wilma Chan, please click here.

Health Reform FAQ

Health Reform FAQ

Health Reform Links

California Health Benefits Exchange – http://www.healthexchange.ca.gov

Assisters Program – http://www.healthexchange.ca.gov/Pages/AssistersProgram.aspx

Covered California – http://www.coveredca.com/

HealthPAC

What is HealthPAC?

HealthPAC (the program that replaced CMSP and ACE) provides comprehensive health care services through a contracted network of health care providers. Health services are provided through the HealthPAC Provider Network, which includes the Alameda Health System and primary care community-based organizations.

You may be enrolled in HealthPAC if you have a card that looks like this.

Who does it cover?

In order to be eligible for HealthPAC coverage individuals must:

  1. Be a resident of the County of Alameda
  2. Have a gross monthly income at or below the 200% Federal Poverty Level
  3. Not be enrolled in or eligible for full- scope Medi-Cal
  4. Not be enrolled in private or employer-based insurance

How do I apply?

If you think that you may be eligible for this program, contact one of the following providers. When you call one of the providers you should expect to go through an eligibility screening process. If you have questions about the program or eligibility requirements, please call HealthPAC Customer Service at 1-877-879-9633 or email HealthPACquestions@acgov.org.  (This is not a secure e-mail. Do not put personal health information in the e-mail.)

If your HealthPAC application is approved:

  • HealthPAC will mail you an ID card. If you lose your card you will not need a new one.
  • Read the HealthPAC participant handbook to find out how HealthPAC works and how to get care.
  • Make sure to renew your HealthPAC by the “Renewal Date” on your ID card.

Where can I get more information?

HealthPAC

¿Qué es HealthPAC?

HealthPAC (anteriormente conocido como CMSP o ACE) proporciona servicios integrales de cuidado de la salud mediante una red contratada de proveedores de cuidado de la salud.

Los servicios de salud se prestan a través de la red de proveedores del HealthPAC, los cuales incluyen el Centro Médico del Condado de Alameda y organizaciones comunitarias de atención primaria.

Es posible que usted ya esté inscrito(a) en el programa HealthPAC si usted tiene una tarjeta como ésta.

¿A quiénes cubre?

Para ser elegibles para la cobertura del HealthPAC las personas deben:

  1. Residir en el Condado de Alameda
  2. Tener un ingreso bruto mensual inferior al 200% del nivel federal de pobreza
  3. No estar inscritos en ni ser elegibles para la cobertura total de Medi-Cal

¿Cómo me inscribo?

Si usted considera que es elegible para este programa, contacte a uno de los siguientes proveedores.

Cuando se comunique con uno de los proveedores, es de esperarse que pase por un proceso de determinación de elegibilidad.

Si tiene alguna pregunta sobre el programa o sobre los requisitos de elegibilidad, llame a Servicios al Miembro de HealthPAC al 1-877-879-9633.  E-mail a HealthPACCustomerService@acgov.org (Este no es un correo electrónico seguro. Por favor de no poner datos personales de salud en el correo electrónico.)

Yo tengo CMSP. ¿Qué representa para mí el cambio de nombre?

CMSP cambiará su nombre a HealthPAC.   Usted conservará los beneficios de su Programa CMSP/ACE si aún es elegible.

  • Los Servicios al Miembro de HealthPAC pueden responder sus dudas y ofrecerle ayuda.
  • HealthPAC le comunicará el momento en que usted debe renovar su solicitud.
  • HealthPAC le enviará por correo una nueva tarjeta de identificación y un nuevo manual del participante después de que sea aprobado. Continúe usando su tarjeta de identificación de CMSP / ACE hasta que renueve y obtenga una tarjeta de HealthPAC. Si usted pierde su tarjeta, no necesitará otra nueva. Sólo pida a la clínica verificar su estado activo cuando necesite un servicio de salud.
Si su periodo de inscripción se encuentra activo, usted podrá seguir usando su antigua tarjeta CMSP hasta que reciba su nueva tarjeta HealthPAC por correo.

¿Dónde puedo obtener más información?

Llame a Servicios al Miembro de HealthPAC al 1-877-879-9633, de lunes a viernes, de 8:30 a.m. a 5:00 p.m.

E-mail a HealthPACquestions@acgov.org

Este no es un correo electrónico seguro. Por favor de no poner datos personales de salud en el correo electrónico.

Vea el folleto sobre HealthPAC y el Manual del Participante de HealthPAC para obtener más información sobre el programa.

HealthPAC

何為 HealthPAC?

HealthPAC(CMSP ACE的替代計畫)透過一個簽約醫療保健服務提供者網絡提供綜合醫療保健服務。

健康服務透過 HealthPAC 醫護服務提供者網絡提供,該網絡包括 Alameda 健康系統及基於社區的基本護理組織。

若您已有與此類似的卡片,您可能已加入 HealthPAC 計劃。

該計劃為哪些人提供承保?

只有符合以下條件者才能獲得 HealthPAC 承保:

  1. 是 Alameda 縣的居民
  2. 每月總收入等於或低於聯邦貧困水平的 200%
  3. 尚未參加或不符合資格參加全面Medi-Cal計劃
  4. 尚未參加私人保險或基於員工的保險

我如何申請?

若您認為您可能符合此計劃的入會資格,請與以下某一醫護服務提供者聯絡

當您致電上述醫護服務提供者時,您可能需要通過資格審核程序

如果您對此計畫或資格條件有任何疑問,請致電HalthPAC的客戶服務處,電話號碼是1-877-879-9633 。子邮件是HealthPACquestions@acgov.org  (這並不一個安全的電子郵件。不要把個人健康信息放在電子郵件。)

若您的HealthPAC申請獲得批准:

 

  • HealthPAC將向您寄送一張成員證。若您的成員證遺失,您不需要重新領取。
  • 閱讀HealthPAC參與手冊,瞭解HealthPAC的運作方式及獲得照護的方式。
  • 請確保在您成員證上的「更新日期」前更新您的HealthPAC。

如何獲得更多的資訊?

請致電HealthPAC計畫成員服務處,電話號碼是1-877-879-9633; 服務時間是週一至週五,早上8:30點至下午5:00點。

電子邮件為HealthPACquestions@acgov.org

這並不一個安全的電子郵件。不要把個人健康放在電子郵件。

請閱HealthPAC計畫說明冊HealthPAC計畫參加者手冊,以便詳細瞭解相關的計畫情況。

HealthPAC

On July 1, 2011, Alameda County launched the HealthPAC program for uninsured Alameda County residents.

HealthPAC expands upon the current CMSP (County Medical Service Program, now re-named to HealthPAC) by drawing down federal funding made available through the Medicaid 1115 Waiver.  The program is available to all Alameda County residents whose income is under 200% of the Federal Poverty Level.

For more information on how to enroll in HealthPAC, see this section of the website.

For more information on the launch of the HealthPAC program, see this announcement from Alameda County

HealthPAC

HealthPAC is a coverage program that covers the cost of medical and behavioral health services within a limited network for low-income Alameda County residents who do not qualify for full-scope, no-cost Medi-Cal. You do not need to be a citizen to receive health services through HealthPAC.

How and Where to Apply

  • Health clinics that are part of the HealthPAC network. Locate a clinic by clicking here.
    • Call the Alameda County Health Care Services Agency Health Insurance Unit at 1-800-422-9495.

HealthPAC Services

  • Hospitalization services at Highland Hospital.
  • Eligible For Medical care services at the medical home you enroll in.
  • See the HealthPAC Participant website

Covered Services:

  • Preventive and Routine Care
  • Specialty Care
  • Urgent Care
  • Hospital Care
  • Emergency Care
  • Mental Health Care
  • Prosthetics and Orthotics
  • Radiology
  • Emergency Dental Services
  • Laboratory Services/Tests
  • Medical Equipment & Supplies
  • Non-Emergency Transportation
  • Pharmacy and Prescriptions
  • Physical Therapy
  • Podiatry

What to Expect After Applying

All new HealthPAC participants will receive an ID card in the mail.

Cost and Payment

Co-pay; amount depends on income and household size.

More Information

For more information on HealthPAC, please click here.

Find more information on eligibility, enrollment, and service locations in the HealthPAC Participant Handbook. This Handbook is subject to change as new policies and program rules become available.

Next Section: Kaiser Child Health Plan (CHP)

Hice la búsqueda sin obtener resultados. ¿A dónde puedo ir?

Intente ampliar la búsqueda:

  • Amplíe la distancia: Si usted puede ir más lejos, puede encontrar más proveedores
  • Cambie el idioma a “cualquiera”: Si el/los idioma(s) que seleccionó no muestran suficientes resultados, intente ampliar la búsqueda seleccionando “cualquiera”. Muchos proveedores ofrecen servicios de interpretación a través de la línea para comunicarse en otro idioma, un servicio de interpretación telefónica.
  • Amplíe la búsqueda a médico o clínica: El servicio específico que usted está buscando puede encontrarlo más fácilmente haciendo una búsqueda general por médico o clínica
Home

Health Reform preparation in Alameda County 

Data and Reports on the uninsured in Alameda County 

Homeless Services

Shelter list for Alameda County
If you need a list of open shelter beds, call 211 for the most up-to-date information.

Homeless Action Center
Legal services to homeless and mentally ill

Health Care for the Homeless
Health care and support services to homeless clients throughout Alameda County.

Alameda Social Services
Housing and Homeless Services

EveryOne Home
Working to end homelessness in Alameda County

Housing and Community Development
Alameda County Housing and Homelessness resources

Hospice

Getting the Most Out of Life (GMOL)/Advance Care Planning
GMOL is an Alameda County Health Care Services Agency (HCSA) Program designed to increase education and utilization of advance care planning and hospice services in Alameda County. This program is aimed to reduce suffering, by honoring the wishes of patients who are seriously ill, and to reduce health care costs by minimizing repeat emergency room visits and extended hospital stays. Most importantly, the work creates supportive environments that encourage people to consider, communicate and document their health care wishes, long before a medical crisis occurs.

Alameda County has made an investment in improving the quality of life for terminally ill residents. The Getting the Most Out of Life program offers training and resources to support faith and community based organizations to learn more about culturally sensitive advance care planning.

Advance care planning allows you to make decisions about your medical treatment, should you become unable to make your own wishes known. These personal choices are based on your personal values, preferences and “Conversations” with loved ones.

Hospital Bills

California law limits the amount an uninsured or under-insured person can be charged for high medical costs.  For information, see HospitalBillHelp.org and the state’s website of Fair Hospital Pricing to get information on hospital’s discount policies.

Housing Support

Shelter list for Alameda County
If you need a list of open shelter beds, call 211 for the most up-to-date information.

Homeless Action Center
Legal services to homeless and mentally ill

Health Care for the Homeless
Health care and support services to homeless clients throughout Alameda County.

Alameda Social Services
Housing and Homeless Services

EveryOne Home
Working to end homelessness in Alameda County

Housing and Community Development
Alameda County Housing and Homelessness resources

How many uninsured residents are there in Alameda County?

According to the U.S. Census Bureau, in 2010 there were about 199,000 uninsured residents in Alameda County. For more data and reports on the uninsured in Alameda County, click here.

I am enrolled in Medi-Cal; where can I find a doctor?

If you are on Regular Medi-Cal, you can go to most comprehensive care clinics. Use the search function on this website to find a list of these.

If you have a Medi-Cal health plan through Alameda Alliance for Health or Blue Cross, call their member services department to find a doctor.

If you have Medi-Cal and want to enroll in a health plan, learn more here.

I am pregnant or might be pregnant and need a doctor. Where should I go?

If you are pregnant or might be pregnant, you will get an appointment right away. Search for a clinic here. Be sure to tell the clinic staff on the phone that you think you are pregnant so they schedule an appointment quickly. For more information please click here or call the Public Health Clearinghouse at 1-800-605-4636.

I am undocumented, where can I go to see a doctor?

Clinics will see you regardless of immigration status. Search for a clinic near you here.

Generally, public health insurance programs, like Medi-Cal and Healthy Families, do not cover undocumented immigrants (except for pregnancy and emergency care). However, there are other programs that cover the cost of services. Clinics can screen and enroll you and your family in these programs.  Click here for a list of clinics where you can be screened for these programs.

I called a clinic and they said they do not have appointments to see a regular doctor. What should I do?

Unfortunately, because of the bad economy, wait times may be very long, sometimes many months.

If you need urgent care:

  • For emergencies, Call 911 or use the nearest emergency room.
  • If it is not a medical emergency, call a clinic and tell them you need urgent care
  • Try calling other clinics that may be further from you
  • See if you can be seen during drop-in hours at a free clinic

If you need a regular doctor:

  • Ask how to make an appointment to become a clinic member. Once you are a clinic member, wait times are shorter.
I did a search and no results came up. Where can I go?

Try expanding your search by:

  • Expand your proximity to more miles – If you can travel further, you may find more providers
  • Expand Language to “Any” – If the language(s) you selected do not show enough results, try expanding the search to “Any”. Many providers offer interpretation services through Language Line, a telephone interpretation service.
  • Expand Service to Doctor or Clinic – The specific service you are looking for may be best found by searching for a general doctor or clinic
I don’t speak English. Where can I go?

Use the search function to narrow to the language you speak.

By law, all health providers must provide interpretation in person, or through the phone, or assign a bilingual provider to you. Tell the clinic staff what you speak when you call.

I had insurance but lost my job; what are my options now?

If you lost your job, you can continue to receive the health insurance you received from your employer by paying your employer’s share of the premium through a program called COBRA. Click here to learn more about COBRA.

You or your family may also qualify for other public health insurance programs, see here for more information.

If you are looking for a doctor or clinic who take uninsured patients, please use the search function.

I have a pre-existing condition and can’t find health insurance, what are my options?

If you have a pre-existing health condition, know your rights.

In California, you can receive health insurance through a state program. See here for more information.

If you cannot afford the premiums through this program, click here to find a doctor or clinic who see uninsured patients in your area.

I have no insurance, and I need a regular doctor. Where should I go?

If you are uninsured and need a primary care doctor, search for a doctor near you. Comprehensive clinics provide you with a regular source of care and offer services for reduced cost or free. Clinics will first give you an eligibility appointment, and you will be enrolled in health coverage programs that help with the cost of services.

I have no insurance, and I need to see a doctor today. Where should I go?

If this is a medical emergency, call 911 or go to the nearest emergency room.

If it is not a medical emergency, but you need care immediately, search for “urgent care” here. Some free clinics may also have a limited amount of drop-in appointments. Find those clinics by searching for “doctor or clinic.”

I heard health reform passed, when can I be enrolled in health insurance?

Health reform passed in 2010; however, it will not be fully implemented until 2014 (some parts will begin earlier). For information on health reform, see HealthCare.gov.

ACHealthCare.org will be updated with information for Alameda County residents as programs roll out.

I need a HIV and/or STD test, where should I go?

Use the search function on this website to find a place to receive this test near you.

I received a hospital bill I cannot pay. What should I do?

California law limits what hospitals can charge an uninsured or underinsured person. For information, see HospitalBillHelp.org and the state’s website of Fair Hospital Pricing to get information on hospitals’ discount policies.

If I am uninsured, why should I become a member of a comprehensive care clinic?

Members of comprehensive care clinics are given a wide range of services. Patients:

  • Are screened for insurance programs.
  • Receive quality services that are culturally and linguistically appropriate.
  • Are assigned someone who coordinates primary care, prescription drugs, and specialty care.
  • Are guaranteed access to urgent care.
  • Receive a wide range of other social services.
Immigrants

Legal Permanent Residents (LPRs) are foreign citizens who have been granted the right to reside permanently in the United States. Adults must be LPRs for over 5 years before they are eligible for public benefits, including public health care coverage such as Medi-Cal. Children are eligible even if they have been LPRs for less than 5 years.

Adults and families who have been Legal Permanent Residents for 5 or more years and are below 138% FPL are eligible for Medi-Cal.  Those between 138% FPL and 400% FPL are eligible for Covered California.

As of legislation passed in June 2013, LPRs with less than 5 years residency, between 0 and 138% FPL, and without dependent children, will be eligible for a Covered California plan. The state will cover their premium costs, cost-sharing, and any Medi-Cal benefits not offered through their plan. Starting in 2014, or when the California Department of Health Care Services and Covered California have operational capability, this group will enroll into
Covered California during open enrollment but remain eligible for state-only Medi-Cal if they miss the open enrollment period. Until such operational capability is reached, LPRs with less than 5 years residency will remain covered under Medi-Cal.

* LPRs with less than 5 years residency, with Medi-Cal eligible children, will still be eligible for state-only Medi-Cal (same as current policy). LPRs with < 5 years residency and greater than 138% FPL to 400% FPL are eligible for tax credits to purchase a Covered California plan.

Undocumented immigrants below 200% FPL are eligible for HealthPAC. Undocumented children and adult immigrants below 138% FPL and individuals ineligible for any other type of public health insurance may be eligible to receive limited services under Emergency or Restricted Medi-Cal.

  • Benefits for sensitive services or for non-legal California residents are limited, but may include:
  • Emergency Care
  • Prenatal Care & Delivery
  • Postpartum Care
  • Tuberculosis
  • Renal Dialysis
  • Sensitive Services (minors under 21)

Undocumented pregnant women are eligible for Pregnancy-Only Medi-Cal 

More information on becoming a Legal Permanent Resident click here.

Next Section: Refugees

 

Immigration and Health Reform

Please click here to read a notice from the Department of Homeland Security in U.S. Customs and Enforcement.  It provide clarification on immigration and documentation with regards to health care information.

Información de seguro de embarazo

Estoy embarazada—o creo estar embarazada—y no tengo seguro de salud. ¿Qué debo hacer?

Si usted está embarazada o cree estar embarazada, busque atención de inmediato. Por favor busque aquí una clínica cercana haciendo la búsqueda por “prenatal”. Cuando llame a la clínica para solicitar que la atiendan, dígale a la persona que conteste que usted está embarazada o que usted cree estar embarazada.

¿Cómo pago estos servicios?

Hay varios programas de seguro de salud que tienen cobertura para las mujeres embarazadas. La diferencia entre estos programas radica en su ingreso y ciudadanía. En la clínica la inscribirán en el programa apropiado.

¿Cuáles son estos programas? ¿Dónde puedo saber más sobre ellos?

Elegibilidad presunta de Medi-Cal

Mujeres embarazadas de bajos ingresos, pueden obtener cobertura temporal para recibir pruebas de embarazo, cuidado prenatal y abortos. Este programa de Medi-Cal se llama Elegibilidad presunta (PE) y está disponible en varias clínicas y consultorios de obstetras de todo el Condado de Alameda. El PE cubrirá el costo de estos servicios mientras el Condado procesa la solicitud de Medi-Cal de la mujer.

¿Quién es elegible?

Cualquier mujer que crea estar embarazada, cuyo ingreso familiar sea inferior a determinado valor y quien busque atención prenatal a través de un proveedor de Medi-Cal. Las mujeres indocumentadas son elegibles.

¿Cuál es el costo?

Los servicios de atención prenatal a través del PE son gratis para las mujeres elegibles.

¿Cómo me inscribo?

Contacte cualquiera de las clínicas y consultorios médicos mencionados anteriormente o si vive en el Condado de Alameda llame al 1-888-604-4636. Si vive en otra área de California o en otro estado llame al 211.

Medi-Cal sólo para embarazo

Una mujer embarazada que no califique para cobertura total de Medi-Cal puede ser elegible para un beneficio de Medi-Cal limitado a la atención prenatal, servicios de parto y trabajo de parto, servicios de planificación familiar y atención posparto que se prolonga 60 días posteriores al término del embarazo.

¿Quién es elegible?

Mujeres embarazadas, incluyendo a las mujeres indocumentadas, cuyo ingreso familiar sea igual o inferior al 200% del nivel federal de pobreza.

¿Cuál es el costo?

Los servicios de Medi-Cal sólo para embarazo son gratuitos para las mujeres elebigles.

¿Cómo me inscribo?

Contacte cualquiera de las clínicas y consultorios médicos mencionados anteriormente o si vive en el Condado de Alameda llame al 1-888-604-4636. Si vive en otra área de California o en otro estado llame al 211.

Acceso para Infantes y Madres (AIM)

AIM es un programa estatal que provee servicios de seguro de salud para mujeres embarazadas de ingresos medios.

¿Quién es elegible?
  • Las mujeres que no tengan más de 30 semanas de embarazo a la fecha de solicitud,
  • Residentes en California
  • que no tengan Medi-Cal ni Medicare gratuito
  • que no tengan cobertura de seguro de salud para embarazo o cuyos deducibles/ copagos para maternidad sean superiores a $500 y
  • cuyo ingreso mensual familiar cumpla los lineamientos del programa
¿Cuál es el costo?

1.5% del ingreso familiar ajustado después de deducciones.

¿Cómo puedo solicitarlo y pedir más información?

Contacte cualquiera de las clínicas y consultorios médicos mencionados anteriormente o ingrese al sitio web de AIM o llame a la línea gratuita de AIM 1-800-433-2611.

Mi pregunta no fue respondida aquí. ¿Dónde puedo pedir ayuda?

Si usted está embarazada y necesita más información sobre recursos, contacte cualquiera de las clínicas y consultorios médicos mencionados anteriormente o si vive en el Condado de Alameda llame al 1-888-604-4636. Si vive en otra área de California o en otro estado llame al 211.

 

Mujeres embarazadas de bajos ingresos, pueden obtener cobertura temporal para recibir pruebas de embarazo, cuidado prenatal y abortos.

Información de seguro de salud

Si usted no tiene seguro o desea más información sobre seguros de salud, consulte los siguientes enlaces.

Opciones de cobertura para personas de bajos ingresos – Información de Medi-Cal, HealthPAC (CMSP), FamilyPACT, Kaiser Child Health Plan, Alliance Group Care.

Información de seguro de embarazo – Información sobre la obtención de seguro de salud si usted está o cree estar embarazada.

Desempleados y COBRA –Información sobre la extensión de la cobertura de seguro de salud si usted perdió su empleo recientemente.

Seguro médico privado: personas y pequeñas empresas – Recursos para la adquisición de seguro médico.

Medicare – Recursos de Medicare para adultos mayores y personas con discapacidades.

Necesita ayuda con los costos de los medicamentos con receta – Recursos para medicamentos con receta gratuitos o de bajo costo.

Conflictos relacionados con el seguro médico y ayuda con la factura del hospital – Recursos para manejar los conflictos con su compañía de seguros de salud y ayuda para pagar las facturas médicas de alto costo. Para encontrar una clínica o servicios de salud cercanos, haga clic aquí.

Inicio

Datos e informes sobre las personas sin seguro del Condado de Alameda

Actualizaciones de los esfuerzos continuos por mejorar el acceso a la atención primaria, especializada y de comportamiento para los residentes del Condado de Alameda

Insurance Disputes

If you are having a dispute with your insurance company, please see here for more information.

Insurance Disputes & Hospital Bill Assistance

Dealing with Disputes with Your Insurance Company

If you are having a dispute with your insurance company, please find the below resources.

Medicare

Oakland Legal Assistance for Seniors at (510) 839-0393 or 1-800-393-0363

Medi-Cal

Medi-Cal Ombudsman at 1-888-452-8609

Private Health Insurance

The California Department of Managed Health Care helps consumers resolve problems with health plans, including issues about medical care, prescriptions, preventative testing, and mental health services. They can also help with the complaint process and health care rights. Assistance is available 24 hours a day, 7 days a week. Contact the HMO Help Center at 1888-HMO-2219

People with a PPO, EPO, POS, indemnity, or association plan can contact the California Department of Insurance at 1-800-927-HELP (4357)

For more information about specific complaints with your health plan, see this list of common problems.

To learn more about your health care rights, visit Californians for Patient Care.

Assistance Paying Hospital Bills

California law limits the amount an uninsured or underinsured person can be charged for high medical costs. For information on your consumer rights, see HospitalBillHelp.org

To get detailed information and search for hospital’s discount policies see the State’s website: Fair Hospital Pricing.

Is there a special program in Alameda County for the uninsured?

Yes. Alameda County offers one program called HealthPAC. This program offers health services to Alameda County residents who are under 200% of the Federal Poverty Level and uninsured. If enrolled in this program, free or low-cost health services are available to you at certain clinics and facilities. To find a clinic where you can be enrolled and learn more about the program, please click here.

Job Training

Job Star
A list of career centers in Alameda County

East Bay Works
A joint venture of public entities, non-profit agencies, and private organizations in Alameda and Contra Costa Counties helping businesses and job seekers meet their employment needs.  Find One-Stop Career Centers Here (Oakland)

Kaiser Child Health Plan

若您目前正在為您未參保的小孩尋找健康保險,而且他們符合加入 Medi-Cal 或 Healthy Families 計劃的資格,則他們可加入 Kaiser Child Health Plan (兒童健康計劃)。

此處載有關於該計劃的詳細資料。若要參保,請聯絡:

  1. Health Care Services Agency
    1000 San Leandro Blvd., Suite 300
    San Leandro, CA 94577
    1-800-422-9495.
  2. 在此處索取線上申請表。或撥打 1-800-464-4000 直接聯絡 Kaiser 索取 Kaiser Child Health Plan 的入會申請表。
Kaiser Child Health Plan

The Kaiser Child Health Program (CHP) is a low-cost private health insurance option for children who do not qualify for any other insurance option (must have income less than or equal to 300% FPL). CHP was previously entitled Kaiser Child Health Plan. Current Plan beneficiaries will automatically move to the new Child Health Program effective March 1, 2014. These individuals will receive information on how this change will impact them throughout 2013 and 2014.

Enrollment will now be limited to an open enrollment period once a year. However, qualifying events will allow for enrollment outside of the open enrollment period. The previously named Child Health Plan will end February 28, 2014 and the newly named Child Health Program will begin March 1, 2014. Open enrollment will be from January 16 through March 31, 2014 (individuals can still apply for the previously named Plan through January 15, 2014).

In certain circumstances, you must provide proof of denial for full-scope, no-cost Medi-Cal (or proof of enrollment in Restricted/Emergency Medi-Cal or Share of Cost Medi-Cal) in order to be eligible.

How and Where to Apply

  • Call the Health Insurance Technician Unit at 1-800-422-9495 to set up an enrollment appointment.
  • Visit the CHP website for enrollment information
  • Visit an enrollment agency. Find a location here.

Kaiser Child Health Plan Services

See information on CHP website.

What to Expect After Applying

It may take at least 45 business days to process your application. You will receive a postcard confirming that Kaiser received your application. You may be asked to provide additional information to confirm your children’s eligibility. Recertification is required every 2 years for continued CHP  membership. A few months before the 24th month of membership, you will be asked to complete a recertification application and submit updated proof of income.

Cost and Payment

There is a no premium for families with incomes 0-133% FPL. Monthly premium of $10 or $20 per child depending on income over 133% FPL. See website for more details.

More Information

Go to the CHP website.

Next Section: Access for Infants and Mothers, AIM

Kaiser Child Health Program

If you are looking for health insurance for your uninsured child, and they do not qualify for Medi-Cal, they can be enrolled in the Kaiser Child Health Program.

Further details of the program are available here.

To enroll please contact:

  1. Health Care Services Agency
    1000 San Leandro Blvd., Suite 300
    San Leandro, CA 94577
    1-800-422-9495.
  2. Request an application online here.  Or call Kaiser directly at 1-800-464-4000 to request an application for the Kaiser Child Health Program.
Línea directa para casos de suicidio

Línea para atención de crisis las 24 horas

  • Condado de Alameda: 1-800-309-2131
  • Línea directa nacional: 1-800-SUICIDE
  • 1-800-273-TALK (8255)

Consejeros capacitados para intervención en crisis, a su disposición para recibir las llamadas en casos de crisis y brindar psicoterapia de apoyo las 24 horas del día, 7 días a la semana.

Disponible traducción a 140 idiomas y servicios de TDD.

Llamé a una clínica y dijeron que no tienen citas para médicos regulares. ¿Qué debo hacer?

Infortunadamente, a raíz de la crisis económica, los tiempos de espera pueden prolongarse demasiado, incluso meses. Si usted necesita atención urgente:

  • Para emergencias, llame al 911 o acuda a la sala de emergencia más cercana.
  • Si no es una emergencia médica, llame a una clínica y diga que usted necesita atención urgente
  • Intente llamar a otras clínicas aunque le queden más lejos
  • Intente que le atiendan en horario de atención sin cita en una clínica gratuita

Si usted necesita un médico regular:

  • Pregunte qué debe hacer para afiliarse a la clínica. Una vez esté afiliado(a), los tiempos de espera son más cortos.
Low Income Coverage Options

What should I do if I currently have no health insurance of any type?

Get screened to see what type of program you may be eligible for:

  • Medi-Cal, a health insurance program for children, parents, seniors, and persons with disabilities
  • Kaiser Child Health Plan a health insurance program for children who do not qualify for Medi-Cal
  • HealthPAC a local funded program that helps cover the cost of medical services
  • Alliance Group Care a health insurance program for IHSS workers in Alameda County
  • Covered California™ offers a range of plans for individuals and families. See if you are eligible for help to pay monthly premiums for a Covered California health insurance plan, or if you qualify for Medi-Cal.

What type of programs might I qualify for?


FamilyPACT is an example of one program for which you might qualify. It covers the cost for all family planning services for men and women at certain clinics. This includes: annual exams, STD testing, birth control, and other reproductive health services.

The programs for which you might qualify depend on many things, such as: your income, your family situation, and your health.  Staff will screen you for all programs.

Even if you are not eligible for any programs, clinics on this website offer low-cost options based on a sliding-fee scale and will do their best to help you get the care that you need.

Where can I enroll or see if I qualify for these programs?

You can be screened and enrolled at the eligibility departments of the Alameda County clinics or at Alameda County Health Care Services Agency. Click here to display a full list of places where you can be screened and enrolled in health insurance or coverage programs.

What can I expect at an eligibility and screening appointment?

Eligibility staff may do a pre-screening on the phone to see which programs you might qualify. They will ask you:

  • how many people are in your family,
  • your income,
  • your address, and
  • your citizenship.  Even if you are not a citizen, you can still receive health services in Alameda County.

The eligibility staff will have you make an appointment to do your in-person screening.

It is important to bring certain documents to this eligibility appointment so that applications can be completed.  Programs require different documents; ask the eligibility staff on the phone for details.

  • Photo identification, such as a driver’s license, California identification card, passport, Permanent Resident/green card, or other school/government-issued identification card with a photo
  • Proof of address: such as an ID with your current address, a water bill, gas/electricity bill, or phone bill
  • Proof of income: Two (2) of your most recent paycheck stubs,  Federal Income Tax return, and your most recent bank statements
  • Proof of citizenship (if available), such as passport, birth certificate.  Even if you are not a citizen, you can still receive health services in Alameda County.
  • Social Security number (optional)
Lugares de la comunidad para determinación de elegibilidad e inscripción

Algunas organizaciones, clínicas y dependencias del gobierno determinan la elegibilidad para y realizan la inscripción en los programas de cobertura y seguro de salud, como Medi-Cal, CMSP/ACE y demás programas. Las clínicas ofrecen este servicio a sus pacientes.

Berkeley

LifeLong Medical Care
2344 6th Street
Berkeley, CA 94710
(510) 704-6010
*Medi-Cal, CMSP/ACE, FamilyPACT

Fremont

Tri-City Health Center
39500 Liberty Street
Fremont, CA 94538
(510) 770-8040
*Medi-Cal, CMSP/ACE, FamilyPACT

Hayward

Alameda County Medical Center- Winton Wellness Center
24100 Amador Street, Suite 250
Hayward, CA 94544
(510) 266-1700
*Medi-Cal, CMSP/ACE, FamilyPACT

Tiburcio Vasquez Health Center
22331 Mission Boulevard
Hayward, CA 94541
(510) 471-5880
*Medi-Cal, CMSP/ACE, FamilyPACT

Livermore

Axis Community Health
3311 Pacific Ave
Livermore, CA 94660
(925) 462-1755
*Medi-Cal, CMSP/ACE, FamilyPACT

Newark

Alameda County Medical Center- Newark
6066 Civic Terrace Avenue
Newark, CA 94560
(510) 505-1600
*Medi-Cal, CMSP/ACE, FamilyPACT

Oakland

Alameda County Medical Center- Highland Hospital
1411 East 31st Street
Oakland, CA. 94602
(510) 437-8500
*Medi-Cal, CMSP/ACE, FamilyPACT

Alameda County Medical Center- Eastmont Wellness Center
6955 Foothill Boulevard, Suite 200
Oakland, CA 94605
(510) 567-5700
*Medi-Cal, CMSP/ACE, FamilyPACT

Asian Health Services
818 Webster Street
Oakland, CA 94607
(510) 986-6880
*Medi-Cal, CMSP/ACE, FamilyPACT

Frank Kiang Medical Center
(a clinic of Asian Health Services)
250 East 18th Street, 2nd Floor
Oakland, CA 94606
(510) 986-6860
*Medi-Cal, CMSP/ACE, FamilyPACT

Healthy Communities – Save a Life Wellness Center
2580 San Pablo Ave.
Oakland, CA 94612
(510) 444-9655
*Medi-Cal, CMSP/ACE

La Clinica de La Raza – Transit Village
3451 E. 12th Street
Oakland, CA 94601
(510) 535-4000
*Medi-Cal, CMSP/ACE, FamilyPACT

La Clinica de la Raza – Clinica Alta Vista
1515 Fruitvale Avenue
Oakland, CA 94601
(510) 535-6300
*Medi-Cal, CMSP/ACE, FamilyPACT

La Clinica de la Raza – San Antonio Neighborhood Health Center
1030 International Blvd
Oakland, CA  90406
(510) 238-5400
*Medi-Cal, CMSP/ACE, FamilyPACT

LifeLong  Medical Care – East Oakland
10700  MacArthur Blvd, Suite 14b
Oakland,  CA 94605
(510) 704-6010
*Medi-Cal, CMSP/ACE,  FamilyPACT

LifeLong Medical Care – Downtown Oakland Clinic
616 16th Street
Oakland, CA 94612
(510) 704-6010
*Medi-Cal, CMSP/ACE,  FamilyPACT

Native American Health Center
2950 International Boulevard
Oakland, CA 94601
(510) 535-4400
*Medi-Cal, CMSP/ACE, FamilyPACT

West Oakland Health Center
700 Adeline Street
Oakland, CA 94607
(510) 835-9610
*Medi-Cal, CMSP/ACE, FamilyPACT

East Oakland Health Center
7450 International Boulevard
Oakland, CA 94621
(510) 430-9401
*Medi-Cal, CMSP/ACE, FamilyPACT

Pleasanton

Axis Community Health
4361 Railroad Avenue
Pleasanton, CA 94566
(925) 462-1755
*Medi-Cal, CMSP/ACE, FamilyPACT

San Leandro

Health Care Services Agency
1000 San Leandro Blvd., Suite 300
San Leandro, CA 94577
1-800-422-9495
* Medi-Cal, CMSP/ACE, Kaiser Child Health Plan

Union City

Tiburcio Vasquez Health Center
33255 9th Street
Union City, CA  94587
(510) 471-5880
*Medi-Cal, CMSP/ACE, FamilyPACT

Nota: Si usted no está asegurado(a), es posible que deba esperar en las clínicas de salud. Puede tomar días, semanas o más completar el registro y establecer la afiliación a la clínica. Después de establecer la afiliación, usted puede hacer una cita para que le atiendan. Si usted ya está afiliado(a) a una clínica, puede llamar a pedir citas cuando sea necesario.

Medi-Cal

What is Medi-Cal?  Who does it cover?

Medi-Cal is a health insurance program run by the state and federal government that primarily covers low-income children, parents, persons with disabilities, and seniors.


Sample Medi-Cal Card

How do I apply for Medi-Cal for myself or my children?

To be screened and apply for Medi-Cal, you can either:

  1. Contact a clinic in Alameda County, where you can be screened and apply for Medi-Cal, along with other health coverage programs
  2. Find out if you are potentially eligible for Medi-Cal and apply for benefits at Benefits Calwin.
  3. Contact Alameda County Social Services Agency directly to apply for Medi-Cal:

Alameda County Social Services- Enterprise Office
8477 Enterprise Way
Oakland, CA 94621
(510) 777-2300

Alameda County Social Services- Eden Multi-Service Center
24100 Amador St
Hayward, CA 94544
(510) 670-6000

Alameda County Social Services- Fremont Family Resource Center
39155 Liberty St Ste C330
Fremont, CA 94536
(510) 670-6000

Alameda County Social Services- Livermore outstation
3311 Pacific Ave
Livermore, CA 94550
(925) 455-0747

Do I have a choice in the type of Medi-Cal I receive?

Yes.

If your child—or you and your child— are enrolled in Medi-Cal, you can choose between two health plans: Alameda Alliance for Health or Blue Cross.


Sample Alameda Alliance Health Insurance Card

Sample Blue Cross Health Insurance Card

Benefits of a health plan include: assistance finding a Medi-Cal provider, care coordination, translation services, and transportation services.  If you would like more information, contact Alameda Alliance for Health or Blue Cross.

If you have both Medi-Cal and Medicare, you can opt to have a health plan coordinate your two health insurance plans.  For more information on this, please see this section of the website.

For further information on Medi-Cal, see:

Medi-Cal and You Handbook (PDF)
Alameda County Department of Social Services

Medi-Cal

¿Qué es Medi-Cal? ¿A quiénes cubre?

Medi-Cal es un programa de seguro de salud de los gobiernos federal y estatal que cubre primordialmente a niños, padres, personas con discapacidades y adultos mayores de bajos ingresos.

Muestra de tarjeta de Medi-Cal

¿Cómo solicito Medi-Cal para mí o para mis hijos?

Para determinar la elegibilidad y solicitar Medi-Cal, usted tiene dos opciones:

  1. Contactar a una clínica del Condado de Alameda, donde pueden determinar la elegibilidad y solicitar Medi-Cal, además de otros programas de cobertura de salud
  2. Averigüe si son potencialmente elegibles para Medi-Cal y Solicite los beneficios en Benefits Calwin.
  3. Contactar a la Entidad de Servicios de Salud del Condado de Alameda directamente para solicitar Medi-Cal:

Servicios Sociales del Condado de Alameda- sede administrativa
8477 Enterprise Way
Oakland, CA 94621
(510) 777-2300

Servicios sociales del Condado de Alameda- Eden Multi-Service Center
24100 Amador St
Hayward, CA 94544
(510) 670-6000

Servicios Sociales del Condado de Alameda- Fremont Family Resource Center
39155 Liberty St Ste C330
Fremont, CA 94536
(510) 670-6000

Servicios Sociales del Condado de Alameda- Livermore outstation
3311 Pacific Ave
Livermore, CA 94550
(925) 455-0747

¿Puedo elegir el tipo de Medi-Cal que recibo?

Sí.

Si su hijo(a)—o usted y su hijo(a)— están inscritos en Medi-Cal, usted puede elegir entre dos planes: Alameda Alliance for Health o Blue Cross.


Muestra de la tarjeta de seguro de salud de Alameda Alliance

Muestra de la tarjeta de seguro de salud de Blue Cross

Si usted está inscrito(a) en Medi-Cal como adulto mayor o persona con discapacidad, usted puede elegir inscribirse en un plan de salud.

Entre los beneficios de un plan de salud se encuentran: ayuda para encontrar un proveedor de Medi-Cal, coordinación de la atención, servicios de traducción y de transporte. Si desea más información, contacte a Alameda Alliance for Health o a Blue Cross.

Si usted tiene tanto Medi-Cal como Medicare, usted puede optar porque un plan de salud coordine los dos planes de seguro de salud. Para más información al respecto, por favor consulte esta sección en el sitio web.

Para más información sobre Medi-Cal, consulte el:

Manual Medi-Cal y usted (PDF)
Departamento de Servicios Sociales del Condado de Alameda

Medi-Cal

何為 Medi-Cal?該計劃為哪些人提供承保?

Medi-Cal 是一項由州及聯邦政府經營、主要為低收入家庭的兒童、家長、殘障人士及老年人提供承保的健康保險計劃。


Medi-Cal 卡樣本

我如何為我及我的小孩申請 Medi-Cal?

若要辦理資格審核並申請 Medi-Cal,您可:

  1. 聯絡 Alameda 縣的診所,您可在該診所接受資格審核,並申請參加 Medi-Cal 以及其他保健計劃
  2. 如果您發現您可能符合資格加入 Medi- Cal和申請 Benefits Calwin 的福利
  3. 直接聯絡 Alameda 縣社會服務署,申請 Medi-Cal:

Alameda County Social Services- Enterprise Office
8477 Enterprise Way
Oakland, CA 94621
(510) 777-2300

Alameda County Social Services- Eden Multi-Service Center
24100 Amador St
Hayward, CA 94544
(510) 670-6000

Alameda County Social Services- Fremont Family Resource Center
39155 Liberty St Ste C330
Fremont, CA 94536
(510) 670-6000

Alameda County Social Services- Livermore outstation
3311 Pacific Ave
Livermore, CA 94550
(925) 455-0747

我是否可選擇我參加的 Medi-Cal 類型?

是的。

您的小孩—或您本人與您的小孩—已加入 Medi-Cal,則您可在以下兩個健康計劃中選擇:Alameda Alliance for HealthBlue Cross


Alameda Alliance 健康保險卡之樣本卡

Blue Cross 健康保險卡之樣本卡

若您作為老年人或殘障人士加入 Medi-Cal,您可選擇加入健康計劃。

健康計劃的福利包括:尋找 Medi-Cal 醫護服務提供者時獲得援助、護理協調、翻譯服務及交通服務。若您需要更多資料,請聯絡 Alameda Alliance for HealthBlue Cross

若您已參加 Medi-Cal 和 Medicare, 您可選擇一項健康計劃來協調您的兩項健康保險計劃。如需有關本計劃的更多資料,請參閱本網站的此部份內容

如需更多有關 Medi-Cal 的資料,請參閱:

「Medi-Cal 與您」手冊 (PDF)
Alameda 縣社會服務署

Medi-Cal

Medi-Cal is California’s public health insurance program for low-income individuals who are not covered under private or employer-sponsored insurance plans. Alameda County Medi-Cal recipients have a choice between two Medi-Cal Managed Care plans: Alameda Alliance for Health or Blue Cross.

How and Where to Apply

  • Apply in-person at an Alameda County Social Services Agency Office.
  • Call 510-COVER-US to request that a Medi-Cal application be mailed to you at home, or to start an application over the phone.
  • Check your eligibility and/or apply though Benefits CalWIN at: http://www.mybenefitscalwin.org
  • Apply at a community-based health clinic or other community-based Certified Enrollment Entity (locations to be provided when known).
  • Call Health Care Services’ Health Insurance Technician Unit at 1-800-422-9495 for enrollment assistance and to find an enrollment location.
  • Mental Health clients may call the Behavioral Health Care Health Insurance Technician Help Desk at 1-888-346-0605 to find a county mental health clinic, or search the find a clinic page for Mental Health Services.
  • Log in online to Covered California at: http://www.CoveredCA.com
  • Foster youth, adoption assistance recipients, SSI recipients, and other Medi-Cal linked program participants, should contact their case worker in order to enroll or verify enrollment in Medi-Cal.

Medi-Cal Services

  • Doctor Services
  • Vision and Hearing Care
  • Hospital Care
  • Mental Health
  • Emergency Services
  • Preventive Care, CHDP Examinations
  • Lab Work and Vaccinations
  • Approved Prescriptions
  • Pregnancy Care
  • Dental Care
  • Family Planning
  • STD Tests and Treatment

What to Expect After Applying

After applying, you will be able to choose one of two Managed Care Health Plans through Health Care Options: Alameda Alliance for Health or Blue Cross, then choose a doctor or location as your Primary Care Provider. After April 2014, you will be able to choose a Managed Care plan as a part of the application process. If you are approved for Medi-Cal, the Department of Health Care Services will mail you a temporary Medi-Cal Beneficiary Identification Card (BIC). If you are approved and had Medi-Cal in the past, your BIC will be reactivated. You may discard the temporary Medi-Cal card upon receiving a permanent card from the managed care plan. Clients receive both a BIC card and a health insurance card from their Medi-Cal Managed Care provider (Alliance or Blue Cross). Click here to see samples of Health Insurance Identification Cards.

Cost and Payment

  • No Cost if below 138% FPL.
  • May have Share of Cost if above 138% FPL.
  • If your income is above 250% FPL, you may be ineligible for certain Medi-Cal programs (i.e., Targeted Low-Income Children’s Program; Working Disabled)

More Information

For more information on Medi-Cal, please click here.

Next Section: Covered California

Medicamentos con receta

Si usted necesita ayuda con los medicamentos con receta, consulte esta sección en el sitio web.

Medicare

Medicare is a federal health insurance program that covers seniors over 65 and people with disabilities. Below are some resources for people with Medicare.

  • Health Insurance Counseling and Advocacy Program (HICAP) provides free community education and counseling to Medicare beneficiaries about Medicare, Supplemental plans, Prescription Drugs, Medicare Advantage plans, Long Term Care, appeals, and more. Individual appointments are available at over 30 locations throughout Alameda County by calling (510) 839-0393 or 1-800-393-0363 or visiting their website.
  • Alliance CompleteCare is a health plan for residents of Alameda County that combines Medicare, Medi-Cal, and Part D prescription drug coverage with no premiums, deductibles, or co-pays, and offers dental and vision care. For more information, see their website or call 1-877-585-PLAN (7526)
  • For comprehensive information on Medicare benefits, including: Medicare basics, Medigap policies, long-term care options, Medicare appeals, and prescription drug coverage, see the California Health Advocates website.
  • BenefitsCheckUp finds federal, state, and private benefit programs available to help seniors save money on prescription drugs, health care, meals, utilities, taxes, and more. Obtain a personal report on the benefits you may qualify for on their website.
Medicare

Medicare es un programa federal de seguro de salud con cobertura para adultos mayores de 65 años y personas con discapacidades. A continuación se encuentran algunos de los servicios de Medicare.

  • Programa de Asesoría y Defensa sobre Seguros de Salud (HICAP) provee educación y asesoría local gratuita para los beneficiarios de Medicare sobre Medicare, planes suplementarios, medicamentos con receta, planes de Medicare Advantage, tratamientos de larga duración, apelaciones y más. Citas personales disponibles en más de 30 lugares de todo el Condado de Alameda llamando al (510) 839-0393 ó 1-800-393-0363 o ingresando a la página web.
  • Alliance CompleteCare es un plan de salud para residentes del Condado de Alameda que combina Medicare, Medi-Cal y la cobertura de medicamentos con receta de la Parte D, sin primas, deducibles, ni copagos y ofrece atención odontológica y oftalmológica. Para más información, consulte el sitio web o llame al 1-877-585-PLAN (7526)
  • Para inscribirse en Medicare, contacte a la Administración del Seguro Social al 1-800-772-1213. Para acudir a la oficina del Seguro Social local, aquí puede encontrar la oficina más cercana.
  • Para información completa sobre los beneficios de Medicare, entre otros: beneficios básicos de Medicare, normas de Medigap, opciones de tratamientos de larga duración, apelaciones de Medicare y cobertura de medicamentos con receta, ingrese al sitio web de California Health Advocates.
  • Averiguar beneficios encuentre programas de beneficios federales, estatales o privados disponibles para ayudar a los adultos mayores a ahorrar dinero en medicamentos con receta, servicios de salud, alimentación, servicios públicos, impuestos y más. Obtenga un informe personalizado de los beneficios a los que puede acceder en el sitio web.
Medicare

Medicare 是為 65 歲以上的老年人以及殘障人士提供承保的一項聯邦健康保險計劃。以下是為 Medicare 會員提供的一些資源。

  • Alliance CompleteCare 是為 Alameda 縣居民提供的一項健康計劃,該計劃將 Medicare、Medi-Cal 及 Part D 處方藥承保合併為一個計劃﹐會員無須支付保費、自付額或共付金,並提供牙科和眼科護理。欲知詳情,請參閱其網站或致電 1-877-585-PLAN (7526)
  • BenefitsCheckUp 協助尋找有助老年人節省處方藥、健康護理、膳食、水電費、稅收及其他費用的聯邦、州及私人福利計劃。從網站上獲取有關您可能符合資格享有之福利的個人報告。
Medicare

Medicare is the federal health insurance program for people age 65 and older and individuals with disabilities.

How and Where to Apply

  • You are eligible to enroll 3 months before you turn age 65. After that initial eligibility period, you can enroll between January 1st and March 31st of
  • each year.
  • If you’re automatically enrolled, you will receive your Medicare card in the mail 3 months before your 65th birthday or during the 25th month of disability.
  • Apply online using the online application
  • Visit your local Social Security office. Find a location here.  

Medicare Services

Coverage for services depends on the plan you choose and which parts of Medicare you opt into. For more information visit the Medicare website.

What to Expect After Applying

  • For online and paper applications, check your enrollment status online
  • Coverage begins 1 month after you sign up and are determined eligible.
  • Call Medicare at 1 (800) 633-4227

Cost and Payment

Depends on the type of Medicare you are eligible for, and the plan you are enrolled in. Below is limited information on what Parts A, B, C and D cover.

  • Part A: Hospital Insurance – Available to qualified people at no cost.
  • Part B: Medical Insurance – Monthly premium
  • Part C: Medicare Advantage Plans – Private contract under the plan that you select, which combines coverage for Part A & Part B
  • Part D: Prescription Drug Plan – Premium, Co-pays, deductibles depending on income and specific plan chosen

More Information

For more information on Medicare, including local resources, visit the Medicare section of this website or, for information about the national program visit Medicare.gov

 Next Section: Context & Information About Specific Populations

Mental/Behavioral Health Consumers

Treatment for mental health and substance use disorders is now a benefit category covered as a part of the package of Minimum Essential Coverage for plans starting in 2014. Services may be provided in a mental health outpatient setting or in a primary care clinic, based on an individual’s diagnosis and needs.

Mental Health Services:

Individuals with a mental health diagnosis are eligible for a variety of services in acute and outpatient settings. Clinicians will assess individuals seeking mental health care to determine which type of care will best meet their needs. Services include:

  • Crisis Outpatient Services
  • Hospitalization for psychiatric care
  • Community-based care in outpatient settings
  • Specialized services for children, youth,adults, and older adults based on specific criteria
  • Medications
  • Individual counseling
  • Group therapy for qualifying individuals

Substance Use Disorders Services:

Individuals with an alcohol or other drug disorder are eligible for an expanded array of services. The design of these new benefits is currently underway at the state level and is not complete. Services include:

  • Inpatient detoxification
  • Residential services
  • Outpatient clinical dependency care
  • Individual and group chemical dependency counseling
  • Methadone maintenance treatment based on specific criteria
  • Counseling and support services

More Information

For more information, please see Department of Health and Human Services, ASPE Research Brief: Affordable Care Act Will Expand Mental Health and Substance Abuse Disorder Benefits. 

Next Section: Immigrants

Mi pregunta no está aquí. ¿Dónde puedo obtener más información?

Para más información relacionada con encontrar servicios de salud o seguros de salud, llame al Centro de Información sobre Salud Pública al 1-888-604-4636. Está abierto de lunes a viernes, de 8:30 a.m. a 5:00 p.m.

Para información sobre vivienda o servicios humanos, llame al 211, 24 horas al día, 7 días a la semana.

Mi seguro de salud denegó un procedimiento; ¿qué debo hacer?

Para más información sobre sus derechos como usuario de servicios de salud, consulte esta sección del sitio web.

My question is not here. Where can I go to get more information?

For more information about finding health services or health insurance, call the Public Health Clearinghouse at 1-888-604-4636. They are open Monday-Friday, 8:30am-5:00pm.

For information about housing or human services, call 211, 24 hours a day, 7 days a week.

Necesita ayuda para cubrir los costos de los medicamentos con receta

Los siguientes sitios web suministran información para ayudarle a pagar los medicamentos. Las compañías farmacéuticas ofrecen medicamentos con receta gratuitos a personas que cumplen ciertos requisitos.

El Condado de Alameda ofrece a sus residentes una tarjeta gratis para descuento en recetas para ayudarle a reducir los costos de los medicamentos con receta. La inscripción es solamente para los residentes del Condado de Alameda.

Si usted es beneficiario(a) de Medicare, use el buscador de medicamentos con receta de Medicare para encontrar el mejor plan de la Parte D de Medicare para usted.

Para obtener más ayuda para escoger el plan de medicamentos de la Parte D de Medicare, el Programa de Asesoría y defensa sobre Seguros de Salud (HICAP) provee educación y asesoría local gratuita. Citas personales disponibles en más de 30 lugares de todo el Condado de Alameda. Para pedir una cita, llame al (510) 839-0393 ó (800) 393-0363.

Averiguar beneficios encuentre programas de beneficios federales, estatales o privados que ayudan a los adultos mayores a ahorrar dinero en medicamentos con receta, servicios de salud, alimentación, servicios públicos, impuestos y más. Obtenga un informe personalizado de los beneficios a los que puede acceder.

El Programa de Asistencia de Medicamentos para el SIDA (ADAP) puede pagar algunos o todos los medicamentos asociados con el VIH/ETS no cubiertos por otros seguros de salud. Para más información consulte aquí y aquí.

Necesito una prueba de VIH y/o ETS, ¿a dónde debo ir?

Use la función de búsqueda de este sitio web para encontrar un lugar cercano donde le realicen esta prueba.

Need Help with Prescription Drug Costs

The following websites provide information to help you afford medications. Pharmaceutical companies offer free prescription medications to persons who meet certain income requirements.

Alameda County offers its residents a free discount prescription card to help lower their cost of obtaining prescription drugs. Enrollment is for Alameda County residents only.

If you are a Medicare beneficiary, use the Medicare Prescription Drug Finder to find the best Medicare Part D plan for you.

For more assistance choosing a Medicare Part D drug plan, the Health Insurance Counseling and Advocacy Program (HICAP) provides free community education and counseling. Individual appointments are available at over 30 locations throughout Alameda County. To request an appointment, call (510) 839-0393 or (800) 393-0363.

BenefitsCheckUp finds federal, state and private benefit programs to help seniors save money on prescription drugs, health care, meals, utilities, taxes, and more. Obtain a personal report on the benefits you may qualify for.

The AIDS Drug Assistance Program (ADAP) may pay for some or all of HIV/AIDS related medications that other insurance does not cover. For more information see here and here.

No hablo inglés. ¿A dónde puedo ir?

Use la función de búsqueda para elegir su idioma.

Por ley, todos los proveedores de salud deben prestar el servicio de interpretación en persona o por teléfono o asignarle un proveedor bilingüe. Cuando llame, dígale al personal de la clínica qué idioma habla usted.

No tengo seguro y necesito un médico regular. ¿A dónde debo ir?

Si usted no está asegurado(a) y necesita un médico de atención primaria, busque un médico que le quede cerca. Las clínicas de atención integral son una fuente de atención regular y ofrecen sus servicios gratis o a bajo costo. Las clínicas primero le darán una cita para determinar la elegibilidad y después usted será inscrito(a) en los programas de cobertura de salud que ayudan a pagar los servicios.

No tengo seguro, y necesito que un médico me atienda hoy. ¿A dónde debo ir?

Si tiene una emergencia médica, llame al 911 o vaya directamente a la sala de emergencia más cercana.

Si no es una emergencia médica, pero necesita atención inmediata, busque en “atención urgente” aquí. Algunas clínicas gratuitas pueden tener un cupo limitado para atención sin cita. Encuentre esas clínicas en “médico o clínica”.

Opciones de cobertura para personas de bajos ingresos

¿Qué debo hacer si actualmente no tengo seguro de salud de ningún tipo?

Hacerse valorar para determinar para cuál tipo de programa es elegible:

  • Medi-Cal, programa de seguro de salud para niños, padres, adultos mayores y personas con discapacidades
  • Plan de salud infantil de Kaiser programa de seguro de salud para niños que no califican para Medi-Cal
  • HealthPAC (CMSP) programa fundado localmente para ayudar a cubrir los costos de los servicios médicos
  • Alliance Group Care programa de seguro de salud para trabajadores IHSS del Condado de Alameda

¿A cuáles programas podría acceder?


FamilyPACT es un ejemplo de un programa al cual usted podría acceder. Cubre el costo de todos los servicios de planificación familiar para hombres y mujeres en determinadas clínicas. Se incluyen: exámenes anuales, pruebas de ETS, métodos anticonceptivos y demás servicios de salud reproductiva.

Los programas a los cuales podría acceder dependen de varios factores, como: su ingreso, su situación familiar y su estado de salud. El personal determinará la elegibilidad teniendo en cuenta todos los programas. Incluso si usted no es elegible para ningún programa, las clínicas de este sitio web ofrecen opciones de bajo costo basadas en una escala de tarifas ajustables y harán todo lo posible porque usted reciba la atención de salud que necesita.

¿Dónde puedo inscribirme o averiguar si califico para estos programas?

En los departamentos de elegilibidad de las clínicas del Condado de Alameda o en la Entidad de Servicios de Salud del Condado de Alameda pueden determinar la elegibilidad e inscribirlo(a). Haga clic aquí para desplegar una lista completa de lugares donde pueden determinar la elegibilidad e inscribirlo(a) en los programas de cobertura o seguro de salud.

¿Qué puedo esperar en una cita de determinación de elegibilidad?

El personal de elegibilidad realiza una preevaluación por teléfono para determinar para cuáles programas podría calificar. Le preguntarán:

  • por cuántas personas está compuesta su familia,
  • su ingreso,
  • su dirección, y
  • su ciudadanía. Aun si usted no es ciudadano(a) estadounidense, usted puede acceder a los servicios de salud del Condado de Alameda.

El personal de elegibilidad hará una cita para determinar la elegibilidad personalmente. Es importante que traiga ciertos documentos a la cita de determinación de elegibilidad para poder diligenciar la solicitud. Los programas piden diferentes documentos; pregunte al personal de elegibilidad cuáles documentos debe traer.

  • Identificación con foto, como la licencia de conducir, documento de identificación de California, pasaporte, tarjeta de residencia/tarjeta de residencia permanente, o cualquier documento de identificación expedido por la escuela/ el gobierno que tenga foto
  • Comprobante del domicilio: como una identificación donde aparezca su dirección, un recibo de agua, un recibo de gas/electricidad, o un recibo de teléfono
  • Comprobante de ingreso: Dos (2) de los talones de pago más recientes, la declaración de impuesto federal sobre la renta y los últimos extractos bancarios
  • Prueba de ciudadanía (si tiene): pasaporte, certificado de nacimiento. Aun si usted no es ciudadano(a) estadounidense, usted puede acceder a los servicios de salud del Condado de Alameda.
  • Número de seguro social (opcional)
Overview of the Affordable Care Act (ACA)

The Patient Protection and Affordable Care Act (ACA), also known as Obamacare, is the comprehensive health care reform legislation enacted in 2010 by the federal government.

Different pieces of the ACA have been implemented since the legislation passed, but in January 2014 a number of the major tenets will go into effect and have a significant impact on state and local governments, organizations, and individuals.

The ACA expands coverage and improves affordability in California by allowing the state to increase what services are covered, providing funding for California to expand eligibility for the Medi-Cal program, and establishing a health insurance marketplace that gives California residents greater ability to choose the health care plan that best suits their needs and preferences.

Minimum Essential Coverage

Beginning in January 2014, all health plans in the United States must cover these 10 essential health benefits:

  1. Ambulatory patient services
  2. Emergency services
  3. Hospitalization
  4. Maternity and newborn care
  5. Mental health and substance use disorder services, including behavioral health treatment
  6. Prescription drugs
  7. Rehabilitative and habilitative services and devices
  8. Laboratory services
  9. Preventive and wellness services and chronic disease management
  10. Pediatric services, including oral and vision care.

Employers Must Offer Health Coverage

Employers with more than 50 full-time employees must offer employees a health insurance plan that pays for at least 60% of covered health care expenses for a typical population, AND, that isn’t more than 9.5% of the employee’s family income (see Note below). Smaller employers (less than 50 full-time employees) are exempt, but can receive tax credits for offering health insurance plans to employees.

Click here for more information on small business health coverage options.

This tenet of the ACA (employer mandated offer of coverage) has been delayed until 2015.

Note: The Health and Human Services department determined that all estimates for a typical population would be based off of the average 2009 premium for a preferred provider organization under employer-sponsored coverage, using an average population of people under age 65. (Source: Kaiser Family Foundation, “What the Actuarial Values in the Affordable Care Act Mean”, April 2011)

Individuals Must Obtain Coverage: “The Individual Mandate”

Beginning in January 2014, every individual, including children, must obtain health insurance with minimum essential coverage of services. There will be a penalty imposed upon individuals who have not obtained health insurance. The penalty will increase each year and will be withheld from an individual’s federal income tax return.

Exceptions to the Individual Mandate

Some individuals may not be fined if they do not have health insurance. These include those who:

  • Cannot find insurance that costs less than 8% of their household income
  • Are undocumented immigrants
  • Are Native Americans
  • Object to health insurance on religious grounds
  • Are incarcerated
  • Have incomes below the threshold for filing a tax return

New Rights and Protections

The following new protections from the ACA began rolling out in 2010. All of the protections will be in place on January 1, 2014

  • A selection of preventive care and women’s services are now free (See Appendix C).
  • Group health plans cannot exclude enrollees under age 19 based on preexisting conditions. For other plans, all pre-existing condition exclusions must be removed beginning in 2014.
  • Insurers can no longer cancel coverage due to mistakes in forms, procedure, etc.
  • Insurance companies must publicly justify any unreasonable rate increases.
  • Insurance companies must spend at least 80% of the cost of consumers’ premiums on health care (not administrative costs).
  • Individuals can seek emergency care at a hospital outside of their health plan’s network.
  • Consumers have a right to ask their plan to reconsider when it denies payment for specific services.

Click here for more information.

Source: Kaiser Family Foundation, 2013. “The Requirement to Buy Coverage Under the Affordable Care Act.”

Next Section: Changes to Health Care Coverage Across California

Persons Experiencing Homelessness

Alameda County Health Care for the Homeless coordinates a network of health centers and community based organizations to increase access and improve care for people experiencing homelessness. Services include comprehensive primary care with integrated behavioral health at five sites throughout Alameda County, urgent care at shelters and on the streets, substance use treatment, dental care, and case management.

For further information, go to http://www.achch.org.

Next Section: Persons with HIV/AIDS

 

Persons with HIV/AIDS

Individuals with HIV/AIDS are eligible for Ryan White Program services. While individuals do not receive Ryan White funds directly, organizations and/or providers that receive Ryan White grants must offer individual and family centered primary health care in outpatient settings for people living with HIV disease.

Most persons with HIV/AIDS will be eligible for either Medi-Cal or a Covered California plan, depending on income. Ryan White would cover any wrap-around services not already covered through Medi-Cal or Covered California (Ryan White is considered a payer of last resort).

For updated information on Ryan White Program Services, visit this website.

For a list of clinics that serve patients with HIV/AIDS and are Ryan White providers, go to the Find a Clinic part of this website and search for “HIV Treatment”.

Next Section: Pregnant Women

 

Plan de salud infantil de Kaiser

Si usted está buscando un seguro de salud para niños sin seguro, y ellos no califican para Medi-Cal, pueden inscribirse en el Plan de salud infantil de Kaiser.

Aquí encontrará información adicional sobre el programa. Para inscribirse por favor contacte a:

  1. Entidad de Servicios de Salud
    1000 San Leandro Blvd., Suite 300
    San Leandro, CA 94577
    1-800-422-9495
  2. Pida aquí una solicitud en línea. O llame a Kaiser directamente al 1-800-464-4000 para pedir una solicitud para el Plan de salud infantil de Kaiser.
Pregnancy Insurance Information

I am pregnant—or I think I may be pregnant—and I do not have health insurance.  What should I do?

If you are pregnant or think you may be pregnant, seek care immediately. Please search for a clinic near you here by searching “prenatal”.  When calling the clinic to seek care, tell the person on the phone that are pregnant or think you may be pregnant.

How do I pay for these services?

There are a number of health insurance programs that cover pregnant women.  These programs differ based on your income, citizenship.  Clinics will enroll you in the appropriate program.

What are these programs? Where can I learn about them?

Presumptive Eligibility Medi-Cal

Low-income pregnant women can get immediate, temporary coverage for pregnancy tests, prenatal care, and abortion .  This Medi-Cal program is called Presumptive Eligibility (PE) and is available at several clinics and doctor offices across Alameda County. PE will cover the cost of these services while the County is processing a woman’s Medi-Cal application.

Who is Eligible?

Any woman who thinks she is pregnant, whose family income is under a certain amount, and who seeks prenatal care through a participating Medi-Cal provider. Undocumented women are eligible.

What is the cost?

Prenatal care services under PE are free to eligible women.

How Do I Apply?

Contact any of the clinics and medical offices listed above or in Alameda County call 888-604-4636; call 211 for rest of California or other states.

Pregnancy-only Medi-Cal

A pregnant woman who does not qualify for full-scope Medi-Cal may be eligible for a Medi-Cal benefit that is restricted to prenatal care, labor and delivery services, family planning services, and postpartum care that lasts for at least 60 days following the end of pregnancy.

Who is Eligible?

Pregnant women, including undocumented women, with family income at or below 200% of the Federal Poverty Level.

Cost?

Pregnancy-only Medi-Cal services are free to eligible women.

How Do I Apply?

Contact any of the clinics and medical offices listed above or in Alameda County call 888-604-4636; call 211 for rest of California or other states.

Access for Infants & Mothers (AIM)

AIM is a state program that provides health insurance for middle-income pregnant women.

Who is Eligible?
  • Women who are not more than 30 weeks pregnant at application date,
  • California Resident
  • do not have no-cost Medi-Cal or Medicare
  • do not have insurance coverage for pregnancy or have deductibles/ co-payments for maternity over $500 and
  • have monthly household income within guidelines of the program
Cost?

1.5% of adjusted household income after income deductions.

How can I apply and find out more information?

Contact any of the clinics and medical offices listed above or visit the AIM website or call AIM’s toll free line 1-800-433-2611.

My question was not answered here.  Where can I go for help?

If you are pregnant and need further resource assistance in Alameda County call 888-604-4636; call 211 for rest of California or other states.

 

More information can also be found here: Access for Infants and Mothers, AIM

Pregnant Women

Pregnant women, below 200% FPL, are eligible for free Pregnancy-Only Medi-Cal, which is restricted to pre-natal care, labor and delivery services, family planning services, and postpartum care that lasts for at least 60 days after the end of pregnancy. This is available to undocumented pregnant women as well.  More information on Pregnancy-Only Medi-Cal is available here.

Presumptive Eligibility Medi-Cal provides immediate, temporary coverage for prenatal care to low-income pregnant women pending their Medi-Cal application.  More information on Presumptive Eligibility Medi-Cal here.

Women residing in California who are between 200 – 300% FPL may enroll in the AIM (Access for Infants and Mothers) program through pregnancy and up to 60 days after birth. A mother’s enrollment in AIM will enroll her child in Healthy Families for that period of time. The cost of the program is a monthly premium that is on a sliding scale according to income, and will not exceed more than 1.5% of a family’s income.  It is still to be determined whether and how these AIM-linked infants will enroll in Medi-Cal instead of Healthy Families in 2014.

Pregnant Women

Pregnant women, below 200% FPL, are eligible for free Pregnancy-Only Medi-Cal, which is restricted to pre-natal care, labor and delivery services, family planning services, and postpartum care that lasts for at least 60 days after the end of pregnancy. This is available to undocumented pregnant women as well.  More information on Pregnancy-Only Medi-Cal can be found here.

Presumptive Eligibility Medi-Cal provides immediate, temporary coverage for prenatal care to low-income pregnant women pending their Medi-Cal application.  More information on Presumptive Eligibility Medi-Cal can be found on the State website.

Women residing in California who are between 200 – 300% FPL may enroll in the AIM (Access for Infants and Mothers) program through pregnancy and up to 60 days after birth. A mother’s enrollment in AIM will enroll her child in Healthy Families for that period of time.  The cost of the program is a monthly premium that is on a sliding scale according to income, and will not exceed more than 1.5% of a family’s income.  It is still to be determined whether and how these AIM-linked infants will enroll in Medi-Cal instead of Healthy Families in 2014.

Next Section: Appendices

Preguntas y Respuestas

Preguntas y Respuestas

Prescription Drugs

If you are in need to prescription drug assistance, see this section of the website.

Private Health Insurance: Individuals & Small Business

Purchasing Private Health Insurance

To purchase health insurance for yourself or your family, you can obtain free quotes from insurers in your area through healthcare.gov or  eHealthInsurance.com.

California has two programs that provide insurance to people who cannot  get coverage because of pre-existing conditions.   The Pre-Existing Condition Insurance Plan can be contacted at 1-877-428-5060.   The Major Risk Medical Insurance Program (MRMIP) can be contacted at 1-800-289-6574.  To learn about the differences in the programs, click here.

Use this guide from California’s Office of the Patient Advocate to select the best plan for you and your family.

Find out how California’s health insurance plans rate on the quality of care through the California Office of the Patient Advocate.

For information on your legal rights, see Georgetown’s Consumer Guide of for Getting and Keeping Health Insurance in California.

If you have a pre-existing medical condition go to the California Office of the Patient Advocate to understand your rights as a consumer.

Purchasing Small Business Health Insurance

This guide by the California Health Care Foundation provides small business owners comprehensive information on providing health insurance for their employees.  Topics range from: cost estimates, tax savings, coverage options, and legal rights.

The Affordable Care Act of 2010 offers small business tax credits for providing health insurance for their employees.  Please see the IRS website for more information or visit the IRS website on FAQ.

Small Business Health Insurance Program – What is SHOP?

The Small Business Health Options Program will offer approximately 375,000 California small businesses unprecedented access to a considerable array of affordable health coverage options for its employees.

Certain small businesses, those with 25 or fewer full-time equivalent employees paid an average annual wage of less than $50,000, may be eligible to receive a 50% small business health care tax credit for coverage purchased through the SHOP.

Through SHOP, employers will be able to pick the level of support for their employees. In turn, employees will be able to pick from those options the specific health plan that is right for them and their families.

All plans will provide a standardized set of benefits and cost-sharing to make it easy for employers and employees alike to make apples-to-apples comparisons.

Covered California will provide for health plan selection, certification and ongoing management of plan relationships, lead marking efforts, and provide policy guidance.

Covered California awarded Pinnacle Claims Management, Inc. the contract to Administer SHOP on April 4, 2013.

For more information, please see:

Covered California – Consumers

California Health Benefits Exchange – Consumers and Agents

California Chamber of Commerce – General information on SHOP

SHOP Information in Other Languages:

SHOP (Spanish)

SHOP (Chinese)

SHOP (Vietnamese)

SHOP (Khmer)

SHOP (Farsi)

Project Updates

The Alameda County Access to Care Collaborative is engaged in a number of county-wide initiatives to improve access to health care for low-income, vulnerable populations:

Improving Access to Specialty Care
Behavioral-Primary Care Integration
Medi-Cal 1115 Waiver and Health Care Reform

Improving Access to Specialty Care

Alameda County’s public hospital system, the Alameda County Medical Center (ACMC), convenes the countywide Alameda County Task Force on Specialty Care. The Task Force includes the executive and clinical leadership of ACMC, the community health centers, the Medi-Cal managed care local health plan, and Healthcare for the Homeless.  Projects include:

Web-based referral system to improve referrals from PCPs to specialists at ACMC

  • enhancing ACMC’s web-based specialty care referral system, RefTrak, to
  • offer referral algorithms and instructions that can be downloaded and used to prepare patients for specialty care visits.
  • support the secure exchange of clinical information and lab/diagnostic reports
  • support secure email between PCPs and specialists.
  • PCPs currently use RefTrak to refer patients for specialty care to ACMC, check on the status of appointments, and look up specialists’ office hours, phone numbers, and emails.
  • RefTrak is currently used by Primary Care Providers (PCPs) at ACMC and the 8 private non-profit community health centers in Alameda County

Providing PCP education to enhance the PCP Scope of Practice

  • The Task Force is organizing a series of educational sessions for PCPs on ACMC specialty care referral guidelines and evaluations,
  • offering mini-fellowships for PCPs to “shadow” specialists at ACMC and increase learning opportunities about specialty care,
  • assessing the capacity of community health centers to provide limited specialty care services (e.g. evaluations, simple procedures) on-site, and
  • improving specialty care referral guidelines so that they clearly state what needs to be done at a primary care clinic prior to a referral to specialist

Co-locating Specialists with the Primary Care Physicians at Outpatient Clinic locations

  • The Task Force is exploring arrangements at the ACMC and community health centers to offer limited specialty care on-site ACMC
  • Community health centers are contracting with specialists on a limited basis to see patients and provide consultations at primary care clinic locations
  • Bringing specialists into the primary care medical home offers more convenience to the patient and takes advantage of the clinic infrastructure (e.g. bi-cultural/bi-lingual staff, support services)

Behavioral-Primary Care Integration – Countywide Efforts

The Alameda County Access to Care Collaborative founded the Alameda County Task Force on Integrated Behavioral & Primary Care with the purpose of “creating pathways toward collaboration, integrated behavioral and primary care in Alameda County.” Members include: Alameda County Health Care Service Agency and Behavioral Health Care Services, Alameda County Social Services Administration, the Alameda Alliance for Health, Alameda County Medical Center, and the Alameda Health Consortium/Community Health Center Network and the community health centers. The Task Force is currently:

  • increasing awareness about barriers to primary care for people with serious behavioral health issues, and barriers to behavioral health services for people with moderate and mild behavioral health issues
  • identifying system-wide barriers to the integration of services in Alameda County
  • highlighting local efforts to integrate services
  • creating an inventory of available services and sharing the information across agencies,
  • collecting data on behavioral services for the uninsured and Medi-Cal populations in Alameda County
  • monitoring EHR implementation efforts and how these efforts can support integration

Medi-Cal 1115 Waiver and Health Care Reform

The Alameda County Access to Care Collaborative continues to monitor California’s Medi-Cal 1115 waiver proposal and the potential impact on Alameda County. The immediate concern is the upcoming enrollment of more than 20,000 seniors and people with disabilities who are on Medi-Cal into a managed care plan.  A copy of the State’s waiver proposal, is available here.

The Alameda County Access to Care Collaborative is also currently actively working to prepare the safety net system for health reform implementation in 2014. The Collaborative is discussing ways to prepare Alameda County’s safety net system and health providers for the changes under the new law.

Purpose of Guide

Affordable health care coverage in Alameda County is undergoing historic changes and expansion. In 2014, many people who were previously ineligible for public health coverage will become eligible for new or different programs.

Alameda County provides this guide for our community-based partners and providers who are assisting Alameda County residents with health care, whether it be through providing enrollment assistance or medical and behavioral health services.

We recognize that the many health care changes are difficult to understand and explain to clients who look to you, our community partners, to answer their questions. This guide is a resource that outlines the changes to Alameda County health care in 2014 in simple and transparent terms.

At the time of print, many questions about specific programs are still being answered. Although this guide represents the most accurate and current information available to date, many decisions are still being made at the federal and state level that may significantly impact the information provided in this guide. Alameda County will continue to make updates as new information becomes available.

This guide was created through collaboration among the Alameda County Interagency Children’s Policy Council, Social Services Agency, and Health Care Services Agency.

Sarah Yuen Linville
Interagency Children’s Policy Council

Gabriela Tunzi
Social Services Agency

With contributors and editors from:
Alameda County Health Care Services Agency
Alameda County Social Services Agency

With contributors and editors from:
Alameda County Health Care Services Agency
Alameda County Social Services Agency

 Next Section: Health Care Coverage in 2014

Recibí una factura del hospital que no puedo pagar. ¿Qué debo hacer?

Las leyes de California limitan el monto que pueden cobrar los hospitales a las personas sin seguro o con cobertura insuficiente. Para obtener información, consulte HospitalBillHelp.org y el sitio web estatal Ley de California sobre Precios justos de hospital para obtener información sobre las políticas de descuento de los hospitales.

Reentry Services

A database of searchable services for those who were formerly incarcerated. Includes: Housing, legal issues, finances, employment, health, education, case management, social services.

Refugees

Under federal regulations, certain foreign citizens are considered refugees and may be eligible to receive Refugee Medical Assistance (RMA). These individuals and families are eligible for limited federally funded cash benefits and subsequent linked medical coverage.

In order to receive RMA, refugees must be deemed ineligible for other Medi-Cal eligibility categories (CalWORKs, SSI, etc.). RMA Medi-Cal is limited to 8 months. The RMA program is ending on December 31, 2013. Beginning January 1, 2014 refugees will now be newly eligible for Medi-Cal. Per the
California Department of Health Care Services, these individuals will receive a Notice of Action regarding their change in status, and information that informs them that they must apply for Medi-Cal or a Covered California health plan if they wish to continue receiving health benefits. Those individuals who move from RMA to another insurance affordability program (including, but not limited to Medi-Cal) will no longer have eligibility that is time limited.

 Next Section: Homeless

Seguro médico privado: personas y pequeñas empresas

Adquisición de seguro privado de salud

Para adquirir el seguro privado de salud para usted o su familia, usted puede obtener cotizaciones gratis de las compañías de seguros en su área por medio de CuidadoDesalud.gov o eHealthInsurance.com.

California tiene dos programas que proveen seguro de salud a personas que no pueden conseguir cobertura debido a condiciones preexistentes. El plan de seguro de salud para condiciones preexistentes puede contactarse en el 1-877-428-5060. El programa de seguro de salud de alto riesgo (MRMIP) puede contactarse en el 1-800-289-6574. Para conocer la diferencia entre los programas, haga clic aquí.

Use esta guía de la Oficina del Defensor del Paciente de California para seleccionar el mejor plan para usted y su familia.

Encuentre aquí la calificación alta de los planes de seguro de salud de California en cuanto a la calidad de la atención a través de la Oficina del Defensor del Paciente de California.

Para información sobre sus derechos legales, consultar la Guía del Consumidor de Georgetown para obtener y mantener un seguro de salud en California.

Si usted tiene una condición médica preexistente diríjase a la Oficina del Defensor del Paciente de California para conocer sus derechos como consumidor(a).

Adquisición de seguro de salud para pequeñas empresas

Esta guía de la California Health Care Foundation (CHCF) brinda a los dueños de pequeñas empresas información completa sobre la opción de proveer seguro de salud para sus empleados. Entre los temas cubiertos están: estimación de costos, ahorros en impuestos, opciones de cobertura y derechos legales.

La Ley de Cuidado de Salud Asequible de 2010 ofrece a las pequeñas empresas exenciones fiscales por brindar seguros de salud a sus empleados. Por favor consulte el sitio web del IRS para más información o consulte las preguntas frecuentes en el sitio web del IRS.

Programa de Opciones de Salud para Pequeñas Empresas (SHOP por sus siglas en Inglés) — ¿Qué es  SHOP?

Es el Programa de Opciones de Salud para Pequeñas Empresas  que le ofrecerá a aproximadamente 375,000 pequeñas empresas en California un acceso sin precedente de una gama/variedad de opciones de  cobertura de salud asequible para sus empleados.

Algunas pequeñas empresas, aquellas con 25 o menos empleados de equivalente a tiempo completo a quienes pagan un salario anual de un promedio de menos de $50,000, podrán ser elegibles para recibir un 50% de crédito para pequeñas empresas por impuestos de cuidado de salud de la cobertura comprada por medio de SHOP.

Por medio de SHOP, empresarios podrán escoger el nivel de apoyo para sus empleados. A su vez, empleados podrán escoger de esas opciones el plan de salud especifico que es el adecuado para ellos y sus familias.

Todos los planes van a proveer un conjunto estandarizado de beneficios y costo compartido para que igualmente sea más fácil para los empresarios y empleados comparar los beneficios de las mismas categorías, como se dice aquí “comparar de manzana a manzana”

Cobertura California proveerá oportunidades de selección de plan de salud, certificación y administración continua de las relaciones del plan, dirigir los esfuerzos del mercadeo y proporcionar orientación de póliza

El 4 de Abril de 2013, Cobertura California adjudico el contrato para Administrar SHOP  a Pinnacle Claims Management, Inc.

Para mayor información, favor de ver:

Covered California – Consumidores

California Health Benefits Exchange – Consumidores y Agentes

California Chamber of Commerce – Información general de SHOP

Senior Services

Network of Care
Network of Care provides resources to better coordinate long-term care services locally. This internet resource is for the elderly and people with disabilities, as well as their caregivers and service providers

Area Agency on Aging
This helpline is a resource for senior health services
510-577-3530 (Alameda County)
800-510-2020 (Other Counties)

Health Insurance Counseling and Advocacy Program
This program helps assist seniors in health care services and questions.
HICAP E-clearinghouse- Online HICAP resources

Alameda County Adult Day Services Network
Adult day programs offer day-time care for frail seniors in a comfortable group setting.

Tri-City Senior Helpline
This helpline is a resource for senior health services in Fremont, Union City, and Newark.
(510) 574-2041

Servicios de reintegración

Una base de datos de servicios con función de búsqueda para personas que estuvieron encarceladas. Incluye: vivienda, asuntos legales, finanzas, empleo, salud, educación, gestión procesal, servicios sociales.

Servicios para adultos mayores

Red de Atención
Red de Cuidados Provee recursos para mejorar y coordinar mejor, a nivel local, los servicios de tratamiento de larga duración. Este recurso de internet es para los adultos mayores y personas con discapacidades, y también para los encargados de cuidarlos y los proveedores de servicios

Area Agency on Aging
Esta línea de ayuda es un recurso para servicios de salud para el adulto mayor.
510-577-3530 (Condado de Alameda)
800-510-2020 (Otros Condados)

Programa de Asesoría y defensa sobre Seguros de Salud (HICAP)
Este programa ayuda a los adultos mayores en asuntos relacionados con los servicios de salud y con las preguntas que tengan. Centro de información electrónico de HICAP- Recursos en línea de HICAP

Adult Day Services Network del Condado de Alameda
Los programas de día para adultos ofrecen atención diurna para adultos mayores en estado delicado, en un ambiente grupal cómodo.

Línea de ayuda de Tri-City para el adulto mayor
Esta línea de ayuda es un recurso para servicios de salud para el adulto mayor en Fremont, Union City y Newark.
(510) 574-2041

Servicios para personas sin hogar

Lista de albergues del Condado de Alameda
Si usted desea una lista de albergues abiertos al público que provean camas, llame al 211 para obtener la información más actualizada.

Homeless Action Center (HAC)
Asesoría legal para las personas sin hogar y para los enfermos mentales

Servicios de salud para las personas sin hogar
Servicios de salud y ayuda para las personas sin hogar de todo el Condado de Alameda.

Servicios Sociales de Alameda
Servicios de alojamiento y servicios para las personas sin hogar

EveryOne Home
Trabajando para acabar con el problema de las personas sin hogar del Condado de Alameda

Vivienda y desarrollo de la Comunidad
Recursos de vivienda y para las personas sin hogar del Condado de Alameda

Servicios públicos: Electricidad, agua y teléfono

A continuación encontrará información sobre descuentos en sus cuentas de electricidad, agua y teléfono.

 

Electricidad y gas

  • PG&E: Programa de Tarifas Alternativas de Electricidad de California (CARE)

Descuento mensual en las cuentas de electricidad para hogares y viviendas que cumplan con los requisitos de ingresos.

http://www.pge.com/en/myhome/customerservice/financialassistance/care/index.page

 

  • Alameda Municipal Power (sólo en la ciudad de Alameda): Programa de Asistencia de Emergencia

Programas de descuento para clientes que tienen problemas para pagar sus cuentas de servicios públicos.

http://www.alamedamp.com/customer-service/financial-assistance

 

Agua

  • Distrito de Servicios Públicos Municipales de East Bay (EBMUD): Programa de Asistencia al Cliente

Ayuda a los clientes de bajos ingresos que cumplen con los requisitos a pagar una parte de la cuenta del agua.

Alameda, Albany, Berkeley, Castro Valley, Emeryville, Hayward, Oakland, Piedmont, San Leandro, San Lorenzo

https://www.ebmud.com/for-customers/account-management/customer-assistance-program-cap

 

  • CalWater: Programa de Asistencia con Tarifa para Personas de Bajos Ingresos

Descuento mensual para los clientes de bajos ingresos.

Livermore

https://www.calwater.com/your_account/lira.php

 

  • Ciudad de Pleasanton: Asistencia Financiera (Pleasanton)

Asistencia gratuita para residentes de bajos ingresos.

http://www.ci.pleasanton.ca.us/services/senior/financial-assistance.html

 

Teléfono

  • LifeLine

Proporciona un servicio básico de teléfono con descuento en el hogar a hogares que cumplan con los requisitos, por menos de $7 al mes. Llame al 1-866-742-8587 o visite http://www.californialifeline.com.

Servicios Sociales del Condado de Alameda

Provee servicios para los residentes del Condado de Alameda, entre otros: asistencia alimentaria, asistencia monetaria, servicios para los niños y las familias, capacitación para el empleo y otros servicios. Consulte Servicios Sociales del Condado de Alameda para más información.

Consultar aquí la ubicación de las oficinas.

Si no tengo seguro, ¿por qué debería afiliarme a una clínica de atención integral?

Los afiliados a las clínicas de atención integral reciben una amplia variedad de servicios. Pacientes:

  • Se determina su elegibilidad para los programas de seguro de salud.
  • Reciben servicios de salud cultural y lingüísticamente apropiados.
  • Se les asigna una persona que coordine la atención primaria, los medicamentos con receta y la atención médica especializada.
  • Se les garantiza el acceso a atención urgente.
  • Reciben una amplia variedad de otros servicios sociales.
Small Business Health Options Program (SHOP)

What is SHOP?

The Small Business Health Options Program will offer approximately 375,000 California small businesses unprecedented access to a considerable array of affordable health coverage options for its employees.

Certain small businesses, those with 25 or fewer full-time equivalent employees paid an average annual wage of less than $50,000, may be eligible to receive a 50% small business health care tax credit for coverage purchased through the SHOP.

Through SHOP, employers will be able to pick the level of support for their employees. In turn, employees will be able to pick from those options the specific health plan that is right for them and their families.

All plans will provide a standardized set of benefits and cost-sharing to make it easy for employers and employees alike to make apples-to-apples comparisons.

Covered California will provide for health plan selection, certification and ongoing management of plan relationships, lead marking efforts, and provide policy guidance.

Covered California awarded Pinnacle Claims Management, Inc. the contract to Administer SHOP on April 4, 2013.

For more information, please see:

Covered California – Consumers

California Health Benefits Exchange – Consumers and Agents

California Chamber of Commerce – General information on SHOP

 

SHOP Information in Other Languages:

SHOP (Spanish)

SHOP (Chinese)

SHOP (Vietnamese)

SHOP (Khmer)

SHOP (Farsi)

 

Smoking

Alameda County Tobacco Cessation Resource Guide
510-267-8000

California Smokers’ Helpline
A telephone program that can help you quit smoking.

English
1-800-NO-BUTTS (1-800-662-8887)

Cantonese
1-800-838-8917

Korean
1-800-556-5564

Mandarin
1-800-838-8917

Spanish
1-800-45-NO-FUME (1-800-456-6386)

Vietnamese
1-800-778-8440

Submit a new provider

Does your organization provide health services to the uninsured?  Please submit your information to be included on this website.

All fields are required unless otherwise noted.

Suicide Hotline

24 Hour Crisis Line

  • Alameda County: 1-800-309-2131
  • Nationwide Hotline: 1-800-SUICIDE
  • 1-800-273-TALK (8255)

Trained crisis intervention counselors are available to receive crisis calls and give supportive counseling 24 hours a day, 7 days a week.

Translation is available in more than 140 languages and TDD services are available.

Supe que se aprobó la reforma de salud, ¿cuándo puedo inscribirme en el seguro de salud?

La reforma a la salud se aprobó en 2010. Sin embargo, no se implementará en su totalidad hasta el 2014 (algunas partes se implementarán antes). Para información sobre la reforma de salud, ingrese a CuidadoDeSalud.gov.

ACHealthCare.org se actualizará con la información de los residentes del Condado de Alameda mientras se implementan los programas.

Tengo una condición preexistente y no logro conseguir un seguro de salud, ¿qué opciones tengo?

Si usted tiene una condición preexistente de salud, conozca sus derechos.

En California, usted puede recibir seguros de salud a través de programas estatales. Consultar aquí para obtener más información.

Si no puede pagar las primas a través de este programa, haga clic aquí para encontrar un médico o clínica que atienda pacientes sin seguro en su área.

Tenía seguro pero perdí el trabajo; ¿qué opciones tengo?

Si perdió su trabajo, usted puede continuar recibiendo el seguro de salud que recibía de su empleador pagando la parte de la prima que pagaba el empleador a través de un programa llamado COBRA. Haga clic aquí para saber más acerca de COBRA.

Usted y su familia también pueden tener derecho a otros programas públicos de seguro de salud, consultar aquí mayor información.

Si usted está buscando un médico o clínica que atienda pacientes sin seguro, por favor use la función de búsqueda.

The Student’s Guide to Affordable Healthcare

To get information and read about student’s requirements under the Affordable Care Act see the student guide to affordable healthcare website: The Student’s Guide to Affordable Healthcare

Unemployed & COBRA

If you lose your job, you may be eligible to extend your health benefits through your previous employer for up to 18 months, through a federal provision called COBRA (Consolidated Omnibus Budget Reconciliation Act of 1986).

Federal COBRA applies to employers and group health plans that cover 20 or more employees.  Cal-COBRA is a California law that applies to employers and group health plans that cover from 2 to 19 employees.

Under this act, former employees, retirees, spouses, and dependents are given the right to extend their health insurance by paying both their and their employer’s portion of their health insurance premium. COBRA can be costly because employers are no longer contributing to premiums.

The American Recovery and Reinvestment Act (the Economic Stimulus package) provides assistance to recently unemployed people.  Eligible unemployed workers will pay only 35% of their total COBRA premiums to continue the health coverage that they had through their jobs; the federal government will reimburse employers or health plans for the remaining 65% of premiums.  This subsidy is available to eligible workers for up to 15 months who lost their job on or before May 31, 2010. For more information on this subsidy see here.

To speak with a COBRA benefits adviser, please call 1-866-444-3272.

For frequently asked questions on COBRA, please see the Department of Labor’s website.

See the Cal-COBRA website for further information or click here for frequently asked questions about Cal-COBRA (PDF).

Utilities – Electric, Water, and Phone

See below for discounts on your electricity, water, and phone bills.

 

Electric and Gas

  • PG&E – CARE Program

Monthly discount on energy bills for income-qualified households and housing facilities.

http://www.pge.com/en/myhome/customerservice/financialassistance/care/index.page

 

  • Alameda Municipal Power (Alameda city only) – Emergency Assistance Program

Discount programs for customers who are having trouble paying their utility bills.

http://www.alamedamp.com/customer-service/financial-assistance

 

Water

  • EBMUD –Customer Assistance Program

Helps to pay a portion of the water bill for qualified low-income customers.

Alameda, Albany, Berkeley, Castro Valley, Emeryville, Hayward, Oakland, Piedmont, San Leandro, San Lorenzo

https://www.ebmud.com/for-customers/account-management/customer-assistance-program-cap

 

  • CalWater – Low-Income Rate Assistance Program

Monthly discount to low-income customers.

Livermore

https://www.calwater.com/your_account/lira.php

 

  • City of Pleasanton – Financial Assistance (Pleasanton)

Fee-assistance to low-income residents

http://www.ci.pleasanton.ca.us/services/senior/financial-assistance.html

 

Phone

  • LifeLine

Provides discounted basic home phone service to qualified households for less than $7 a month. Call 1-866-742-8587 or visithttp://www.californialifeline.com

What can I expect when I call a clinic?

If you are calling to make an appointment and you have never received services at that clinic, expect a wait. First, set up an eligibility appointment to enroll in health coverage programs. After that, you can make a medical appointment with a doctor or other provider.

When you call, the clinic will ask you a few questions about your family, if you have insurance, and your income to see which health coverage and services for which you might qualify. They will make an appointment with you to review your information and tell you which income documents to bring.

See here for further information on what to expect.

What documents should I bring with me to my eligibility appointment?

You need to bring a form of identification (example: driver’s license or photo ID), proof of residence (a utility bill or other piece of mail with your current address), proof of income (last two paycheck stubs, most recent tax return, social security check), and if available, proof of citizenship. For details, see here.

What should I expect during an eligibility screening at a clinic?

At this appointment, the clinic staff will see which programs might cover the cost of your health services. They will ask you questions about your family members, your income, your residency, and your citizenship status. All citizenship information is confidential. They will photocopy your documents. After this appointment, the clinic staff will tell you what programs for which you qualify and make an appointment for you to see the doctor.

What should I expect during my first doctor’s appointment?

When you go to a clinic for your first appointment, first check in at the front desk. Remember to bring:

  • A photo ID
  • Any cards that were given to you during your eligibility appointment.

The front desk staff will ask your name, collect a co-pay or fee (if required), and give you other instructions. Then you will wait for your name to be called. How long you wait to see the doctor will be dependent upon how busy the clinic is.

A medical assistant will call you back and will take your weight, blood pressure, and temperature, then ask you about your medical history and the reason for your visit. You will then meet your doctor.  Remember to bring:

  • All of the medications that you are taking,
  • A list of questions you have for the doctor,
  • A notepad to write instructions from the doctor.
What This Guide Covers

As a result of health care reform, eligibility and enrollment in health care will change in Alameda County in 2014. This guide will educate Alameda County partners and providers about the various federal, state, and local changes created by health care reform.

First, the guide will provide an overview of federal health reform changes that impact the entire nation.

Second, the guide will walk through changes across California as a result of health reform implementation.

Third, the guide will discuss impacts to Alameda County health care coverage options and provide specific information on how low-income Alameda County residents can enroll in these various programs.

Lastly, there are notes on specific populations as well as resources for those interested in learning more.

What This Guide Covers

As a result of health care reform, eligibility and enrollment in health care will change in Alameda County in 2014. This guide will educate Alameda County partners and providers about the various federal, state, and local changes created by health care reform.

First, the guide will provide an overview of federal health reform changes that impact the entire nation.

Second, the guide will walk through changes across California as a result of health reform implementation.

Third, the guide will discuss impacts to Alameda County health care coverage options and provide specific information on how low-income Alameda County residents can enroll in these various programs.

Lastly, there are notes on specific populations as well as resources for those interested in learning more.

Next Section: Overview of the Affordable Care Act (ACA)

WIC – Mujeres, Bebés y Niños El programa

WIC (Mujeres, Bebés y Niños) es un programa nacional de educación sobre nutrición que promueve hábitos alimenticios saludables. Los clientes de WIC reciben orientación, ayuda con la lactancia, remisiones a otros servicios comunitarios y cheques especiales para comprar productos alimenticios saludables como leche, queso, cereales, jugos y huevos.

Encuentre aquí el funcionario de WIC de su locallidad.

Para más información sobre WIC

WIC – Women, Infants, and Children

The WIC (Women, Infants & Children) Program is a national nutrition education program that promotes healthy eating. WIC clients receive nutrition advice, help with breastfeeding, referrals to other community services, and special checks to buy healthy food items such as milk, cheese, cereal, juice, and eggs.

Find your local WIC office here.

For more information on WIC

低收入承保選項

若我目前沒有參加任何類型的健康保險,應該做什麼?

辦理資格審核,瞭解您可能符合資格參加哪種計劃:

  • Medi-Cal,一項為兒童、家長、老年人及殘障人士提供的健康保險計劃
  • Kaiser Child Health Plan 一項為符合參加 Medi-Cal 或 Healthy Families 之資格的未成年人提供的健康保險計劃
  • HealthPAC 一項由地方擔保、協助支付醫療服務費用的計劃
  • Alliance Group Care 一項為 Alameda 縣的 IHSS 的工作人員提供的健康保險計劃

我可能合資格參加哪種計劃?


FamilyPACT 是您可能符合資格參加的其中一種計劃。它為特定診所的男性及女性會員承保所有家庭計劃服務的費用。包括:年度檢查、性病檢測、避孕及其他生殖健康服務。

您可能符合資格加入的計劃取決於許多方面,例如:您的收入、您的家庭狀況以及您的健康。工作人員將審核您參加每一計劃的資格。即使您不符合加入任何計劃的資格,本網站列載的診所依照分級收費制提供低價選擇,並竭盡全力協助您獲取所需護理。

若我符合加入這些計劃的資格,可到哪裡登記或瞭解詳情?

您可以在 Alameda 縣各診所的資格審核部門或 Alameda 縣健康護理服務機構辦理資格審核或進行登記。按此處,將顯示您辦理資格審核或登記參加健康保險或保健計劃的地點的完整名單

在辦理資格審核的約會期間,可能遇到什麼情況?

資格審核人員可能透過電話進行預審核,瞭解您可能符合資格加入哪些計劃。他們將詢問您:

  • 您的家庭成員人數,
  • 您的收入,
  • 您的地址及
  • 您的公民身份。即使您不是美國公民,仍可獲得 Alameda 縣的健康服務。

資格審核人員將為您安排預約,讓您親自接受資格審核。赴約辦理資格審核時,請務必帶上特定文件,以便完成申請表程序。不同計劃要求提供不同文件;在電話中向資格審核人員咨詢詳情。

  • 帶照片的身份文件,如駕駛執照、加州身份證、護照、永久居住證/綠卡或其他由學校/政府簽發的帶照片的身份證明文件
  • 地址證明:如載有您目前地址的身份證、水費單、煤氣/電費單或電話賬單
  • 收入證明:您最近兩 (2) 次的工資支票存根、聯邦所得稅納稅申報表以及您最近的銀行結單
  • 公民身份證明(若有) 即使您不是美國公民,仍可獲得 Alameda 縣的健康服務。
  • 社會安全局編號(可選)
住房援助

縣的收容所名單
若您需要開放的收容所床位,請致電 211 瞭解最新資料。

無家可歸者行動中心
向無家可歸者及精神病患者提供法律服務

向無家可歸者提供健康護理
向 Alameda 縣全境的無家可歸者客戶提供健康護理及援助服務。

Alameda 社會服務署
住房及無家可歸者服務

EveryOne Home
力爭結束 Alameda 縣的無家可歸狀況

住房與社區發展
Alameda 縣住房與無家可歸者資源

保險爭議與醫院賬單援助

處理與保險公司的爭議

若您目前與保險公司發生爭議,請查找以下資源。

Medicare

Oakland 老年人法律援助 電話:(510) 839-0393 或 1-800-393-0363

Medi-Cal

Medi-Cal 調查專員 電話:1-888-452-8609

私人健康保險

「加州醫療保健管理部門」協助消費者解決與保健計劃的爭議,包括有關醫療護理、處方、預防性檢查及精神健康服務的問題。他們亦可提供有關投訴程序及健康護理權利方面的咨詢。該援助每週 7 天、全天 24 小時提供。聯絡「HMO 援助中心」,電話:1888-HMO-2219。

PPO、EPO、POS、賠償計劃或協會計劃的會員可撥打 1-800-927-HELP (4357).  聯絡「加州保險局」

如需更多有關向健康計劃提出具體投訴的資料,請參閱此常見問題清單

欲知有關您的計劃護理權利的詳細資料,請瀏覽 Californians for Patient Care

協助支付醫院賬單費用

加州法律限制向未參保人士或保險額不足之人士收取高額醫療費用的數額。欲知有關您的消費者權利的資料,請瀏覽 HospitalBillHelp.org

如需詳細資料及搜尋醫院的折扣政策,請查閱州網站:公平醫院定價

健康保險資料

健康保險資料 若您沒有參加保險,或正在尋找更多有關健康保險的資料,請按以下連結。

低收入承保選項 – 有關 Medi-Cal、HealthPAC (CMSP)、FamilyPACT、Kaiser Child Health Plan (兒童健康計劃)、Alliance Group Care (聯會團體護理計劃) 的資料。

妊娠保險資料 – 若您已懷孕,或認為您已懷孕,您可在此處可看到有關如何獲取健康保險的資料。

失業與 COBRA –若您最近已失業,您可在此處可看到有關擴大健康保險承保範圍的資料。

私人健康保險:個人與小企業 – 有關購買健康保險的資源。

Medicare – 為老年人及有殘障人士提供的有關 Medicare 的資源。

需要處方藥費用補助 – 有關免費或低價處方藥的資源。

保險爭議與醫院賬單援助 – 有關處理與您的保險公司之爭議的資源,及支付較高額醫療賬單費用的援助。若要尋找您附近的診所或健康服務,請按此處

健康飲食

Alameda 縣公共衛生局網站載有營業資訊

  • 營業資訊
  • 體力活動資訊
  • 有關營業服務的事件
  • 營業教育研討會

Alameda 縣公共衛生局之健康電子資源

根據郵遞區號搜尋:

  • 提供體力活動的地方(如體育、舞蹈、運動、武術、公園及娛樂活動)
  • 農貿市場名單
  • 低價農產品市場名單
  • 專門提供體重控制服務的專科醫療服務提供者(如營養師、飲食學家、心理醫生、心理治療師)

Bay 區營業與協作性體力活動組織

提倡改變—健康加州網絡

兒童護理

Alameda 縣擁有三個資源及轉介機構,可協助您找到適合您家庭需要的計劃。這些計劃可協助所有家長(包括有特殊需要的兒童的家長)查詢公共及私人幼兒及學齡兒童護理系統。

BANANAS
為 Albany、Alameda、Berkeley、Emeryville、Oakland 及 Piedmont 提供服務,
地址:5232 Claremont Avenue
Oakland,CA 94618,
電話﹕(510) 658-0381

4C’s of Alameda County
為 Castro Valley、Hayward、San Leandro 及 San Lorenzo 提供服務,
地址:22353 City Center Drive, Suite 200
Hayward, CA 94541,
電話:(510) 582-2182

4C’s of Alameda County
為 Fremont、Newark 及 Union City 提供服務,
地址:22353 City Center Drive, Suite 200
Hayward, CA 94541,
電話:(510) 790-0655

Child Care Links
為 Dublin、Livermore、Pleasanton 及 Sunol 提供服務,
地址:1020 Serpentine Lane, Suite 102
Pleasanton, CA 94566
電話:(925) 417-8733

Head Start – Alameda Family Services (家庭服務)
地址:2325 Clement Ave
Alameda, CA 94501
電話:(510) 629-6350

Head Start – YMCA Early Childhood Services (幼兒服務)
地址:2009 10th Street
Berkeley, CA 94710
電話:(510) 848-9092

Head Start – CAPE, Inc
地址:3095 Independence Dr.
Building B Suite A
Livermore, CA 94551
電話:(925) 443-9380

Head Start – Child Family & Community Services, Inc.
地址:32940 Alvarado-Niles Road, Suite 450
Union City, CA 94587
電話:(510) 796-9512

Head Start – 奧克蘭市
17 個辦公地點:
Oakland, CA
電話:(510) 238-3165

Head Start – Unity Council
1900 Fruitvale Ave, Suite 2A
Oakland, CA 94601

欲知有關 Alameda 縣兒童護理的更多資訊,請按此處。

公用設施- 電力、供水和電話

請參閱下面有關您的電費、水費和電話費的折扣優惠。

 

電力和天然瓦斯

  • PG&E–關懷計畫(CARE Program

提供給符合收入資格的家庭和住房設施每月能源帳單的折扣優惠。

http://www.pge.com/en/myhome/customerservice/financialassistance/care/index.page

 

  • Alameda市電力公司(限於Alameda市)–緊急補助計畫

提供給支付公用設施帳單有困難的客戶的折扣優惠計畫。

http://www.alamedamp.com/customer-service/financial-assistance

 

供水

  • EBMUD–客戶補助計畫

幫助符合資格的低收入客戶支付部分的水費。

Alameda, Albany, Berkeley, Castro Valley, Emeryville, Hayward, Oakland, Piedmont, San Leandro, San Lorenzo

https://www.ebmud.com/for-customers/account-management/customer-assistance-program-cap

 

  • CalWater–低收入費率協助計畫

提供給低收入客戶每月折扣優惠。

Livermore

https://www.calwater.com/your_account/lira.php

 

  • Pleasanton市–財務協助(Pleasanton)

提供給低收入居民的費用補助

http://www.ci.pleasanton.ca.us/services/senior/financial-assistance.html

 

電話服務

  • LifeLine

提供居家電話基本服務折扣優惠給合格家庭,每月只須少於7元。請致電1-866-742-8587或瀏覽網站

http://www.californialifeline.com

再入境服務

為之前被監禁人士提供的可搜索服務的資料庫。包括:住房、法律問題、財務、就業、健康、教育、個案管理、社會服務。

在診所的資格審核期間,我可能會遇到什麼情況?

赴約時,診所的工作人員將判斷哪些計劃可承保您的健康服務費用。他們將詢問您有關您的家庭成員、您的收入、您的居住情況及您的公民狀態的問題。所有公民資料均予以保密。他們將影印您的文件。赴約時,診所的工作人員將告知您符合資格加入哪些計劃,並為您安排預約看醫生。

在首次赴約看醫生時,我可能遇到什麼情況?

當您前往診所首次赴約時,首先在前台辦理登記手續。記得帶上:

  • 一張帶照片的身份證
  • 在資格審核約會時發給您的任何卡片。

前台工作人員會詢問您的姓名,收取共付金或診費(若需要),並提供其他指示。然後您需等待叫您的名字。您需等待多久才可看醫生將取決於診所的忙碌程度。
醫療助理將給您回電話,並測量您的身高、血壓及體溫,然後詢問有關您的病史及就診原因等問題。然後您將與醫生會面: 記得帶上:

    • 您目前正服用的所有藥物,
    • 您要問醫生的問題的清單,
    • 記錄醫生指示的記事本。
      失業與 COBRA

      若您已失業,則依照一項名為 COBRA(1986 年統一綜合預算協調方案)的聯邦條例,您可能符合資格將先前透過僱主獲得的健康護理延長最多 18 個月。

      聯邦 COBRA 適用於為 20 名或以上的僱員提供承保的僱主及團體健康計劃。Cal-COBRA 是一項適用於為 2 至 19 名僱員提供承保的僱主及團體健康計劃的加州法律。

      依據此法案,前僱員、退休人員、配偶及家屬均有權利透過同時支付自己的其僱主為其支付的部份健康保費來延長其健康保險。COBRA 費用可能很高,因為僱主不再支付其保費份額。

      美國復蘇與再投資方案(經濟刺激方案)為近期失業人士提供補助。符合資格的失業人士將只須支付其 COBRA 保費總額的 35%,就可繼續享有原先透過其工作獲得的健康承保;聯邦政府將向僱主或健康計劃償付剩餘 65% 的保費。2010 年 5 月 31 日或之前失業並符合資格的工人最多可獲得 15 個月的補助金。 欲知有關此補助金的詳情,請參閱此處。

      若想與 COBRA 福利顧問交談,請致電 1-866-444-3272。

      如欲閱讀有關 COBRA 的常見問題,請參閱「勞工部」的網站。

      請參閱 Cal-COBRA 網站瞭解詳情,或按此處,閱讀有關 Cal-COBRA (PDF) 的常見問題

      妊娠保險資料

      我已懷孕,或我覺得我可能已懷孕,但我沒有健康保險。我應該怎麼做?

      若您已懷孕或認為您可能已懷孕,請立即尋求護理。透過搜尋「產前」在此處搜尋您附近的診所。當您致電診所尋求護理時,在電話中告知工作人員您已懷孕或認為您可能已懷孕。

      我如何支付這些服務的費用?

      為孕婦提供承保的健康保險計劃有很多。這些計劃因您的收入和公民身份而有所不同。診所將為您登記加入適當的計劃。

      這些計劃包括哪些?我能從何處瞭解這些計劃?

      推定資格之 Medi-Cal

      低收入孕婦可獲得產前服務的緊急臨時承保(分娩、家庭計劃及選擇性流產手術除外)。此 Medi-Cal 計劃被稱作 Presumptive Eligibility(推定資格,簡稱 PE),在 Alameda 縣境內的數家診所和產科診所提供。PE 將承保在縣府處理孕婦的 Medi-Cal 申請期間接受的服務的費用。

      哪些人符合資格?

      認為自己已懷孕、家庭收入低於特定數額、向計劃內 Medi-Cal 醫護服務提供者尋求產前護理的任何婦女。沒有正式移民文件的婦女亦符合資格。

      費用是多少?

      受 PE 承保的產前護理服務免費向符合資格的婦女提供。

      我如何申請?

      若是您居住於阿拉米達縣, 聯絡上述任何一間診所和醫療辦公室或撥打 1-888-604-4636 (INFO) 聯絡 Public Health Clearinghouse「公共衛生資訊交流中心」。若是您居住於其它加州或北美地區, 請撥打 211。

      僅限於妊娠服務的 Medi-Cal

      不符合資格享有 Medi-Cal 全面福利的孕婦可能符合資格享有 Medi-Cal 福利,該福利限於產前護理、生產及分娩服務、家庭計劃服務以及妊娠結束後持續至少 60 天的產後護理

      哪些人符合資格?

      家庭收入等於或低於聯邦貧窮線的 200% 的孕婦,包括沒有正式移民文件的婦女

      費用是多少?

      僅限於妊娠的 Medi-Cal 服務免費向符合資格的婦女提供。

      我如何申請?

      若是您居住於阿拉米達縣, 聯絡上述任何一間診所和醫療辦公室或撥打 1-888-604-4636 (INFO) 聯絡 Public Health Clearinghouse「公共衛生資訊交流中心」。若是您居住於其它加州或北美地區, 請撥打 211。

      Access for Infants & Mothers(母嬰保健計劃,簡稱 AIM)

      AIM 是一項為中等收入的孕婦提供健康保險的州計劃。

      哪些人符合資格?
      • 申請時懷孕不超過 30 週的婦女,
      • 加州居民
      • 不享有免費 Medi-Cal 或 Medicare 福利
      • 不享有妊娠保險承保,或產科服務的自付額/共付金超過 $500 且
      • 家庭月收入在本計劃的指引範圍內
      費用是多少?

      收入扣減後的可調整家庭收入的 1.5%。

      如何申請並查找更多資料?

      聯絡上述任何一間診所和醫療辦公室或登入 AIM 網站或撥打 AIM 的免費電話 1-800-433-2611。

      我的疑問在此處未獲解答。我可在哪裡尋求協助?

      若您已懷孕並需要更多資源援助,請撥打 1-888-604-4636 (INFO) 聯絡 Public Health Clearinghouse「公共衛生資訊交流中心」。若是您居住於其它加州或北美地區, 請撥打 211。

      婦女、幼兒和兒童 – WIC

      WIC(婦女、幼兒和兒童)計劃是一項推廣健康飲食的全國性營業教育計劃。WIC 客戶可獲得營業建議、哺乳知識、向其他社區服務的轉介,以及用于購買牛奶、乾酪、穀類食物、果汁及雞蛋等健康食品的特殊支票。

      在此處查找您當地的 WIC 官員

      欲知有關 WIC 的詳情

      家庭暴力及性騷擾

      Highland 醫院性騷擾中心
      (510) 534-9290 或 (510) 534-9291 全天 24 小時提供服務

      Alameda 縣家庭正義中心
      470 27th Street, Oakland, CA 94612
      (510) 267-8800

      欲知詳情,請參閱家庭暴力資源指引 – Alameda 縣公共衛生局

      將Alameda 縣社會服務署

      的所有服務擴大至 Alameda 縣的居民,包括:食品補助、現金補助、兒童及家庭服務、就業訓練及其他服務。欲知詳情,請查閱Alameda 縣社會服務署

      在此處查詢辦公室地點

      常見問題集

      常見問題集

      應急食品

      Alameda 縣食品援助熱線

      週一至週五上午 9 點至中午 12 點以及下午 1 點至 4 點致電 1-800-870-3663 (FOOD)

      該食品援助熱線是 Alameda 縣「食物銀行」的全縣轉介計劃,該計劃將人們與其社區的應急食品計劃連接在一起。

      在夏季,該熱線協助兒童獲得免費夏季午餐,在 11 月及 12 月,該熱線可將人們轉介至假日食品計劃。

      此外,致電者可收到有關其他計劃的資訊,例如Women, Infants and Children(婦女、幼兒及兒童計劃,簡稱 WIC)糧食券

      該食品援助熱線的工作團隊及志願者可用 140 種語言為致電者提供協助。

      我不會說英語。我該去哪裡?

      使用搜尋功能 ,將搜尋範圍縮小至您講的語言。

      依據法律,所有醫護服務提供者必須提供現場當面口譯服務或透過電話提供口譯服務,或為您指派一名雙語服務提供者。致電時,告訴診所工作人員您講的語言。

      我已加入 Medi-Cal,可到哪裡看醫生?

      若您已加入「常規 Medi-Cal」,則可前往大多數綜合護理診所就診。使用 本網站的搜尋功能尋找這些診所的名單

      若您透過 Alameda Alliance for Health(阿拉米達保健聯會)Blue Cross(藍十字)加入 Medi-Cal 健康計劃,請聯絡其會員服務部﹐為您找一位醫生。

      若您已加入 Medi-Cal 並想加入某健康計劃, 請按此處瞭解詳情

      我已懷孕或可能懷孕,我需要看醫生。我應去哪裡?

      若您已懷孕或可能懷孕,您將立即獲得預約。在此處搜尋診所。 請務必在電話里告訴診所工作人員您覺得您已懷孕,以便他們快速安排預約。欲知詳情,請 按此處或撥打 1-800-605-4636 聯絡 Public Health Clearinghouse (公共衛生資訊交流中心)。

      我患有投保前既存病症,而且無法找到健康保險,我有哪些選擇?

      若您患有既存病症,您需瞭解您的權利

      在加州,您可透過州立計劃獲得健康保險。瀏覽此處,瞭解詳情。

      若您無法透過此計劃支付保費,請按此處,尋找您所在地區為未參保病人看診的醫生或診所。

      我搜尋過,但沒有出現任何結果。我該去哪裡?

      嘗試以下方式擴大搜尋範圍:

      • 建議:將您的週邊地區擴大數英里 – 若您能去更遠的地方,則可找到更多醫護服務提供者
      • 將語言擴大至「任何語言」– 若您選擇的語言沒有顯示足夠多的結果,嘗試將搜尋範圍擴大至「任何語言」。許多醫護服務提供者透過語言專線(一種電話口譯服務)提供口譯服務。
      • 建議:將服務範圍擴大至醫生或診所 – 透過搜尋普通醫生或診所,最容易找到您目前正在尋找的特定服務。
      我收到醫院賬單,但無法支付。我應做什麼?

      加州法律限制醫院向未參保人士或保險額不足之人士收取費用的數額。欲知詳情,請參閱 HospitalBillHelp.org 及加州「公平醫院定價」 網站,瞭解有關醫院折扣政策的資料。

      我是無證移民,我可到哪裡看醫生?

      不論您的移民狀態如何,診所都會為您看診。在此處搜尋您附近的診所

      一般而言,Medi-Cal 及 Healthy Families 等公共健康保險計劃對無證移民不予承保(妊娠與急診護理除外)。然而,某些其他計劃承保此類服務費用。診所可審核您的入會資格,並為您及家人註冊加入該計劃。請按此處,查看可為您審核入會資格的診所名單。

      我曾經有保險但已失業;我現在有哪些選擇?

      若您已失業,則可透過一項名為 COBRA 的計劃支付您的僱主的保費分攤額,從而繼續獲得您的僱主曾提供的健康保險。欲知有關 COBRA 的詳情,請按此處。

      您或您的家人亦可能符合加入其他公共健康保險計劃的資格,請瀏覽此處, 瞭解詳情。

      若您正在尋找接收未參保病人的醫生或診所,請使用搜尋功能

      我曾致電過診所,他們說他們不提供看慣常醫生的預約。我應做什麼?

      很抱歉,由於經濟不景氣,等待時間可能會很長,有時可能是數個月。
      若您需要緊急護理:

      • 若是急診,請致電 911 或前往最近的急診室。
      • 若不是醫療急診,請致電診所,告訴他們您需要緊急護理
      • 試著聯絡離您較遠的其他診所
      • 瞭解您是否可在無預約接診期間到一間免費診所就診

      若您需要常看某位醫生:

      • 詢問若欲成為診所會員,如何預約。成為診所會員後,等待時間會縮短。
      我沒有保險,但我今天需要看醫生。我應去哪裡?

      若屬醫療急診,請致電 911 或前往最近的急診室。

      若不屬於醫療急診,但您需要立即得到護理,請在此處搜尋「緊急護理」。某些免費診所亦可能提供有限的無預約接診。搜尋「醫生或診所」來尋找這些診所。

      我沒有保險,但我需要定期看醫生。我應去哪裡?

      若您沒有參加保險,而且需要看主治醫生,請搜尋您附近的醫生。綜合診所提供例行性護理,並提供資費優惠或免費服務。診所首先就入會資格事宜與您預約,隨後您將加入有助您降低服務費用的保健計劃。

      我的健康保險公司是否可取消我的保險?

      欲知有關您的權利的詳情或想提出投訴,請參閱此部份

      我的健康保險否決了一個醫療程序;我應做什麼?

      有關健康消費者權利的資料,請參閱本網站的此部份內容。.

      我的疑問未在此處列出。到哪裡能獲得更多資料?

      如需更多有關尋找健康服務或健康保險的資料,請撥打 1-888-604-4636 聯絡 Public Health Clearinghouse (公共衛生資訊交流中心)。他們的辦公時間為週一至週五上午 8:30 至下午 5:00。

      欲知有關住房或公眾服務的詳情,請致電 211,該熱線每週 7 天,全天 24 小時開通。

      我聽說醫療改革方案已通過,我何時可加入健康保險?

      健康改革方案已於 2010 年通過;然而,改革方案在 2014 年才能完全實施(某些部份較早開始)。欲知有關醫療改革的詳情,請瀏覽HealthCare.gov

      ACHealthCare.org將隨著各項計劃進展,不斷更新與 Alameda 縣居民相關的資料。

      戒煙

      Alameda 縣戒煙資源指引
      510-267-8000

      加州戒煙援助熱線
      可協助您戒煙的電話計劃。
      英語
      1-800-NO-BUTTS (1-800-662-8887

      粵語
      1-800-838-8917

      朝鲜语
      1-800-556-5564

      國語
      1-800-838-8917

      西班牙語
      1-800-45-NO-FUME (1-800-456-6386)

      越南语
      1-800-778-8440

      無家可歸者服務

      縣的收容所名單
      若您需要開放的收容所床位,請致電 211 瞭解最新資料。

      無家可歸者行動中心
      向無家可歸者及精神病患者提供法律服務

      向無家可歸者提供健康護理
      向 Alameda 縣全境的無家可歸者客戶提供健康護理及援助服務。

      Alameda 社會服務署
      住房及無家可歸者服務

      EveryOne Home
      力爭結束 Alameda 縣的無家可歸狀況

      住房與社區發展
      Alameda 縣住房與無家可歸者資源

      現金補助/CalWORKS

      CalWORKS 計劃向達到特定收入的有孩子的家庭提供臨時財政補助及以就業為重點的服務。欲知詳情,請查閱 Alameda 縣社會服務署或致電 1-888-999-4772。

      社區資格審核及登記處

      許多社區組織、診所及政府辦公室提供加入 Medi-Cal、CMSP/ACE 及其他健康保險和保健計劃的資格審核和註冊服務。各診所為其病人提供此服務。

      Berkeley

      LifeLong Medical Care
      2344 6th Street
      Berkeley, CA 94710
      (510) 704-6010
      *Medi-Cal, CMSP/ACE, FamilyPACT

      Fremont

      Tri-City Health Center
      39500 Liberty Street
      Fremont, CA 94538
      (510) 770-8040
      *Medi-Cal, CMSP/ACE, FamilyPACT

      Hayward

      Alameda County Medical Center- Winton Wellness Center
      24100 Amador Street, Suite 250
      Hayward, CA 94544
      (510) 266-1700
      *Medi-Cal, CMSP/ACE, FamilyPACT

      Tiburcio Vasquez Health Center
      22331 Mission Boulevard
      Hayward, CA 94541
      (510) 471-5880
      *Medi-Cal, CMSP/ACE, FamilyPACT

      Livermore

      Axis Community Health
      3311 Pacific Ave
      Livermore, CA 94660
      (925) 462-1755
      *Medi-Cal, CMSP/ACE, FamilyPACT

      Newark

      Alameda County Medical Center- Newark
      6066 Civic Terrace Avenue
      Newark, CA 94560
      (510) 505-1600
      *Medi-Cal, CMSP/ACE, FamilyPACT

      Oakland

      Alameda County Medical Center- Highland Hospital
      1411 East 31st Street
      Oakland, CA. 94602
      (510) 437-8500
      *Medi-Cal, CMSP/ACE, FamilyPACT

      Alameda County Medical Center- Eastmont Wellness Center
      6955 Foothill Boulevard, Suite 200
      Oakland, CA 94605
      (510) 567-5700
      *Medi-Cal, CMSP/ACE, FamilyPACT

      Asian Health Services
      818 Webster Street
      Oakland, CA 94607
      (510) 986-6880
      *Medi-Cal, CMSP/ACE, FamilyPACT

      Frank Kiang Medical Center
      (a clinic of Asian Health Services)
      250 East 18th Street, 2nd Floor
      Oakland, CA 94606
      (510) 986-6860
      *Medi-Cal, CMSP/ACE, FamilyPACT

      Healthy Communities – Save a Life Wellness Center
      2580 San Pablo Ave.
      Oakland, CA 94612
      (510) 444-9655
      *Medi-Cal, CMSP/ACE

      La Clinica de La Raza – Transit Village
      3451 E. 12th Street
      Oakland, CA 94601
      (510) 535-4000
      *Medi-Cal, CMSP/ACE, FamilyPACT

      La Clinica de la Raza – Clinica Alta Vista
      1515 Fruitvale Avenue
      Oakland, CA 94601
      (510) 535-6300
      *Medi-Cal, CMSP/ACE, FamilyPACT

      La Clinica de la Raza – San Antonio Neighborhood Health Center
      1030 International Blvd
      Oakland, CA  90406
      (510) 238-5400
      *Medi-Cal, CMSP/ACE, FamilyPACT

      LifeLong  Medical Care – East Oakland
      10700  MacArthur Blvd, Suite 14b
      Oakland,  CA 94605
      (510) 704-6010
      *Medi-Cal, CMSP/ACE,  FamilyPACT

      LifeLong Medical Care – Downtown Oakland Clinic
      616 16th Street
      Oakland, CA 94612
      (510) 704-6010
      *Medi-Cal, CMSP/ACE,  FamilyPACT

      Native American Health Center
      2950 International Boulevard
      Oakland, CA 94601
      (510) 535-4400
      *Medi-Cal, CMSP/ACE, FamilyPACT

      West Oakland Health Center
      700 Adeline Street
      Oakland, CA 94607
      (510) 835-9610
      *Medi-Cal, CMSP/ACE, FamilyPACT

      East Oakland Health Center
      7450 International Boulevard
      Oakland, CA 94621
      (510) 430-9401
      *Medi-Cal, CMSP/ACE, FamilyPACT

      Pleasanton

      Axis Community Health
      4361 Railroad Avenue
      Pleasanton, CA 94566
      (925) 462-1755
      *Medi-Cal, CMSP/ACE, FamilyPACT

      San Leandro

      Health Care Services Agency
      1000 San Leandro Blvd., Suite 300
      San Leandro, CA 94577
      1-800-422-9495
      * Medi-Cal, CMSP/ACE, Kaiser Child Health Plan

      Union City

      Tiburcio Vasquez Health Center
      33255 9th Street
      Union City, CA  94587
      (510) 471-5880
      *Medi-Cal, CMSP/ACE, FamilyPACT

      注意:若您未參保,則可能需在健康診所等待一段時間。在診所完成註冊並確定會員資格可能需要數天、數週或更長時間。確定會員資格後,您可能需要預約就診。若您已是某診所的會員,您可以在有需要時致電預約。

      私人健康保險:個人與小企業

      購買私人健康保險

      若要為您及您的家人購買健康保險,您可透過 healthcare.goveHealthInsurance.com 獲得您所在地區的保險商的免費報價。

      加州有兩項計劃向因患既存病症而無法獲得承保的人士提供保險。 撥打 1-877-428-5060 可聯絡 Pre-Existing Condition Insurance Plan(既存病症保險計劃) 撥打 1-800-289-6574 可聯絡 Major Risk Medical Insurance Program(高風險醫療保險計劃,簡稱 MRMIP)。 若要瞭解不同計劃的區別,click here.

      使用 California’s Office of the Patient Advocate(「加州病人權益促進計劃辦公室」)提供的指引來選擇最適合您及您的家人的計劃。

      透過「加州病人權益促進計劃辦公室」瞭解 加州的健康保險計劃如何評定護理 品質。

      如欲瞭解您的法律權利,請參閱 Georgetown 「獲取及繼續參加加州健康保險之消費者指引」

      若您患有既存醫療病症,請前往「加州病人權益促進計劃辦公室」 瞭解您作為消費者的權利

      購買小企業健康保險

      此指引由 California Health Care Foundation(加州保健基金會)提供,該指引向小企業主提供關於為僱員提供健康保險的全面資料。 內容包括:費用估算、節省稅款、承保選項及法律權利。

      「2010 年可負擔護理法案」規定,為僱員提供健康保險的小企業可獲得稅收抵免。 欲知詳情,請參閱 IRS 網站 或瀏覽 IRS 網站之常見問題集

      小型企业健保选项方案 (SHOP) — 什么是 SHOP?

      小型企业健保选项方案将会提供大约375,000 加州小型企业前所未有相当多样式的低价健保给付方案选项给他们的员工。

      有些小型企业,就是拥有 25个等同于全职员工或以下支付平均一年收入低于 $50,000而又透过SHOP购买医疗保险,可能可以符合资格获取一个 50% 的小型企业 健保 缴税减免。

      透过 SHOP,雇主 将可以为其员工挑选一个护理层级 。如此,员工将可以从那些选项中挑出适合他们和他们家人的特定医疗方案。

      所有的方案将提供一个标准的套装福利和费用分担方式让雇主和员工能更轻松的做明确的比较。

      Covered California 将会提供医疗保险选项 ,认证和医疗方案的关系 之持续性的管理, 领导经营的努力,和提供政策指导.

      Covered California 授与Pinnacle Claims Management, Inc.于2013年4月4日依合约开始管理SHOP。

      预知详情,请参阅:

      Covered California – 消费者

      California Health Benefits Exchange – 消費者與經紀人

      California Chamber of Commerce – SHOP的主要资讯

      緊急住房

      若您需要開放的收容所床位,請致電 211 瞭解最新資料。

      老年人服務

      Network of Care
      Network of Care (護理網絡) 為更好的協調當地長期護理服務提供資源。此網路資源適用於老年人和殘障人士及其照護者和服務提供者。

      Area Agency on Aging
      此熱線是 的老年人健康服務資源。
      510-577-3530 (Alameda County)
      800-510-2020 (其他縣)

      Health Insurance Counseling and Advocacy Program(醫療保險咨詢及推廣計劃)
      此計劃協助老年人獲取健康護理服務並為其解答疑問。
      HICAP 電子資訊交流中心 – HICAP 線上資源

      Alameda 縣成人日間服務網絡
      成人日間計劃向體弱的老年人提供舒適的團體設施環境和日間護理。

      Tri-City Senior Helpline(三市老年人援助熱線)
      此熱線是 Fremont、Union 市及 Newark 的老年人健康服務資源。
      (510) 574-2041

      聯會團體護理/IHSS 聯會團體護理(Alliance Group Care/IHSS)

      聯會團體護理/IHSS 聯會團體護理(Alliance Group Care/IHSS Alliance Group Care) 計劃是一項由僱主擔保、依照與 Alameda 縣 IHSS 公共管理局之合約,為 Alameda 縣之 In-Home Supportive Services(居家支援服務計劃,簡稱 IHSS)工作人員提供全面健康護理承保的計劃。欲知有關入會資格的詳情,或想提出申請,請撥打 (510) 577-3551 聯絡公共管理局。欲知詳情,請瀏覽此處

      職業訓練

      若您目前與保險公司發生爭議,請參閱此處,瞭解詳情。

      職業訓練

      Job Star
      Alameda 縣的職業中心名單

      East Bay Works
      Alameda 和 Contra Costa 縣內由公共實體、非盈利機構及私人組織所組成的、協助企業與求職者滿足 職業需求的合資企業。在此處尋找一站式職業中心

      自殺熱線

      24 小時危機熱線

      • Alameda 縣:1-800-309-2131
      • 全國熱線:1-800-SUICIDE
      • 1-800-273-TALK (8255)

      由訓練有素的危機干預顧問接聽危機來電,每週 7 天,全天 24 小時提供援助性咨詢。

      提供 140 多種語言的翻譯服務和 TDD 服務。

      致電診所時,我可能會遇到什麼情況?

      若您準備致電預約,而且從未獲得該診所的服務,您可能會等待一段時間。首先,進行預約,以辦理加入保健計劃的資格審核。此後,您可與醫生或其他醫護服務提供者安排醫療約診。

      您致電時,診所會問您一些有關您的家庭、您是否有保險以及有關您的收入的問題,從而判斷您符合獲得哪些健康承保和服務的資格。他們將為您安排預約,以審查您的資料,並告知您需要帶哪些收入文件。

      瀏覽此處,瞭解更多有關您可能遇到什麼情況的資料。

      若我沒有參加保險,為何應成為綜合護理診所的一名會員?

      綜合護理診所的會員可獲得多種服務: 病人:

      • 接受保險計劃的入會資格審核。
      • 獲得文化與語言方面適當的優質服務。
      • 獲指派一名負責協調基本護理、處方藥及專科護理之人士。
      • 保證可以獲得緊急護理。
      • 享有其他各種社會服務。
      赴約辦理資格審核時,我應帶上哪些文件?

      您需帶上一種身份文件(例如:駕駛執照或帶照片的身份證)、居住證明(水電費賬單或其他載有您目前住址的郵件)、收入證明(上兩次工資支票存根、最新的納稅申報表、社會保障金支票)及公民身份證明(若有)。欲知詳情,請瀏覽此處。

      醫院賬單

      加州法律限制向未參保人士或保險額不足之人士收取高額醫療費用的數額。欲知詳情,請參閱 HospitalBillHelp.org 及加州「公平醫院定價」網站,瞭解有關醫院折扣政策的資料。

      鍛鍊

      Alameda 縣公共衛生局之健康電子資源

      根據郵遞區號搜尋:

      • 提供體力活動的地方(如體育、舞蹈、運動、武術、公園及娛樂活動)。
      • 農貿市場名單
      • 低價農產品市場名單
      • 專門提供體重控制服務的專科醫療服務提供者(如營養師、飲食學家、心理醫生、心理治療師)

      Playworks
      Playworks 是一間全國性非盈利組織,該組織透過在課間休息及整個教學日向學校提供安全、健康及豐富的游戲及身體活動項目來支援學習。Playworks 在全國範圍內運營,包括 Oakland 與 East Bay。

      關於我們

      擴大醫療覆蓋範圍,提高獲得高品質的護理

      阿拉米達縣獲得醫療護理的合作(協作)成立於 2001年建立戰略夥伴關係,在全縣組織和發展戰略,以“擴大醫療覆蓋面和增加獲得高質量的衛生保健”的阿拉米達縣。

      成員包括協作:

      該合作是由領導的醫療保健機構在阿拉米達縣服務大量低收入無醫療保險,人民的Medi – Cal的,和其他公共健康保險計劃。

      Ingrid Lamirault, MPH, Chief Executive Officer (Chair)
      Alameda Alliance for Health


      Wright Lassiter, III, Chief Executive Officer
      Alameda County Medical Center


      Jane Garcia, MPH, Chief Executive Officer,
      La Clínica de La Raza

      Sherry Hirota, Chief Executive Officer,
      Asian Health Services

      Ralph Silber, MPH, Executive Director
      Alameda Health Consortium


      Alex Briscoe, MFT-I, DPS, Agency Director
      Alameda County Health Care Services Agency

      Marye Thomas, MD, Director
      Behavioral Health Care Services

      Anita Siegel, RN, MPH, Acting Director
      Public Health Department


      Yolanda Baldovinos, MSW, Agency Director
      Alameda County Social Services Agency


      欲了解更多信息,請聯繫工作人員,阿拉米達縣獲得醫療護理的協同合作:

      Beth Newell, Project Analyst
      Alameda County Access to Care Collaborative
      bethn@alamedahealthconsortium.org

      Luella Penserga, MPH, Project Director
      Alameda County Access to Care Collaborative
      luellap@alamedahealthconsortium.org

      這個網站之所以成為可能,通過慷慨的支持:

      and

      需要處方藥費用的補助

      以下網站提供有助您支付藥費的相關資料 製藥公司向達到特定收入要求的人士提供免費處方藥。

      Alameda 縣向居民提供免費折扣處方卡,以協助降低獲得處方藥的費用。僅限 Alameda 縣的居民可登記加入。

      若您是 Medicare 受益人,使用 Medicare Prescription Drug Finder(Medicare 處方藥搜尋器)尋找最適合於您的 Medicare Part D 計劃

      若您在選擇 Medicare Part D 藥物計劃時需要更多協助,Health Insurance Counseling and Advocacy Program(醫療保險咨詢及推廣計劃,簡稱 HICAP)提供免費社區教育及咨詢。Alameda 縣有 30 多個地點接受個人預約。若要申請預約,請致電 (510) 839-0393 或 (800) 393-0363。

      BenefitsCheckUp 協助尋找有助老年人節省處方藥、健康護理、膳食、水電費、稅收及其他費用的聯邦、州及私人福利計劃。獲取有關您可能符合資格享有之福利的個人報告。

      AIDS Drug Assistance Program(艾滋病藥物補助計劃,簡稱 ADAP)可支付部份或全部其他保險不予承保的與 HIV/AIDS 相關的藥物費用。欲知詳情,請瀏覽此處此處

      食品補助

      如需有關應急食品的資料或申請糧食券,請致電 Alameda 縣的食品援助熱線。1-800-870-3663 (FOOD)
      如需有關食品補助的資料並欲申請 SNAP/糧食券,請瀏覽Alameda 縣社會服務署網站。

      首頁

      資料和報告 有關 Alameda 縣未參保人士的資料及報告

      更新 有關改善 Alameda 縣居民獲取基本護理、專科護理及行為健康護理之途徑最新舉措資訊