Charisma Hooda 1/13/14

Size: px
Start display at page:

Download "Charisma Hooda 1/13/14"

Transcription

1 Charisma Hooda 1/13/14

2 Link the MCAH population to needed medical, mental, social, dental, and community services to promote equity in access to quality services, especially for those who are eligible for Medi-Cal or other publicly provided health care programs 1 Outreach services will be targeted to identify pregnant women, women of reproductive age, infants, children and adolescents and their families who are eligible for Medi-Cal assistance or other publicly provided health care programs and assist them in applying for these benefits

3 As an health indicator Education Health Literacy Access

4 Percent of Minors Living in Poverty California Local HP Defn: Rate of Persons Ages 0-18 Living in Poverty (0-200%) Data Source: US Census, Small Area Health Insurance Estimates

5 Percent of Females Living in Poverty California Local HP Defn: Rate of Females Living in Poverty (0-200%) Data Source: US Census, Small Area Health Insurance Estimates

6 Unemployment Rate California Local Data Source: US Census

7

8 Effects on the Individual Medical Care Prescription Medications Death Risk Financial Strain Effects on the System Emergency Room Care Medical Costs

9 % of Residents without Health Insurance 18.0% 16.0% 14.0% 12.0% 10.0% 8.0% 6.0% 4.0% 2.0% 0.0% Stanislaus 12.7% 14.3% 11.1% 16.5% 11.1% 14.2% California 14.6% 14.0% 13.5% 13.2% 14.5% 14.7% Data Source: UCLA, California Health Interview Survey,

10 Effects on the Child Usual Source of Care School-related Effects on the Parent Productivity

11 Percent of Uninsured Minors California Local HP Defn: Rate of Uninsured Persons Ages 0-18 Data Source: US Census, Small Area Health Insurance Estimates

12 Percent of Uninsured Minors Living in Poverty California Local HP Defn: Rate of Uninsured Persons Ages 0-18 Living in Poverty (0-200%) Data Source: US Census, Small Area Health Insurance Estimates

13 Percent of Uninsured Minors Not Living in Poverty California Local HP Defn Rate of Uninsured Ages 0-18 not Living in Poverty (>200%) Data Source: US Census, Small Area Health Insurance Estimates

14

15 Effects on the Woman Preventative Services Prescription Medications Affordable Care Act Maternity care Contraceptives Breast Feeding Support Domestic Violence Screening

16 Percent of Uninsured Females California Local HP Defn: Rate of Uninsured Females Ages Data Source: US Census, Small Area Health Insurance Estimates

17 Percent of Uninsured Females Living in Poverty California Local HP Defn: Rate of Uninsured Females Living in Poverty (0-200%) Data Source: US Census, Small Area Health Insurance Estimates

18 Percent of Uninsured Females not Living in Poverty Data Source: US Census, Small Area Health Insurance Estimates California Local HP Defn: Rate of Uninsured Females Ages not Living in Poverty (0-200%)

19

20 Benefits Pregnancy complications Infant development Medications Reasons for not Obtaining Care Personal Issues Perceptions Clinic Cultural Competency

21 % of Mothers with 1st Trimester Prenatal Care 88.0% 86.0% 84.0% 82.0% 80.0% 78.0% 76.0% 74.0% 72.0% 70.0% 85.8% 85.2% 84.4% 83.0% 81.1% 80.7% 81.3% 77.8% 75.6% 77.3% 76.2% 76.5% Stanislaus California Year Data Source: Birth Statistical Master Files,

22 % Mothers Receiving APC 90.0% 85.0% 82.5% 80.0% 75.0% 77.4% 77.2% 76.4% 76.1% 74.9% 77.6% 70.0% 65.0% 60.0% Year Data Source: Birth Statistical Master Files,

23 High Performance Level Health Net Stanislaus Anthem Blue Cross 88.6% 93.2% 91.5% 2012 Weighted Avg Minimum Performance Level 80.3% 83.8% 70.0% 75.0% 80.0% 85.0% 90.0% 95.0% Percentage of Women Receiving Timely Prenatal Care Data Source:

24

25 Wellbeing of the Baby Breast feeding support Complications Wellbeing of the Mother Common Problems Complications Contraception Support Postpartum Care in the US

26 Data Source: California Department of Health Care Services; 2012 HEDIS Aggregate Report for Medi-Cal Managed Care

27

28 Type of Usual Source of Care No usual source of care 14.2% 14.0% Some other place/no one place 0.8% 0.5% Emergency room/urgent Care 1.1% 2.2% Community Clinic/government/community hospital 23.0% 19.9% Doctor's office/hmo/kaiser 60.9% 63.4% California Stanislaus 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% Percent of Population Data Source: UCLA, California Health Interview Survey,

29

30 Definition Effects Testing Emergency Room Disease Management Strategies to Address the Issue

31 Health Literacy Level ^ Back to top Proficient Intermediate Basic Below Basic Task Examples Using a table, calculate an employee's share of health insurance costs for a year. Read instructions on a prescription label, and determine what time a person can take the medication. Read a pamphlet, and give two reasons a person with no symptoms should be tested for a disease. Read a set of short instructions, and identify what is permissible to drink before a medical test. Percentage 12% 53% 21% 14%

32

Women, Families & the Affordable Care Act: Overview of Preventive Services Requirements. Webinar and Discussion December 4 th 2013

Women, Families & the Affordable Care Act: Overview of Preventive Services Requirements. Webinar and Discussion December 4 th 2013 Women, Families & the Affordable Care Act: Overview of Preventive Services Requirements Webinar and Discussion December 4 th 2013 Presentation Quick overview of the Affordable Care Act 1. Coverage and

More information

SOUTHERN CALIFORNIA UNITED FOOD & COMMERCIAL WORKERS UNIONS AND DRUG EMPLOYERS TRUST FUNDS 2220 HYPERION AVENUE LOS ANGELES, CALIFORNIA 90027

SOUTHERN CALIFORNIA UNITED FOOD & COMMERCIAL WORKERS UNIONS AND DRUG EMPLOYERS TRUST FUNDS 2220 HYPERION AVENUE LOS ANGELES, CALIFORNIA 90027 SOUTHERN CALIFORNIA UNITED FOOD & COMMERCIAL WORKERS UNIONS AND DRUG EMPLOYERS TRUST FUNDS 2220 HYPERION AVENUE LOS ANGELES, CALIFORNIA 90027 TEL (323) 666-8910 FAX (323) 663-9495 www.ufcwdrugtrust.org

More information

SOUTHERN CALIFORNIA UNITED FOOD & COMMERCIAL WORKERS UNIONS AND DRUG EMPLOYERS TRUST FUNDS 2220 HYPERION AVENUE LOS ANGELES, CALIFORNIA 90027

SOUTHERN CALIFORNIA UNITED FOOD & COMMERCIAL WORKERS UNIONS AND DRUG EMPLOYERS TRUST FUNDS 2220 HYPERION AVENUE LOS ANGELES, CALIFORNIA 90027 SOUTHERN CALIFORNIA UNITED FOOD & COMMERCIAL WORKERS UNIONS AND DRUG EMPLOYERS TRUST FUNDS 2220 HYPERION AVENUE LOS ANGELES, CALIFORNIA 90027 TEL (323) 666-8910 FAX (323) 663-9495 www.ufcwdrugtrust.org

More information

SOUTHERN CALIFORNIA UNITED FOOD & COMMERCIAL WORKERS UNIONS AND DRUG EMPLOYERS TRUST FUNDS 2220 HYPERION AVENUE LOS ANGELES, CALIFORNIA 90027

SOUTHERN CALIFORNIA UNITED FOOD & COMMERCIAL WORKERS UNIONS AND DRUG EMPLOYERS TRUST FUNDS 2220 HYPERION AVENUE LOS ANGELES, CALIFORNIA 90027 SOUTHERN CALIFORNIA UNITED FOOD & COMMERCIAL WORKERS UNIONS AND DRUG EMPLOYERS TRUST FUNDS 2220 HYPERION AVENUE LOS ANGELES, CALIFORNIA 90027 TEL (323) 666-8910 FAX (323) 663-9495 www.ufcwdrugtrust.org

More information

Source: First 5 Sacramento Commission, 2009 Strategic Plan Update For Fiscal Years

Source: First 5 Sacramento Commission, 2009 Strategic Plan Update For Fiscal Years HEALTH PRIORITY R1: Increase comprehensive health insurance coverage. R2: Increase access to and utilization of medical/dental homes. R22: Decrease babies born with communicable diseases. Results R1: Increase

More information

THE HEALTH CARE LAW AND SURVIVORS OF DOMESTIC VIOLENCE. Advocating to Ensure Financial Assistance is Available

THE HEALTH CARE LAW AND SURVIVORS OF DOMESTIC VIOLENCE. Advocating to Ensure Financial Assistance is Available THE HEALTH CARE LAW AND SURVIVORS OF DOMESTIC VIOLENCE Advocating to Ensure Financial Assistance is Available Dania Palanker Senior Counsel March 24, 2014 WHY THIS IS IMPORTANT In 2008, one in four women

More information

OHIO MEDICAID ASSESSMENT SURVEY 2012

OHIO MEDICAID ASSESSMENT SURVEY 2012 OHIO MEDICAID ASSESSMENT SURVEY 2012 Taking the pulse of health in Ohio Policy Brief A HEALTH PROFILE OF OHIO WOMEN AND CHILDREN Kelly Balistreri, PhD and Kara Joyner, PhD Department of Sociology and the

More information

Frequently Asked Questions: Benefit Changes

Frequently Asked Questions: Benefit Changes Frequently Asked Questions: Benefit Changes In this section: Preventive Care Preventive Services for Women Member Appeals Rescissions Lifetime Dollar Limits Preventive Care at no Additional Charge FAQ

More information

Yes. Some of the services this plan doesn t cover are listed on page 4

Yes. Some of the services this plan doesn t cover are listed on page 4 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.centuryhealthcare/com/user/login or by calling 1-877-685-2432.

More information

HCR FAQ. Covered California Individual and Family Coverage. What is Covered California? What is Obamacare? Are they the same?

HCR FAQ. Covered California Individual and Family Coverage. What is Covered California? What is Obamacare? Are they the same? HCR FAQ Covered California Individual and Family Coverage What is Covered California? What is Obamacare? Are they the same? Covered California is a new, easy-to-use marketplace established for California

More information

Presenters Marc J. Smith Mary-Michal Rawling

Presenters Marc J. Smith Mary-Michal Rawling Presenters Marc J. Smith Mary-Michal Rawling The Affordable Care Act (ACA) Starting in January 1, 2014 it will be Required that most U.S. citizens and legal residents obtain and maintain healthcare coverage

More information

Line Construction Benefit Fund 2000 Springer Drive, Lombard, IL NOTICE

Line Construction Benefit Fund 2000 Springer Drive, Lombard, IL NOTICE Line Construction Benefit Fund 2000 Springer Drive, Lombard, IL 60148 1-800-323-7268 www.lineco.org NOTICE December 2012 To All Lineco Participants, The Trustees of the Line Construction Benefit Fund have

More information

Profile of Ohio s Medicaid-Enrolled Adults and Those who are Potentially Eligible

Profile of Ohio s Medicaid-Enrolled Adults and Those who are Potentially Eligible Thalia Farietta, MS 1 Rachel Tumin, PhD 1 May 24, 2016 1 Ohio Colleges of Medicine Government Resource Center EXECUTIVE SUMMARY The primary objective of this chartbook is to describe the population of

More information

Supporting WIC Clients: The Affordable Care Act and WIC Families. National WIC Association Leadership Conference March 2 nd 2014

Supporting WIC Clients: The Affordable Care Act and WIC Families. National WIC Association Leadership Conference March 2 nd 2014 Supporting WIC Clients: The Affordable Care Act and WIC Families National WIC Association Leadership Conference March 2 nd 2014 Presentation Quick overview of the Affordable Care Act 1. Coverage, benefits,

More information

Help your constituents gain the most from the Affordable Care Act

Help your constituents gain the most from the Affordable Care Act 1 Help your constituents gain the most from the Affordable Care Act Quick refresher course on Covered California: your destination for affordable, quality health care, including Medi-Cal Help your constituents

More information

ACCESS TO HEALTH CARE FOR YOUNG ADULTS: IMPACT & IMPLICATIONS OF THE AFFORDABLE CARE ACT

ACCESS TO HEALTH CARE FOR YOUNG ADULTS: IMPACT & IMPLICATIONS OF THE AFFORDABLE CARE ACT ACCESS TO HEALTH CARE FOR YOUNG ADULTS: IMPACT & IMPLICATIONS OF THE AFFORDABLE CARE ACT Abigail English, JD english@cahl.org Young Adult Workshop IOM/NRC Washington, DC May 4, 2013 Special Thanks! M.

More information

This is an ERISA plan, and you have certain rights under this plan. Please contact your Employer for additional information.

This is an ERISA plan, and you have certain rights under this plan. Please contact your Employer for additional information. Schedule of Benefits Employer: MSA Contract Number Control Number:: Barnes Group Inc. 397393 842881 Issue Date: February 15, 2017 Effective Date: January 1, 2017 Schedule: 3A Booklet Base: 3 For: Indemnity

More information

Testimony Re: Hearing on the Impact of the Repeal of All or Some Aspects of the Affordable Care Act

Testimony Re: Hearing on the Impact of the Repeal of All or Some Aspects of the Affordable Care Act Testimony Re: Hearing on the Impact of the Repeal of All or Some Aspects of the Affordable Care Act Senate Finance & Health and Human Services Committees February 7, 2017 James Beasley, Policy Analyst

More information

ObamaCare What Does the Affordable Care Act Mean For You?

ObamaCare What Does the Affordable Care Act Mean For You? ObamaCare What Does the Affordable Care Act Mean For You? After tonight, you will: Understand key aspects of the ACA Private Health Insurance Consumer Protections Medi-Cal Expansion Health Benefit Exchange

More information

UnitedHealthcare s Approach to Women s Preventive Care Services

UnitedHealthcare s Approach to Women s Preventive Care Services Preventive Care Services Overview UnitedHealthcare s Approach to Women s Preventive Care Services As a company dedicated to helping people to live healthier lives, UnitedHealthcare encourages our members

More information

ACCESS TO CARE FOR THE UNINSURED: AN UPDATE

ACCESS TO CARE FOR THE UNINSURED: AN UPDATE September 2003 ACCESS TO CARE FOR THE UNINSURED: AN UPDATE Over 43 million Americans had no health insurance coverage in 2002 according to the latest estimate from the U.S. Census Bureau - an increase

More information

2018 P4Q Measures STAR. At-risk measures - Plans will be evaluated on their Performance against benchmarks and Performance against self.

2018 P4Q Measures STAR. At-risk measures - Plans will be evaluated on their Performance against benchmarks and Performance against self. STAR At-risk measures - Plans will be evaluated on their and Performance against self. 1. Potentially Preventable ED Visits (PPVs) - this measure was included in the original P4Q program Required by TX

More information

SLIDING FEE SCALE APPLICATION FORM

SLIDING FEE SCALE APPLICATION FORM SLIDING FEE SCALE APPLICATION FORM Today s Date Name Date of Birth Address City State ZIP Code Home Phone Work Phone Cell Phone Would you like to schedule an appointment with a Certified Enrollment Counselor

More information

Chapter 12 The Human Population: Growth, Demography, and Carrying Capacity

Chapter 12 The Human Population: Growth, Demography, and Carrying Capacity Chapter 12 The Human Population: Growth, Demography, and Carrying Capacity The History of the Human Population Years Elapsed Year Human Population 3,000,000 10,000 B.C.E. (Agricultural Revolution) 5-10

More information

Maryland Wins With Health Care Reform

Maryland Wins With Health Care Reform Maryland Wins With Health Care Reform =========================================== A Win for Maryland Families The Problem: Maryland families are paying more each year for less health care coverage. Premiums

More information

ObamaCare 101: An Educational Training on Health Reform. Training Workshop

ObamaCare 101: An Educational Training on Health Reform. Training Workshop ObamaCare 101: An Educational Training on Health Reform Training Workshop About ITUP ITUP is a non partisan, non profit health policy think tank based in Santa Monica, CA. We are funded by generous grants

More information

You don t have to meet deductibles for specific services, but see the chart starting on page 3 for other costs for services this plan covers.

You don t have to meet deductibles for specific services, but see the chart starting on page 3 for other costs for services this plan covers. This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.nipponlifebenefits.com or by calling 1-800-374-1835.

More information

AFFORDABLE CARE ACT FAQ

AFFORDABLE CARE ACT FAQ AFFORDABLE CARE ACT FAQ What is the Healthcare Insurance Marketplace? The Marketplace is a new way to find quality health coverage. It can help if you don t have coverage now or if you have it but want

More information

Health Insurance for Poor People in the Province Of Santa Fe, Argentina: The Power of the Clear Model for All

Health Insurance for Poor People in the Province Of Santa Fe, Argentina: The Power of the Clear Model for All ARGENTINA Health Insurance for Poor People in the Province Of Santa Fe, Argentina: The Power of the Clear Model for All FAMEDIC and Ministry of Health of Santa Fe. SUMMARY In Argentina, the system is characterized

More information

BENEFITS. Preventive Services. Essential Health Benefits. Exceptions. The Affordable Care Act: A Working Guide for MCH Professionals.

BENEFITS. Preventive Services. Essential Health Benefits. Exceptions. The Affordable Care Act: A Working Guide for MCH Professionals. The Affordable Care Act: A Working Guide for MCH Professionals Section 6 BENEFITS In addition to expanding access to affordable health coverage options, the Affordable Care Act (ACA) makes several changes

More information

What you need to know

What you need to know Exploring The Affordable Care Act What you need to know Maternal Child Adolescent Health Advisory Board Meeting August 1, 2013 Vanessa Raditz, vraditz@berkeley.edu Why do we need this training? Many people

More information

Welcome Virtual Office Hours Using Peer Support to Improve the Accuracy of IPHIS

Welcome Virtual Office Hours Using Peer Support to Improve the Accuracy of IPHIS Welcome Virtual Office Hours Using Peer Support to Improve the Accuracy of IPHIS March 11, 2016 Please sign in with your Name, your Organization and your Title in the Questions Box Please mute your line!

More information

Women and ACA: Implementation Under Way. Margaret Lynn Yonekura, M.D., FACOG

Women and ACA: Implementation Under Way. Margaret Lynn Yonekura, M.D., FACOG Women and ACA: Implementation Under Way Margaret Lynn Yonekura, M.D., FACOG Key Elements of Health Reform From a Woman s Perspective Key Issues for Women: Coverage and Affordability Preventive Services

More information

Opportunities for State Legislators

Opportunities for State Legislators Health Reform and Women s Health: Opportunities for State Legislators National Conference of State Legislatures Policy Options to Improve the Health of Women of All Ages December 8, 2010 Tracey Hyams,

More information

Sarah Jacobson NC Government Relations Director, American Heart Association

Sarah Jacobson NC Government Relations Director, American Heart Association Justus-Warren Heart Disease and Stroke Prevention Task Force January 8, 2019 Sarah Jacobson NC Government Relations Director, American Heart Association About Us Care4Carolina is a statewide coalition

More information

BROAD DEMOGRAPHIC TRENDS IN LDCs

BROAD DEMOGRAPHIC TRENDS IN LDCs BROAD DEMOGRAPHIC TRENDS IN LDCs DEMOGRAPHIC CHANGES are CHALLENGES and OPPORTUNITIES for DEVELOPMENT. DEMOGRAPHIC CHALLENGES are DEVELOPMENT CHALLENGES. This year, world population will reach 7 BILLION,

More information

NEW JERSEY. PROGRAM NAME Plan: NJ FamilyCare S-CHIP 1115 Waiver: NJ FamilyCare

NEW JERSEY. PROGRAM NAME Plan: NJ FamilyCare S-CHIP 1115 Waiver: NJ FamilyCare PROGRAM NAME Plan: NJ FamilyCare S-CHIP 1115 Waiver: NJ FamilyCare CONTACT INFORMATION Heidi J. Smith, RN, MSN Executive Director NJ FamilyCare Department of Human Services P.O. Box 712, 5 Quakerbridge

More information

$4,800.00/ individual. $9,600.00/family

$4,800.00/ individual. $9,600.00/family Medical Plans Please note, this brochure provides an overview of certain health care plan provisions under the Adobe Systems Incorporated Group Welfare Plan. It is not intended to be a complete description

More information

Commonwealth of Kentucky Overview of Kentucky HEALTH. All information based on Kentucky HEALTH Waiver proposal. Information is subject to change.

Commonwealth of Kentucky Overview of Kentucky HEALTH. All information based on Kentucky HEALTH Waiver proposal. Information is subject to change. Commonwealth of Kentucky Overview of Kentucky HEALTH All information based on Kentucky HEALTH Waiver proposal. Information is subject to change. Kentucky Health Program Overview Kentucky HEALTH is the

More information

ENERGIZE. TAKE CHARGE OF YOUR BENEFITS Choose the medical plan that s right for you START PEDALING! LIGHTING THE WAY TO YOUR GOOD HEALTH Health Plan

ENERGIZE. TAKE CHARGE OF YOUR BENEFITS Choose the medical plan that s right for you START PEDALING! LIGHTING THE WAY TO YOUR GOOD HEALTH Health Plan ENERGIZE Los Angeles Department of Water & Power 2013 Retiree Benefit User s Guide TAKE CHARGE OF YOUR BENEFITS Choose the medical plan that s right for you START PEDALING! Eligibility LIGHTING THE WAY

More information

1. Receipts of the social protection system in Bulgaria,

1. Receipts of the social protection system in Bulgaria, THE EUROPEAN SYSTEM OF INTEGRATED SOCIAL PROTECTION STATISTICS (ESSPROS) Receipts and expenditure of the social protection system in 2015 Financing of the social protection system in the country is realized

More information

Virginia s Health Insurance Programs for Children and Pregnant Women An Overview

Virginia s Health Insurance Programs for Children and Pregnant Women An Overview Virginia s Health Insurance Programs for Children and Pregnant Women An Overview FAMIS Plus and Medicaid for Pregnant Women What are Medicaid and FAMIS Plus? Established in 1965 as Title XIX of the Social

More information

MED 146 Deliverable 1.24 Five Year Florida Medicaid Maternal and Child Health Status Indicators Report:

MED 146 Deliverable 1.24 Five Year Florida Medicaid Maternal and Child Health Status Indicators Report: MED 1 Deliverable 1. Five Year Florida Maternal and Child Health Indicators Report: -1 Presented to the Florida Agency for Health Care Administration Prepared by the University of Florida Family Data Center

More information

Virginia s State-Sponsored Health Insurance Programs

Virginia s State-Sponsored Health Insurance Programs Virginia s State-Sponsored Health Insurance Programs New Health Coverage for Adults What Is New Health Care Coverage for Adults? Passed by the General Assembly on May 30, 2018 and signed into law by the

More information

A primer on ACA The Affordable Care Act Symposium June 7, 2013

A primer on ACA The Affordable Care Act Symposium June 7, 2013 A primer on ACA The Affordable Care Act Symposium June 7, 2013 Public Health Department The New Health Care Law In March 2010, Congress passed and the President signed into law the Affordable Care Act,

More information

Part 5 Eligibility Criteria for Children

Part 5 Eligibility Criteria for Children Part 5 Eligibility Criteria for Children 41. 41 42. 42 43. 44. 43 44 45. 45 46. 46 47. 48. 47 49. 48 50. 49 50 Which children are eligible for the most comprehensive coverage: MassHealth Standard?...52

More information

FREQUENTLY ASKED QUESTIONS Deferred Action for Childhood Arrivals (DACA) and Restricted Access to Health Care

FREQUENTLY ASKED QUESTIONS Deferred Action for Childhood Arrivals (DACA) and Restricted Access to Health Care FREQUENTLY ASKED QUESTIONS Deferred Action for Childhood Arrivals (DACA) and Restricted Access to Health Care AUGUST 29, 2012 For general information on DACA, please go to http://www.nilc.org/faqdeferredactionyouth.html.

More information

For: Choice POS II High Deductible Health Plan - Faculty, Managerial & Professional Employees

For: Choice POS II High Deductible Health Plan - Faculty, Managerial & Professional Employees Schedule of Benefits Employer: Yale University ASA: 877076 Issue Date: July 28, 2017 Effective Date: January 1, 2017 Schedule: 6A Booklet Base: 6 For: Choice POS II High Deductible Health Plan - Faculty,

More information

Health Care Reform: Chapter Three. The U.S. Senate and America s Healthy Future Act

Health Care Reform: Chapter Three. The U.S. Senate and America s Healthy Future Act Health Care Reform: Chapter Three The U.S. Senate and America s Healthy Future Act SECA Policy Brief Initial Publication September 2009 Updated October 2009 2 The Senate Finance Committee Chairman Introduces

More information

Questions and Answers on Health Reform

Questions and Answers on Health Reform Questions and Answers on Health Reform This Q&A is designed to answer basic questions on the 2010 landmark federal health care law, called the Affordable Care Act (ACA). (We ve also discussed a few relevant

More information

CHIP PA Enrollment Services Webinar

CHIP PA Enrollment Services Webinar CHIP 2018 PA Enrollment Services Webinar CHIP Background The Children s Health Insurance Program (CHIP) was created in 1992. The program was created to cover uninsured children in families with incomes

More information

Additional Information Provided by Aetna Life Insurance Company

Additional Information Provided by Aetna Life Insurance Company Additional Information Provided by Aetna Life Insurance Company Inquiry Procedure The plan of benefits described in the Booklet-Certificate is underwritten by: Aetna Life Insurance Company (Aetna) 151

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com/ca or by calling 1-855-333-5730. Important

More information

Kansas Health Policy Authority State of Health Reform in Kansas Kansas Economic Policy Conference October 30, 2008

Kansas Health Policy Authority State of Health Reform in Kansas Kansas Economic Policy Conference October 30, 2008 Kansas Health Policy Authority State of Health Reform in Kansas 2008 Kansas Economic Policy Conference October 30, 2008 Marcia Nielsen, PhD, MPH, Executive Director How We Get Health Care Private Insurance:

More information

$250 per member. All covered expenses accumulate separately toward the Network and Out-of-network Coinsurance Maximum.

$250 per member. All covered expenses accumulate separately toward the Network and Out-of-network Coinsurance Maximum. PLAN FEATURES Network Managed Choice POS (Open Access) OUT-OF- Not Applicable Primary Care Physician Selection Deductible (per calendar year) Not Applicable $250 per member Not Applicable $250 per member

More information

SMALL AREA ESTIMATES OF HEALTH INSURANCE COVERAGE:

SMALL AREA ESTIMATES OF HEALTH INSURANCE COVERAGE: SMALL AREA ESTIMATES OF HEALTH INSURANCE COVERAGE: A LOCAL HEALTH DEPARTMENT PERSPECTIVE Sanaa Abedin, MPH sanaa.abedin@sdcounty.ca.gov Epidemiologist, Public Health Services Community Health Statistics

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual + Family Plan Type: PPO This is only a summary. If you want more detail about your coverage and costs, you

More information

Willis-Knighton Health System. Financial Assistance Policy and Procedures

Willis-Knighton Health System. Financial Assistance Policy and Procedures Willis-Knighton Health System Financial Assistance Policy and Procedures 1. Policy Willis-Knighton Health System is committed to providing financial assistance to persons who have healthcare needs and

More information

America s Uninsured Population

America s Uninsured Population STATEMENT OF THE AMERICAN COLLEGE OF PHYSICIANS AMERICAN SOCIETY OF INTERNAL MEDICINE TO THE COMMITTEE ON WAYS AND MEANS, SUBCOMMITTEE ON HEALTH UNITED STATES HOUSE OF REPRESENTATIVES APRIL 4, 2001 The

More information

Anthem Blue Cross Your Plan: Premier HMO 15/100% (RX $10/$20/$35) Your Network: California Care HMO

Anthem Blue Cross Your Plan: Premier HMO 15/100% (RX $10/$20/$35) Your Network: California Care HMO Anthem Blue Cross Your Plan: Premier HMO 15/100% (RX $10/$20/$35) Your : California Care HMO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This

More information

Virginia s Health Insurance Programs for Children and Pregnant Women An Overview

Virginia s Health Insurance Programs for Children and Pregnant Women An Overview Virginia s Health Insurance Programs for Children and Pregnant Women An Overview FAMIS Plus and Medicaid for Pregnant Women What are Medicaid and FAMIS Plus? Established in 1965 as Title XIX of the Social

More information

Data Profile of Sagar District

Data Profile of Sagar District Data Profile of Sagar District Compiled By: Santosh Pal District Facilitator, Chhatarpur GOI UN Joint Programme on Convergence Disclaimer: It is a reference document only. BASIC INDICATORS S. No Indicator

More information

ACCESS TO CARE PUBLIC HEALTH INSURANCE PROGRAMS. Santa Cruz County residents may qualify for a wide variety of public health insurance programs.

ACCESS TO CARE PUBLIC HEALTH INSURANCE PROGRAMS. Santa Cruz County residents may qualify for a wide variety of public health insurance programs. Access to health care is one of the fundamental determinants of good health; and in this country, health insurance is a fundamental determinant of access to care. Health care costs are rising much faster

More information

PE Process Guide. Qualified Provider Responsibilities

PE Process Guide. Qualified Provider Responsibilities PE Process Guide The purpose of this document is to provide Qualified Providers (QP) participating in the Presumptive Eligibility (PE) program guidance on eligibility requirements and the QP s role in

More information

Anthem Blue Cross Your Plan: Custom Anthem HSA /40 Embedded (HSA291) - Actives Your Network: Prudent Buyer PPO

Anthem Blue Cross Your Plan: Custom Anthem HSA /40 Embedded (HSA291) - Actives Your Network: Prudent Buyer PPO Anthem Blue Cross Your Plan: Custom Anthem HSA 2700 20/40 Embedded (HSA291) - Actives Your Network: Prudent Buyer PPO This summary of benefits is a brief outline of coverage, designed to help you with

More information

H EALTH CARE REFORM: WHAT IT MEANS FOR YOU AS AN INDIVIDUAL AND AS A MIDWIFE. American College of Nurse Midwives January 13, 2014

H EALTH CARE REFORM: WHAT IT MEANS FOR YOU AS AN INDIVIDUAL AND AS A MIDWIFE. American College of Nurse Midwives January 13, 2014 H EALTH CARE REFORM: WHAT IT MEANS FOR YOU AS AN INDIVIDUAL AND AS A MIDWIFE American College of Nurse Midwives January 13, 2014 Jocelyn Alt jocelyn@ohanaparents.com 872-222-9234 Agenda Introduction Increasing

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com/ca or by calling 1-855-333-5730. Important

More information

OUT-OF-NETWORK MEMBER PAYS IN-NETWORK MEMBER PAYS. Contract Year Plan Deductibles. services and prescription drugs) Out-of-Pocket Maximum

OUT-OF-NETWORK MEMBER PAYS IN-NETWORK MEMBER PAYS. Contract Year Plan Deductibles. services and prescription drugs) Out-of-Pocket Maximum FlexPOS-CNT-HSA-6000I/12000F-01 Open Access Contract Year Benefit Summary (E) Point-Of-Service Open Access High Deductible Health Plan (HDHP) for use with a Health Savings Account (HSA) This is a brief

More information

Anthem Blue Cross Your Plan: Lumenos HSA 2000/ /40 (LHSA2153) Your Network: Prudent Buyer PPO

Anthem Blue Cross Your Plan: Lumenos HSA 2000/ /40 (LHSA2153) Your Network: Prudent Buyer PPO Anthem Blue Cross Your Plan: Lumenos HSA 2000/4000 20/40 (LHSA2153) Your Network: Prudent Buyer PPO This summary of benefits is a brief outline of coverage, designed to help you with the selection process.

More information

The Guide to Your Summary of Benefits and Coverage (SBC)

The Guide to Your Summary of Benefits and Coverage (SBC) The Guide to Your Summary of Benefits and Coverage (SBC) Under the federal Affordable Care Act, health insurers and group health plans are required to provide an SBC. This regulation is intended to give

More information

HealthTrust: LUMENOS $2500 Coverage Period: 07/01/ /30/2017

HealthTrust: LUMENOS $2500 Coverage Period: 07/01/ /30/2017 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com or by calling 1-888-224-4896. Important Questions

More information

Blue Care Elect With HCCS Boston University Coverage Period: on or after 01/01/2017

Blue Care Elect With HCCS Boston University Coverage Period: on or after 01/01/2017 Blue Care Elect With HCCS University Coverage Period: on or after 01/01/2017 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual and Family Plan Type: PPO This

More information

Additional Information Provided by Aetna Life Insurance Company

Additional Information Provided by Aetna Life Insurance Company Additional Information Provided by Aetna Life Insurance Company Inquiry Procedure The plan of benefits described in the Booklet-Certificate is underwritten by: Aetna Life Insurance Company (Aetna) 151

More information

Anthem Blue Cross Your Plan: Classic HMO 20/40/250 Admit /125 OP Your Network: Select HMO

Anthem Blue Cross Your Plan: Classic HMO 20/40/250 Admit /125 OP Your Network: Select HMO Anthem Blue Cross Your Plan: Classic HMO 20/40/250 Admit /125 OP Your Network: Select HMO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This

More information

Blue Care Elect $250 Deductible Coverage Period: on or after 07/01/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs

Blue Care Elect $250 Deductible Coverage Period: on or after 07/01/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Blue Care Elect $250 Deductible Coverage Period: on or after 07/01/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual and Family Plan Type: PPO This is

More information

Preventive Services in the Affordable Care Act

Preventive Services in the Affordable Care Act Preventive Services in the Affordable Care Act What You Will Learn Today The Affordable Care Act s requirement about the coverage of many preventive services at no additional cost. When health plans have

More information

House Bill 1279 (2009) Maryland Medicaid Program Family Planning Eligibility

House Bill 1279 (2009) Maryland Medicaid Program Family Planning Eligibility House Bill 1279 (2009) Maryland Medicaid Program Family Planning Eligibility House Bill 1279 During the 2009 legislative session Delegate Heather Mizeur introduced House Bill (HB) 1279. This legislation

More information

Anthem Blue Cross Your Plan: Premier HMO 20/200 admit/100 OP (Essential Formulary $10/$25/$45/30%) Your Network: California Care HMO

Anthem Blue Cross Your Plan: Premier HMO 20/200 admit/100 OP (Essential Formulary $10/$25/$45/30%) Your Network: California Care HMO Anthem Blue Cross Your Plan: Premier HMO 20/200 admit/100 OP (Essential Formulary $10/$25/$45/30%) Your Network: California Care HMO This summary of benefits is a brief outline of coverage, designed to

More information

STRATEGIC PLAN & LONG TERM FINANCIAL PLAN

STRATEGIC PLAN & LONG TERM FINANCIAL PLAN STRATEGIC PLAN & LONG TERM FINANCIAL PLAN FISCAL YEAR 2011-2012 THROUGH FISCAL YEAR 2014-2015 FRAMEWORK FOR THE ALLOCATION OF PROPOSITION 10 FUNDS TO SUPPORT THE HEALTHY DEVELOPMENT OF CHILDREN 0-5 YEARS

More information

Anthem Blue Cross Your Plan: Custom Classic PPO 500/20/20 (RX $5/$10/$25/30%) Your Network: Prudent Buyer PPO

Anthem Blue Cross Your Plan: Custom Classic PPO 500/20/20 (RX $5/$10/$25/30%) Your Network: Prudent Buyer PPO Anthem Blue Cross Your Plan: Custom Classic PPO 500/20/20 (RX $5/$10/$25/30%) Your Network: Prudent Buyer PPO This summary of benefits is a brief outline of coverage, designed to help you with the selection

More information

NETWORK CARE. $3,500 Individual $7,000 Family

NETWORK CARE. $3,500 Individual $7,000 Family PLAN FEATURES Network Primary Care Physician Selection Deductible (per calendar year) Managed Choice POS (Open Access) OUT-OF- $2,000 Individual $4,000 Family Unless otherwise indicated, the Deductible

More information

State of California. Financial Feasibility of a. Basic Health Program. June 28, Prepared with funding from the California HealthCare Foundation

State of California. Financial Feasibility of a. Basic Health Program. June 28, Prepared with funding from the California HealthCare Foundation June 28, 2011 State of California Financial Feasibility of a Basic Health Program Prepared with funding from the Mercer Contents 1. Executive Summary...1 2. Introduction...4 Background...4 3. Project Scope

More information

Anthem Blue Cross Your Plan: Modified Value HMO 30/40/30% Your Network: California Care HMO

Anthem Blue Cross Your Plan: Modified Value HMO 30/40/30% Your Network: California Care HMO Anthem Blue Cross Your Plan: Modified Value HMO 30/40/30% Your Network: California Care HMO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This

More information

The Affordable Care Act: Opportunities to Influence Implementation

The Affordable Care Act: Opportunities to Influence Implementation The Affordable Care Act: Opportunities to Influence Implementation Dylan H. Roby, PhD Assistant Professor of Health Policy and Management UCLA Fielding School of Public Health Director of Health Economics

More information

A Guide to Out-of- Pocket Costs

A Guide to Out-of- Pocket Costs A Guide to Out-of- Pocket Costs There are two types of costs that you pay for health insurance: your monthly payment that you make no matter what, called a premium, and costs you pay at point of care,

More information

PLAN DESIGN & BENEFITS

PLAN DESIGN & BENEFITS PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $250 Individual $500 Individual $500 Family $1,000 Family All covered expenses accumulate separately toward the preferred or non-preferred

More information

Highmark Blue Cross Blue Shield: PPO Coverage Period: 01/01/ /31/2017

Highmark Blue Cross Blue Shield: PPO Coverage Period: 01/01/ /31/2017 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.highmarkbcbs.com or by calling 1-800-241-5704. Important

More information

Aetna Select Medical Plan PLAN FEATURES NETWORK OUT-OF-NETWORK. Plan Maximum Out of Pocket Limit excludes precertification penalties.

Aetna Select Medical Plan PLAN FEATURES NETWORK OUT-OF-NETWORK. Plan Maximum Out of Pocket Limit excludes precertification penalties. Schedule of Benefits Employer: Yale University ASA: 877076 Issue Date: July 25, 2016 Effective Date: January 1, 2016 Schedule: 12D Booklet Base: 12 For: Aetna Select - Security Staff (Outside CT) Electing

More information

Regence BlueShield: Choice HSA 1500 Coverage Period: 01/01/ /31/2016

Regence BlueShield: Choice HSA 1500 Coverage Period: 01/01/ /31/2016 Regence BlueShield: Choice HSA 1500 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2016-12/31/2016 Coverage for: Individual & Eligible Family Plan Type:

More information

For purposes of this subchapter

For purposes of this subchapter TITLE 42 - THE PUBLIC HEALTH AND WELFARE CHAPTER 7 - SOCIAL SECURITY SUBCHAPTER XIX - GRANTS TO STATES FOR MEDICAL ASSISTANCE PROGRAMS 1396d. Definitions For purposes of this subchapter (a) Medical assistance

More information

$3,000 Individual $6,000 Family All covered expenses accumulate separately toward the Network and Out-of-Network Coinsurance Maximum.

$3,000 Individual $6,000 Family All covered expenses accumulate separately toward the Network and Out-of-Network Coinsurance Maximum. PLAN FEATURES Network Managed Choice POS (Open Access) OUT-OF- Primary Care Physician Selection Deductible (per calendar year) $3,000 Individual $6,000 Family Unless otherwise indicated, the Deductible

More information

For: Choice POS II - Clerical & Technical and Service & Maintenance Employees Choice POS II (Base Rx) Plan

For: Choice POS II - Clerical & Technical and Service & Maintenance Employees Choice POS II (Base Rx) Plan Schedule of Benefits Employer: Yale University ASA: 877076 Issue Date: June 23, 2016 Effective Date: January 1, 2016 Schedule: 2A Booklet Base: 2 For: Choice POS II - Clerical & Technical and Service &

More information

Highmark Delaware: Shared Cost Blue EPO 1000 Coverage Period: 01/01/ /31/2017

Highmark Delaware: Shared Cost Blue EPO 1000 Coverage Period: 01/01/ /31/2017 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.highmarkbcbsde.com or by calling 1-888-601-2242. Important

More information

NETWORK CARE. $1,000 Individual $2,000 Family

NETWORK CARE. $1,000 Individual $2,000 Family PLAN FEATURES Network Managed Choice POS (Open Access) Primary Care Physician Selection Not Applicable Deductible (per calendar year) $3,500 Individual $7,000 Family Unless otherwise indicated, the Deductible

More information

By: Adelle Simmons and Laura Skopec ASPE

By: Adelle Simmons and Laura Skopec ASPE ASPE RESEARCH BRIEF 47 MILLION WOMEN WILL HAVE GUARANTEED ACCESS TO WOMEN S PREVENTIVE SERVICES WITH ZERO COST-SHARING UNDER THE AFFORDABLE CARE ACT By: Adelle Simmons and Laura Skopec ASPE The Affordable

More information

This is an ERISA plan, and you have certain rights under this plan. Please contact your Employer for additional information.

This is an ERISA plan, and you have certain rights under this plan. Please contact your Employer for additional information. Schedule of Benefits Employer: VMware, Inc. MSA: 307138 Issue Date: April 25, 2017 Effective Date: January 1, 2017 Schedule: 4A Booklet Base: 4 For: Choice POS II - High Deductible Health Plan This is

More information

RULES OF TENNESSEE DEPARTMENT OF FINANCE AND ADMINISTRATION DIVISION OF TENNCARE CHAPTER COVERKIDS TABLE OF CONTENTS

RULES OF TENNESSEE DEPARTMENT OF FINANCE AND ADMINISTRATION DIVISION OF TENNCARE CHAPTER COVERKIDS TABLE OF CONTENTS RULES OF TENNESSEE DEPARTMENT OF FINANCE AND ADMINISTRATION DIVISION OF TENNCARE CHAPTER 1200-13-21 COVERKIDS TABLE OF CONTENTS 1200-13-21-.01 Scope and Authority 1200-13-21-.02 Definitions 1200-13-21-.03

More information

MEMBER COST SHARE. 20% after deductible

MEMBER COST SHARE. 20% after deductible PLAN FEATURES Network Not Applicable Primary Care Physician Selection Not Applicable Deductible (per calendar year) $500 Individual (2-member maximum) Unless otherwise indicated, the Deductible must be

More information

Adventist Health System Schedule of Benefits for Adventist Health System Effective January 1, 2018

Adventist Health System Schedule of Benefits for Adventist Health System Effective January 1, 2018 Adventist Health System Schedule of Benefits for Adventist Health System Effective January 1, 2018 High Health Plan with Health Savings Account (Health Savings Plan) TIER 1 TIER 2 TIER 3 CALENDAR YEAR

More information

Summary of Benefits and Coverage: What this Plan Covers & What it Costs. Coverage for: Individual + Family Plan Type: PPO

Summary of Benefits and Coverage: What this Plan Covers & What it Costs. Coverage for: Individual + Family Plan Type: PPO This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.mcsig.com or by calling 1-800-287-1442 or 831-755-8055.

More information