IHSS Providers with Healthy Worker Health Insurance will receive the 1095-B Health Coverage Form by the end of January 2023 through San Francisco Health Plan. English | | Espaol| |Filipino |Ting Vit, Learn more about available PPEs:English||Espaol||Filipino|Ting Vit. Once you have met the eligibility requirements, it may take up to 60 days for your coverage to begin. Things like:Personal Care: grooming, bathing, toileting, dressing, moving in and out of bed;Domestic Care: cleaning the home, laundry, preparation of meals;Paramedical Care: bowel and bladder care, wound care, injections, nebulizer, catheter change, range of motion exercises, etc. Under this ordinance, employers with at least 20 employees must contribute toward those benefits for eligible employees, but employers can choose exactly how to direct the funds. In-Home Supportive Services (IHSS) is a California government benefit program. our PDF packet for the Health Benefits and Dental Plan Enrollment: 832 Folsom Street, 9th Floor San Francisco, CA 94107 4 0 obj If you meet all the eligibility requirements, you can request a health and dental application by emailing the Public Authority at benefits@sfihsspa.org with your full name and IHSS Provider ID number. Review the enclosed Comparison of Benefits and choose your plan. If you go to an out-of-network doctor, you may have a higher out-of-pocket expense. Most independent In-Home Support Service (IHSS) employees in San Francisco who are recorded with IHSS as authorized to work for two consecutive months, and for at least 25 hours in one of those months, are eligible to apply for health care coverage through Healthy Workers. To be eligible, you must be 65 year of age and over, or disabled, or blind. Has your contact information changed in the last two years? You may change plans only during the annual open enrollment period. Only available for Providers enrolling in IHSS who have completed their orientation. Contact us at the San Francisco IHSS Public Authority. A warning letter will be sent to you a month before termination date. <>/Metadata 157 0 R/ViewerPreferences 158 0 R>> Benefits and Covered Services Evidence of Coverage. If you do not keep your availability updated monthly, you will be deactivated, removed from the registry and your name will not be referred to Consumers until you update your availability. Once cleared, to be matched with an IHSS Consumer actively looking for a Provider, complete the San Francisco IHSS Public Authority application. You will be responsible to pay the full amount of premium to continue under this coverage. TheSummary of Benefitsmatrix is intended to be used to help you compare coverage benefits and is a summary only. LIBERTY Dental Plan at 1-888-703-6999. Go online or call Department of Aging and Adult Services (DAAS) to Schedule: 415-557-6200 or www.sfhsa.org.org/1970.htm. The On-Call program provides short-term, immediate services to IHSS consumers who are in urgent need of personal care and have been referred by IHSS social workers. In order to be eligible, data records must show that you are authorized and were paid to work 25 or more hours a month for six months. HEALTHYWORKERS: when you are authorized to work for 2 consecutive months for at least 25 hours a month, you are eligible to apply for coverage for yourself. To join our Registry, you will need a current (within one year) TB clearance test and to take our 48-hour Basic Homecare Training class (for which you will be paid upon completion). cash and credit cards accepted. In-person: Visit the . If your insurance is terminated, you must complete a new application form and meet the corresponding eligibility criteria before your insurance can start again. Important: Are you enrolled in Medi-Cal? I need to fill out a L564 form to apply for Medicare. Register and learn how to use electronic timesheets. If you are an IHSS Consortium employee and want to find out if you are eligible for Healthy Workers HMO, or to apply, contact the Homebridgeat 1(415) 255-2079 or 1(800) 283-7000. IHSS includes a wide range of services for those who qualify. If you lose your benefits, you must re-qualify by working a minimum of 25 hours per month for six consecutive months. Follow the steps for becoming a Homecare Provider and joining the Provider Registry. If I lose my eligibility, can I purchase continued coverage? New IHSS Providers will automatically receive insurance enrollment forms by mail through the insurance company when you become eligible. The EPO plan allows you to pick from a large network of Once your eligibility ends, you will have 60 days to elect coverage with no lapse in coverage. San Francisco, city and port, coextensive with San Francisco county, northernCalifornia, U.S., located on a peninsula between thePacific OceanandSan Francisco Bay. IHSS includes a wide range of services for those who qualify. If your disenrollment is received by the twelfth of the month, dental coverage and premium withholding will end the first of the following month. We are always in search of Providers to join our Registry. File a Workers Compensation claim by completingthe, For employer information, call the Public Authority at, Provider verification for doctor/medical provider visits. How will I pay for my premiums? The benefit plans you select will continue as long as you are providing IHSS services in San Francisco. IHSS Provider Benefits. You should wait until you receive this packet to obtain dental services. 1 0 obj Future increases will go into effect if the City appropriate funds in the next budget. To apply for IHSS, you can get an application from the. Contact SFHP if you have not received your ID card within 60 days of submitting your application to check the status. Audiological evaluations, hearing aids, supplies, visits for fitting, counseling, adjustments, repairs, Annual exams to determine the need for corrective lenses, Therapeutic radiological services, ECG, EEG, mammography, other diagnostic laboratory and radiology tests, laboratory tests for the management of diabetes, Orthoses and prostheses as prescribed by SFHP providers. The days and times you are available for work. You will lose your benefits if you are paid less than 25 hours in three consecutive months. (415) 243-4477 Voice (415) 243-4407 Fax (415) 593-8114 HR Fax. You will be notified by mail onemonth before your insurance ends. Inpatient and Outpatient services provided through the County behavioral health department with referral. Contract mode is typically used by a consumer who is unable to manage his or her own services. The LDP100 plan provides services through a smaller group of dentists with no co-payment for most services. IHSS Info In San Francisco. Benefits; Jobs; Companies; Questions; Articles; Ihss Provider Salary in Hydesville, CA. For further questions regarding health and dental benefits, look through our Frequently Asked Questions below. (|Espaol||Ting Vit|Filipino|English). What is an insurance premium? How can I get my dental coverage restored if I lose it? Some use the SF IHSS Public Authority to find a provider, Some are assigned to contract mode, provided byHomebridge. San Francisco IHSS Public Authority, Benefits Coordinator, Betty Hon, at 415-593-8125, www.sfihsspa.org. Open enrollment will take place in November and December of each year and is effective January 1st of the following year. Prescriptions drug are covered per the SFHP Formulary. Contact the San Francisco Medi-Cal Office at 1(415) 558-4700 or 1(855) 355-5757 (toll-free). IHSS helps older adults and people with disabilities with daily activities such as bathing, dressing, laundry, shopping, and cooking. 832 Folsom Street, 9th Floor San Francisco, CA 94107 The In-Home Supportive Services (IHSS) program provides payment for non-medical in-home care for qualified individuals who are unable to remain safely in their homes without this assistance. stream My recipient was in the hospital for two weeks and I was not paid, will I lose my benefits? You may not add dependents to the EPO plan. How do I reinstate my eligibility before my insurance get terminated? Donald. IHSS applications are taken by mail, email, fax, through our website or by phone. IHSS Public Authority is the employer-of-record for collective bargaining for members in wage increases, benefits coverage, working conditions, and grievance procedures. (415) 243-4477 Voice (415) 243-4407 Fax (415) 593-8114 HR Fax. Flexibility Health Insurance Free Skills Training Future Career If you enroll by the 12th day of the month, your coverage will start on the first day of the following month. Once enrolled in IHSS, IHSS may pay the wages of a home care worker that you select. All Rights Reserved. To be covered, employees need to have . Yes, our monthly deadline is the 12th of each month. When do I have to send in my Enrollment Form and when will my coverage start? 3 0 obj Individuals who qualify for IHSS may also qualify for CalFresh, formerly known as the food stamp program. To re-enroll, you must also meet eligibility requirements, that is, have worked a minimum of 25 hours per month for the six previous months. dentists. South San Francisco, California, United States Assisting elderly with walking or moving about the . Yes, you can voluntarily dis-enroll from the dental benefit plan at any time by providing written notice to the Public Authority. <> The Public Authority will notify you by letter a month before your insurance ends. If you need an application because you are not enrolling for the first time (or did not automatically receive an application), you can contact PA: Applications are available in English, Chinese, Spanish, Russian, Tagalog, and Vietnamese. Learn more. Be willing and able to: Work anywhere necessary in the City, provide all personal care necessary, commit to minimum 3-hour shifts, and commit to four (4) plus days per week. How much does an Ihss Provider make in Hydesville, CA? We base your eligibility on paid hours data and the check issue date, not the hours worked. Member Login; Provider Login; For Providers; Code Lookup; Info: 1(415) 547-7800; . See the attached Comparison of Benefits and decide which is the best plan based on your needs. To be eligible for IHSS, an individual must be Medi-Cal eligible or must be receiving Supplemental Security Income (SSI) benefits. . Has your contact information changed in the last two years? You will need to provide documentation for changes. The Public Authority offers two good options for dental benefits. If you do not have 25 or more authorized hours for three consecutive months, your insurance will be terminated. Once the criteria(s) are met, you may re-apply again. Simply subscribe, enter your details, and start connecting within minutes. Homecare Providers are dedicated, trusted professionals working to make a positive impact in the lives of our Consumers with compassion and personal care. New eligible IPs will automatically get enrollment packets from SFHP. We have WageWorks as our COBRA administrator. The In-Home Supportive Services (IHSS) program provides payment for non-medical in-home care for qualified individuals who are unable to remain safely in their homes without this assistance. Medically necessary skilled care; room and board; x-ray, laboratory, and other ancillary services; medical social services; drugs, medications, and supplies Skilled nursing services are covered from the day of admission and are limited to 100 days during any benefit year. Yes, you will be offered COBRA when insurance terminates. Federal law requires that all workers have the right to purchase their group coverage for a specific period of time after employment ends. Medically necessary skilled care; counseling; drugs and supplies; short term inpatient care for pain control and system management; bereavement services; homemaker services; physical, speech and occupational therapies; medical social services; short term inpatient and respite care, Medically necessary organ and bone marrow transplant; medical and hospital expenses of a donor or prospective donor; testing expenses and charges associated with procurement of donor organ, Physical, occupational, speech therapy as medically necessary. No. Please see the Evidence of Coverage for a detailed description of coverage benefits and limitations. If you canceled Health insurance, you can reapply anytime. How do I do this? <> % endobj Please contact Healthy Worker at 415-547-7800 if you do not receive a copy. Under the Fair Labor Standards Act (FSLA), all IHSS Public Authority Providers are paid at least minimum wage and are entitled to overtime pay. 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