What are the essential benefits health plans must provide in 2017? Some people may be exempt, including those who are uninsured for less than three months or who have to pay more than 8 percent of their household income for premiums.
Most citizens and legal residents are required to have coverage or pay a penalty. To see if you are eligible for Medi-Cal, go to How much do people pay if they don’t have health insurance? To check eligibility or for a list of participating physicians please go to or call 80. Eligibility requirements for Medi-Cal are currently expanding. Medi-Cal is California’s state program which offers medical services for children and adults with limited resources. Hoag offers community education classes to assist with Medicare enrollment and finding the plan that best fits your needs. If you currently access your Medicare health insurance through your employer please click here. Medicare plans change annually so if you are a current Medicare member or new to Medicare this year, you can direct questions to or call 800-MEDICARE (80). If you have insurance through Medicare then changes to individual insurance (Covered CA) may not apply to you however we encourage you to contact the Hoag Personal Service Team to ensure your ongoing access to Hoag 800-400-HOAG (4624). To learn more about subsidies visit Covered California’s website at How does the Health Exchange affect me if I currently use Medicare or Medi-Cal? Subsidies vary based on income and family size, and are in the form of tax credits that will be advanced, meaning that each month you will only have to pay that part of the premium that is not subsidized. Who qualifies for a subsidy to help pay for premiums? Visit the Covered California website at to apply and ensure your access to Hoag. All other exchange plans are subject to “out of network” benefit and physician referral. And for small business through Small Business Health Options Programs (SHOP) Blue Shield PPO Bronze Plans. What exchange-based health plans is Hoag participating in?Īccess to Hoag is available through the Blue Shield PPO Bronze, Silver, Gold or Platinum Plans, and Blue Shield of California HMO (Trio). The following guide helps answer frequently asked questions: You can access Hoag through individual health plans outside the exchange as well.
Please note that Hoag will be out of network for any Covered California plan that is NOT listed above.
Please use Covered California’s Shop and Compare Tool for more information or visit Covered California’s website at Access to Hoag is available through the following Covered CA Plans: Many Californians without health insurance coverage through their employers are able to purchase it online through Covered California, our state’s health insurance exchange.
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