Health Coverage Information

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• Healthy Cubs
• HSA Insurance Contracts
• Indigent Health Care Program

QUICK REFERENCE GUIDE FOR HEALTH COVERAGE PROGRAMS OF STANISLAUS COUNTY

PROGRAM	WHO IS ELIGIBLE	PHONE
Access for Infants and Mothers – AIM PO Box 15248 Los Angeles, CA 90015 www.mrmib.ca.gov	Ages 0-2  Pregnant women  California resident  No “full-scope” Medi-Cal  Other coverage with more than $500 deductible/co-pay	1-800-433-2611
Breast Cancer and Cervical Cancer Treatment Program - BCCTP www.dhs.ca.gov/mcs/mcpd/meb/bcctp	Ages 25 and older· Uninsured or under-insured, not covered by Family PACT  Has NOT had hysterectomy  Income at/below 200% FPL	1-800-824-0088
Breast Cancer Early Detection Program - BCEDP www.dhs.ca.gov/cancerdetection	Ages 40 and older  Uninsured or underinsured Income – see Medi-Cal manual for annual adjustments every April  Current eligibility/information – see Medi-Cal manual	1-800-511-2300
California Children Services – CCS830 Scenic Drive PO Box 3088 Modesto, CA 95353-3088 www.dhs.ca.gov/pcfh/cms/ccs	Ages under 21 Certain disabilities and diseases California resident Family income $40,000 annually OR medical expenses expected to exceed 20% of income	558-7515 1-916-327-1400
Family Planning, Access, Care and Treatment Program – Family PACT (FPACT/FPlan) www.schsa.org	Men & Women of reproductive age  No “full scope” Medi-Cal/MIA  Uninsured or underinsured  Income at/below 200% of FPL	Information 1-800-942-1054 Appointments 558-7000 option #2, then #1
Healthy Cubs 830 Scenic Drive PO Box 3007 Modesto, CA 95353-3007 www.healthycubs.org	Ages 0-5  Pregnant women  Stanislaus County resident  No “full-scope” Medi-Cal  Income at/below 300% of FPL	558-8900 558-4128
Healthy Families (HF) Information: 830 Scenic Drive, Modesto, CA 95353 Certified Assistance: 811 5th St, Modesto, CA 95351 http://healthyfamilies.ca.gov/hfhome.asp www.mrmib.ca.gov	Ages under 20  California resident  No Medi-Cal  Income at/below 250% of FPL	Information 558-6833 Certified Assistance 549-8193 Pending application 1-888-439-4741
Medically Indigent Adult Program 830 Scenic Drive, Modesto, CA 95350 (Click here to access website)	Ages 21-64  Stanislaus County resident  US Citizen or legal, permsnent   resident status  Uninsured and not eligible for other   programs.  Income at or below 200% of FPL,   Asset at or below 150% of FPL.	Information and appointments: 558-7232

HEALTH COVERAGE PROGRAMS QUICK REFERENCE GUIDE

Information contained on this guide is only a summary of key points of common programs. Information is subject to change. Consult program representatives for current and further detail.

PROGRAM	WHO IS ELIGIBLE	PHONE
Kaiser Permanente Child Health Plan www.kp.org (choose “Prospective Member”)	Ages under 19  California resident or undocumented  Uninsured  Income at/below 300% of FPL	1-800-255-5053
Medi-Cal (Click here to access website for patients) Information: 558-2777 To apply: 1-800-962-4468 Status – need case#: 558-9000	Ages under 21 or over 64  Legally blind, disabled or pregnant  Parent or caretaker relative of person under age 21  Income/assets limits vary	Information 558-2777 To apply 1-800-962-4468 Status – need case# 558-9000

SLIDING FEE SCALE CLINICS

Health Services Agency - HSA Stanislaus County Primary Care Medical Offices www.schsa.org www.co.stanislaus.ca.us www.stanworks.com	No age limit  Proof-of-income (check stubs, etc.)  Identification (if possible)	Appointments/Info 558-7250
Golden Valley Health Centers Various clinic locations www.gvhc.org	No age limit Uninsured (including emergency only Medi-Cal) Proof-of-income (check stubs,W-2) Identification	Clinic locations/Info 383-1848
Oakdale Women’s Health & Prenatal Clinic 190 S. Oak St., Building 3, Suite 5 Oakdale, CA 95361	No age limit Uninsured (including emergency only Medi-Cal)  Proof-of-income (check stubs, W-2)  Identification	Information 848-4597
Riverbank Community Health Center 3303 Stanislaus Street Riverbank, CA 95367	No age limit Uninsured (including emergency only Medi-Cal) Proof-of-income (check stubs, W-2) Identification	Information 869-8102

Healthy Cubs is a health access program that provides free outpatient health care to children ages 0-5 and prenatal care to pregnant women. The program is designed for uninsured residents of Stanislaus County who are low and mid-level income families at or below 300% of the Federal Poverty Guidelines. Click here for more info >>

Insurance Contracts

The physicians of the Health Services Agency medical offices are available through the following insurance or health plans:

Aetna Health of California (through Sutter Gould Network)
Anthem Blue Cross HMO (through Sutter Gould Network)
Anthem Blue Cross Partnership Plan - Medi-Cal
Anthem Blue Cross - Healthy Families
Anthem Blue Cross - Prudent Buyer
Blue Shield HMO (through Sutter Gould Network)
Blue Shield PPO
CIGNA (through Sutter Gould Network)
HealthNet HMO (through Sutter Gould Network)
HealthNet - Medi-Cal
HealthNet Seniority Plus Ruby (through Sutter Gould Network)
Healthy Families - Anthem Blue Cross
Healthy Families - HealthNet
Medi-Cal
Medi-Cal Managed Care - Anthem Blue Cross Partnership Plan
Medi-Cal Managed Care - HealthNet
Medicare
Memorial Select (through Sutter Gould Network)
PacifiCare (through Sutter Gould Network)
Secure Horizons (through Sutter Gould Network)

For your information…

When reviewing a health plan's "Provider Directory", you'll notice that often physicians are listed through a medical group or a network organization of contracted physicians. This is the case with our participation in many of the above health plans through our relationship with Sutter Gould.

While our Primary Care Physicians are available through all of the above insurances or health plans, please read your directory regarding other specialty services such as laboratory, radiology, rehabilitation and pharmacy. In some cases the health plans will require you to use such services at locations other than the Health Services Agency.