PASC-SEIU
Homecare Workers Health Care Plan If I join the Homecare Workers Health Care Plan, where do I receive services? If I enroll in the PASC-SEIU Homecare Workers Health Care Plan what do I have to pay? What if I am already enrolled in Medi-Cal or eligible for Medi-Cal? What if I already have another health care plan? Who is eligible for the health plan? What if I choose not to enroll at this time? Can spouses or dependents enroll? How do I choose my primary doctor or make appointments once my Plan coverage begins? When will coverage be effective? When will I receive my Community Health Plan (CHP) New Member Welcome Packet? What if I don’t want to apply?
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You are required to receive health care services at a designated County health facility from a doctor who is on the County’s list of approved health care providers. You will receive a booklet listing doctors and other providers who take care of those enrolled in this Plan. |
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If
I enroll in the PASC-SEIU Homecare Workers Health Care Plan what do
I have to pay?
You are required to pay a premium of $1 per month for coverage, which will be deducted from your paycheck. In addition, you are required to pay a co-payment, usually $5 per service, for many of the outpatient services you receive. |
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What if I am already enrolled in Medi-Cal or eligible for Medi-Cal? Medi-Cal is comprehensive health care coverage available to qualified low-income persons, usually without monthly charges and without paying anything when you use a service. In addition, Medi-Cal covers a broad array of health services. If you are enrolled in Medi-Cal or are eligible for Medi-Cal, you should compare costs, co-payments and coverage and decide whether or not you want to join the Homecare Workers Health Care Plan. |
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What if I already have another health care plan? If you have existing coverage through your spouse or because you have another job, you should compare the costs, coverage and services provided by that plan to the Homecare Workers Health Care Plan. Then, decide which is the best plan for you. |
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Where do I get information about the benefits provided by the PASC-SEIU Homecare Workers Health Care Plan? Providers who are eligible for the plan will automatically receive a Benefits Summary that describes what the PASC- SEIU Homecare Workers Health Care Plan provides. If you have additional questions, call CHP at 1-800-475-5550. |
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Who is eligible for the health plan? In order to be eligible, data records must show that you have been authorized by the County to work 80 hours or more per month for the past two consecutive months, and that, as of the time of your actual enrollment, you have remained on the active payroll in an 80-hour assignment. You will continue to be eligible as long as you continue to be authorized to work at least 80 hours per month. If the number of hours you are authorized to work each month falls below 80 hours per month for two months in a row, your coverage will be terminated. If coverage is terminated, you are eligible to continue coverage at your own expense. |
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What if I choose not to enroll at this time? You can enroll at any time as long as you continue to meet the eligibility criteria. Remember, to be eligible, data records must show that you have been authorized by the County to work 80 hours or more per month for the past two consecutive months and that, at the time of your actual enrollment, you have remained on the active payroll in an 80-hour assignment. |
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Can
spouses or dependents enroll? |
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How do I choose my primary doctor or make appointments once my Plan coverage begins? As soon as your completed application is approved, you will receive a new enrollee welcome packet with more information about the Plan and its benefits, your Plan insurance card, and a directory of participating pharmacies, physicians and other health care providers. You will also be given the name of the primary care physician who has been assigned to you; however, if you want to change, you may choose another primary care doctor from the list of physicians. |
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When will coverage be effective? Applications received and processed by the tenth of the month will result in coverage becoming effective the first of the following month. Applications received and processed after the tenth of the month will result in coverage being deferred until the next month. |
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When will I receive my Community Health Plan (CHP) New member Welcome Packet? Your New Member Welcome Packet will be mailed to you when your coverage becomes effective. The packet will include a welcome letter, member I.D. card, Evidence of Coverage (member handbook), and provider/pharmacy directory. If you do not receive you New Member Welcome Packet within 10 days after your effective date of enrollment, or have questions regarding services, please call CHP at 1-800-475-5550. |
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Providers who are eligible for the Homecare Workers Health Plan will automatically be sent an enrollment packet. The provider must then sign and return the completed enrollment form in the postage-paid envelope. |
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What if I don’t want to apply? Providers who receive the enrollment packet, but do not wish to apply, should check the box on the health care “No Thanks” card and return the card in the postage-paid envelope. |
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Personal Assistance Services Council 4730 Woodman Avenue, Suite 405 Sherman Oaks, CA 91423 Phone 818-206-7000 | Toll Free 877-565-4477 | Fax 818-206-8000 | TTY 818-206-7015 |
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