If your insurance is terminated, you must reapply for coverage when you are eligible. If Public Authority received the form by the 12th of the month, your insurance will be cancelled effective the first day of the next month. If you lose your benefit, you must re-enroll. Click to open/close the website accessibility panel. 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. (415) 243-4477 Voice (415) 243-4407 Fax (415) 593-8114 HR Fax. Is there a deadline for the application if I want insurance to start next month? . If I lost my insurance due to a reduction of hours or stopped working and started back again, do I have to wait to enroll during Open Enrollment? Public Authority Registry Main: 510-577-3552 Consumers: 510-577-1980 Fax: 510-577-3579 Providers: 510-577-5694 www.ac-pa4ihss.org Training: 510-577-3554 Health Benefits Department TASC, COBRA Administrators 510-577-3551 800-422-4661 Alameda County IHSS If your insurance is terminated, you must complete a new application form and meet the corresponding eligibility criteria before your insurance can start again. To apply for IHSS, you can get an application from the. Receive In-Home Services Get free assistance with your personal care and daily chores from a qualified, IHSS Provider who comes to your home. $5 co-payment per prescription for generic drugs, Equipment suitable for use in the home, such as blood glucose monitors, apnea monitors, asthma-related equipment, and supplies. All Providers must complete a LiveScan Background Check. The Public Authority will notify you by letter a month before your insurance ends. SEIU Local 2015 represents IHSSProviders. 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. San Francisco IHSS Public Authority, Benefits Coordinator, Betty Hon, at 415-593-8125, www.sfihsspa.org. Donald. Dependent coverage is only available under the LDP100 plan. BOX 8119, San Luis Obispo, CA 93403-8119 | (P) 805-474-2055 | (F) 805-474-2012 | slocounty.ca.gov/dss IHSS Provider Benefits New: 11/15/2021 IHSS PROVIDER BENEFITS CALSAVERS RETIREMENT IHSS Providers have the voluntary option to enroll in an Individual Retirement Account (IRA) through CalSavers. There is only one plan option, and you cannot add dependents. If you canceled Health insurance, you can reapply anytime. File a Workers Compensation claim by completingthe, For employer information, call the Public Authority at, Provider verification for doctor/medical provider visits. Providers can mail the L564 form to SF IHSS PA at 832 Folsom street, 9TH floor, SF, CA 94107. To apply for IHSS, you can get an application from theSan Francisco websiteor you can visit their office during business hours. Provider Benefits Health & Dental Coverage IHSS IHSS Public Authority, , , . No, you will not be enrolled automatically. Once I enroll in the LDP100 or the EPO, can I change to the other plan? Language Interpreter Services & Materials in Alternate Formats, Emergency and Post-Stabilization Services, Physical Accessibility Review Survey Resources, Peer Review Physician Credentialing Committee, A temporary exempt employee with less than three (3) years of City service who has worked at least 450 hours during the twelve-month period ending the first date of the previous quarter; or, A temporary exempt employee with at least three (3), but less than six (6) years of City service who has worked at least 300 hours during the twelve-month period ending the first date of the previous quarter; or, A temporary exempt employee with six (6) or more years of City service who has worked at least 200 hours during the twelve-month period ending the first date of the previous quarter. Once you have met the eligibility requirements, it may take up to 60 days for your coverage to begin. ALL SERVICES: Food CalFresh Food Stamps, free meals and groceries, P-EBT; Health Medi-Cal health coverage, fitness programs; Financial Assistance CAAP, CalWORKs, tax help; In-Home Supportive Services (IHSS) Caregivers, care recipients Jobs SFHSA jobs, JobsNOW!, and job training; Protection + Safety Adult and Child Protective Services, Conservatorships; Disability + Aging Services IHSS helps older adults and people with disabilities with daily activities such as bathing, dressing, laundry, shopping, and cooking. The amount you contribute is dependent on the plan you enroll in: In addition to your monthly fees, you may be required to pay a share of the cost for some of the services you receive. You will be notified by mail onemonth before your insurance ends. Providers have the flexibility to set their own hours and work throughout San Francisco. To apply for IHSS, please call (415) 355-6700, 8:00AM - 5:00PM Mon - Fri. If you work less than 25 hours for two or more months consecutively, you will lose eligibility for all benefits. A pay card is a reloadable card you can use for direct deposit and to make purchases and withdrawals. 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. The applicant must be 65 years or older, blind, and/or be a disabled child or adult. 3 0 obj To be covered, employees need to have . TheSummary of Benefitsmatrix is intended to be used to help you compare coverage benefits and is a summary only. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 1224 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Message and data rates may apply. If your disenrollment is received by the twelfth of the month, dental coverage and premium withholding will end the first of the following month. Can I add my spouse or dependents to my Health and Vision Insurance? Learn more. English | | Espaol| |Filipino |Ting Vit, Learn more about available PPEs:English||Espaol||Filipino|Ting Vit, CalFresh Food Stamps, free meals and groceries, P-EBT, Medi-Cal health coverage, fitness programs, Adult and Child Protective Services, Conservatorships, Child Care, Early Education, Parenting Help, Foster Care, Adoptions, If you meet all the eligibility requirements, you can request a health and dental application by emailing the Public Authority at, File a Workers Compensation claim by completingthe, For employer information, call the Public Authority at, Provider verification for doctor/medical provider visits. Salaries for the Ihss Provider will be influenced by many factors. IHSS Provider Benefits. In-Home Supportive Services (IHSS) Program The IHSS Program will help pay for services provided to you so that you can remain safely in your own home. You should wait until you receive these packets to obtain services. How long does it take after I submit my application for my insurance to start? You may also download & print the same FAQs information inside Yes, you will be offered COBRA when insurance terminates. Preferred phone number to reach you. Just contact San Francisco Health Plan and a representative will change your clinic and will mail you a new ID card or replacement card. What is an insurance premium? Visit the U.S. Department of Labor website below for more information You can find a provider by searchingIHSS Connect. To be eligible for IHSS, an individual must be Medi-Cal eligible or must be receiving Supplemental Security Income (SSI) benefits. How many hours the consumer needs according to State guidelines. Liberty Dental Plan: when you have worked and been paid by IHSS for 6 consecutive months for at least 25 hours a month, you are eligible to apply for coverage for yourself. Disabled children are also potentially eligible for IHSS. Please allow time for a response. You will lose your benefits if you are paid less than 25 hours in three consecutive months. The Evidence of Coverageshould be consulted for a detailed description of coverage benefits and limitations. You can then begin work as an IHSS Provider. IHSS includes a wide range of services for those who qualify. All the images and content are the property of San Francisco In-Home Supportive Services Public Authority and may not be used without permission. Once cleared, to be matched with an IHSS Consumer actively looking for a Provider, complete the San Francisco IHSS Public Authority application. Yes, you can voluntarily dis-enroll from the dental benefit plan at any time by providing written notice to the Public Authority. San Francisco In-Home Supportive Services Public Authority Feb 2020 - Present 3 years 1 month. I need to file taxes and require a 1095B (proof of Insurance). Some use the SF IHSS Public Authority to find a provider, Some are assigned to contract mode, provided byHomebridge. If you suspect there is an emergency requiring immediate intervention, call 911. Enrollment - San Francisco Health Plan Our Programs Healthy Workers HMO Enrollment If you joined Healthy Workers HMO as a provider for In-Home Supportive Services (IHSS) Report change of address, phone number, or last name Get program eligibility and enrollment information The SF IHSS PA is a consumer-directed program, meaning consumers have the right to choose who . Language Interpreter Services & Materials in Alternate Formats, Emergency and Post-Stabilization Services, Physical Accessibility Review Survey Resources, Peer Review Physician Credentialing Committee, In-licensed hospital, skilled nursing facility, hospice, behavioral health facility; office or home physician visit, Chemotherapy, dialysis, surgery, anesthesiology, radiation, and associated medically necessary facility charge, Room and board, general nursing care, ancillary services including operating room, intensive care unit, prescribed drugs, laboratory, and radiology during inpatient stay, 24-hour care for sudden, serious, and unexpected illness, injury, or condition requiring immediate diagnosis in and out of the Plan, Ambulance transportation when medically necessary. * By sending a text, you have agreed that your phone number will be used for SMS message notifications sent by the San Francisco IHSS Public Authority. Apply for In-Home Supportive Services in San Francisco in three ways: In-person: Visit the Department of Disability and Aging Services Benefits and Resource Hub at 2 Gough St., Monday Friday, 8am to 5pm. Temporary, exempt as-needed employees of the City and County of San Francisco: You may be eligible for the Healthy Workers HMO program if you are: To find out if youre eligible for Healthy Workers HMO or to apply, contact the Department of Human Resources at 1(415) 557-4942. I also feel more confidence when I meet people in the community, especially in the social justice organizations I belong to. San Francisco IHSS Public Authority, Benefits Coordinator, Betty Hom at 415-593-8125. If you should have a period of lower than 25 hours in any month, you will receive a warning letter, however if you are paid 25 hours or more the following month your benefits will not be affected. If your application form is received by the Public Authority on or before the 12th of the month, your coverage will start on the 1st day of the following month. 1035 Market St L-1 San Francisco, CA 94103. 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. See the New Consumer Protection Law Notice (AB72) for information about protection from surprise medical bills. Your completed and signed Enrollment Form must be received by the IHSS Public Authority on or before the twelfth of any month to be effective the first of the following month. IHSS Info In San Francisco. If you elect to have dental coverage, the premium contribution will be deducted from your paycheck each month. Contact us at the San Francisco IHSS Public Authority. Benefits and Covered Services Evidence of Coverage. Contact the San Francisco Medi-Cal Office at 1(415) 558-4700 or 1(855) 355-5757 (toll-free). If you need to change your information, you must contact IPAC at 415-557-6200, Located at 2 Gough street, SF, CA 94103. How can I get my health coverage restored if I lose it? IHSS helps older adults and people with disabilities with daily activities such as bathing, dressing, laundry, shopping, and cooking. Si usted es un proveedor elegible de IHSS y est interesado en inscribirse en el registro de la Autoridad Pblica, vea este video informativo sobre la agencia antes de presentar la solicitud. See the attached Comparison of Benefits and decide which is the best plan based on your needs. This may allow you to qualify for CalEITC and other tax credits. English | | Espaol| |Filipino |Ting Vit, Learn more about available PPEs:English||Espaol||Filipino|Ting Vit. 2023 San Francisco Health Plan. When is the Annual Open Enrollment for Dental? You do not have to wait until Open Enrollment, but you must re-enroll by filing out the application(s) again. Review the enclosed Comparison of Benefits and choose your plan. Anything about services, coverages, change clinics and pharmacy contact: Health and Vision coverage: date records must show that you are authorized and were paid to work with a minimum of 25 hours for the most current 2 consecutive months. When do I have to send in my Enrollment Form and when will my coverage start? SEIU Local 2015 represents IHSSProviders. Please contact Healthy Worker at 415-547-7800 if you do not receive a copy. The dental benefit plan you select will continue as long as you are providing IHSS home care services. Learn more Provide In-Home Services I just feel more responsive and ready to act. Could you benefit from In-Home Supportive Services? I need to fill out a L564 form to apply for Medicare. Applications are automatically mailed to those who are eligible. (415) 243-4477 Voice (415) 243-4407 Fax (415) 593-8114 HR Fax. Being a homecare Provider can be a pathway to future employment opportunities in the healthcare field. Contact the San Francisco Medi-Cal Office at 1(415) 558-4700 or 1(855) 355-5757 (toll-free). You'll receive a salary, insurance, and other benefits when you work for one or more IHSS Recipients. If you need assistance with choosing a provider for either the LDP100 plan or EPO plan please contact LIBERTY Dental Plan at 1-888-703-6999. For medical insurance with SFHP you can (re-)enroll at any time during the year. Learn more about howour Department of Disability and Aging Services (DAS) partners with the IHSS Public Authority and the nonprofit organization, Homebridge, to oversee and deliver high-quality services of the IHSSsystem. 2 0 obj The Public Authority also offers Fingerprint Services for Providers. A warning letter will be sent to you a month before termination date. Benefits to Becoming an IHSS Provider Homecare Providers are dedicated, trusted professionals working to make a positive impact in the lives of our Consumers with compassion and personal care. You will need to provide documentation for changes. If you no longer work in San Francisco, you will lose your insurance and you will need to apply with the county you are currently working. If you voluntarily decide to terminate your dental coverage, you will not be allowed to re-enroll for dental benefits until the next Open Enrollment period. .$K2K,OYX&Ht.Ho_z oL[a3J?X4i/3yf''LUT2OsE\>'l\P*OUf)`5 gi&*d*-RJ. <> LDP100 Plan: Employee Only - $1 per month, LDP100 Plan: Employee + 1 dependent - $2 per month, LDP100 Plan: Employee + 2 or more dependents - $3 per month. This plan covers 80% or more of the cost of most services. EPO providers can also be found by visiting www.firstdentalhealth.com. There is an additional monthly cost for dependent coverage. See the attached Comparison of Benefits for any additional co-payments that might be required. IHSS Provider Health Benefits Contact us Today! You may not add dependents to the EPO plan. San Francisco, city and port, coextensive with San Francisco county, northernCalifornia, U.S., located on a peninsula between thePacific OceanandSan Francisco Bay. If you received income from the In-Home Support Services (IHSS) program for providing care to someone you live with, you have the option to include or exclude all or none of that income as earned income on your tax return. You must have up-to-date CPR/First Aid Certification and a current TB test clearance. Register and learn how to use electronic timesheets. The form will be mailed back within 2 business days upon received. Only available for Providers enrolling in IHSS who have completed their orientation. If I lose my eligibility, can I purchase continued coverage? The Public Authority offers two good options for dental benefits. 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. You can text your question to 415-593-8125. Note: There are no co-payments for preventive visits or for members under the age of 24 months for well-baby care and office visits. LIBERTY Dental Plan at 1-888-703-6999. If you go to an out-of-network doctor, you may have a higher out-of-pocket expense. About the benefits/procedures covered? The Ihss Provider I salary range is $38,151 to $55,056 in Hydesville, California. Once the criteria(s) are met, you may re-apply again. 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. How do I do this? 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