When do I have to send in my Enrollment Form and when will my coverage start? We have WageWorks as our COBRA administrator. You will lose your benefits if you are paid less than 25 hours in three consecutive months. English | | Espaol| |Filipino |Ting Vit, Learn more about available PPEs:English||Espaol||Filipino|Ting Vit. 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. 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 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. 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. If you do not have 25 or more authorized hours for 3 consecutive months, your health and dental insurance will be terminated. 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 San Francisco IHSS Public Authority, Benefits Coordinator, Betty Hon, at 415-593-8125, www.sfihsspa.org. (415) 243-4477 Voice (415) 243-4407 Fax (415) 593-8114 HR Fax. To be eligible, you must be 65 year of age and over, or disabled, or blind. The benefit plans you select will continue as long as you are providing IHSS services in San Francisco. The EPO plan allows you to pick from a large network of Please allow time for a response. 1 0 obj Simply subscribe, enter your details, and start connecting within minutes. Once you have met the eligibility requirements, it may take up to 60 days for your coverage to begin. SEIU Local 2015 represents IHSSProviders. How long will I receive insurance benefits? our PDF packet for the Health Benefits and Dental Plan Enrollment: 832 Folsom Street, 9th Floor San Francisco, CA 94107 Flexibility Health Insurance Free Skills Training Future Career 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. You can also text your question to 415-593-8125. 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? 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. Register and learn how to use electronic timesheets. Interview with On-Call staff and complete the On-Call application. Just contact San Francisco Health Plan and a representative will change your clinic and will mail you a new ID card or replacement card. IHSS Provider ID Cards Personal Protective Equipment (PPE) Health, Vision, & Dental Insurance Health and Vision: You are eligible to apply for Healthy Workers insurance through San Francisco Health Plan (SFHP) if you were authorized to work and were paid to work with a minimum of 25 hours for the most current two consecutive months. Review the enclosed Comparison of Benefits and choose your plan. There is an additional monthly cost for dependent coverage. If you do not have 25 or more authorized hours for three consecutive months, your insurance will be terminated. 1035 Market St L-1 San Francisco, CA 94103. Or if youre a provider, you can search jobs and post your resume onIHSS Connect. You must have up-to-date CPR/First Aid Certification and a current TB test clearance. Get free assistance with your personal care and daily chores from a qualified, IHSS Provider who comes to your home. 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. Substance Use Disorder and Chemical Dependency Services, Outpatient visits for crisis intervention. Once your eligibility ends, you will have 60 days to elect coverage with no lapse in coverage. 3 0 obj Once enrolled in IHSS, IHSS may pay the wages of a home care worker that you select. In-Home Supportive Services (IHSS) IHSS Provider Wages IHSS Provider Wages As of July 2021, the pay rate for IHSS Providers serving IHSS Recipients residing in San Francisco is $18 per hour. The form will be mailed back within 2 business days upon received. If you worked and received paid for a minimum of 25 hours before insurance terminates, you must contact the number in the warning letter within 30 days from termination date for reinstatement. If you do not choose a dentist at the time you enroll, a dentist will be selected for you based on your home zip code and language preference. Benefits Provider Training Other Resources Provider Availability Update Updating your preferences and availability is easily done by calling us at (415) 243-4477 or email registry@sfihsspa.org, and provide the following information: Your complete name. IHSS includes a wide range of services for those who qualify. New eligible IPs will automatically get enrollment packets from SFHP. This may allow you to qualify for CalEITC and other tax credits. Contact the San Francisco Medi-Cal Office at 1(415) 558-4700 or 1(855) 355-5757 (toll-free). Providers who work 25 plus hours per month are eligible for very low-cost health and dental insurance. To be eligible for IHSS, an individual must be Medi-Cal eligible or must be receiving Supplemental Security Income (SSI) benefits. Because of [my IHSS Provider] I feel much more comfortable having people over, even for a brief hello. Learn more. To apply for IHSS, please call (415) 355-6700, 8:00AM - 5:00PM Mon - Fri. No, you will not be enrolled automatically. For medical insurance with SFHP you can (re-)enroll at any time during the year. For further questions regarding health and dental benefits, look through our Frequently Asked Questions below. If I change my mind, can I drop dental coverage? How long does it take after I submit my application for my insurance to start? To report suspected child abuse or neglect call the 24 hour Child Abuse Hotline at (805) 781-KIDS (5437) or toll free 1-800-834-KIDS (5437) If you suspect there is an emergency requiring immediate intervention, call 911. The Evidence of Coverageshould be consulted for a detailed description of coverage benefits and limitations. I just feel more responsive and ready to act. Can I voluntarily terminate my insurance? Please contact Healthy Worker at 415-547-7800 if you do not receive a copy. Is there a deadline for the application if I want insurance to start next month? For a premium cost of $2 per month you may add one dependent to be covered by the LDP100 plan. If you need help selecting a doctor: refer to Provider directory or visit SFHP's "Find a Provider" website to filter doctors by location, language, and specialty: https://www.sfhp.org/programs/healthy-workers/find-a-provider/. If I lose my eligibility, can I purchase continued coverage? 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 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. Who do I contact with questions about eligibility? <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 1224 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 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. You should wait until you receive this packet to obtain dental services. The applicant must be 65 years or older, blind, and/or be a disabled child or adult. A warning letter will be sent to you a month before termination date. This plan covers 80% or more of the cost of most services. 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. 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. 2 0 obj In-person: Visit the . You should wait until you receive these packets to obtain services. San Francisco IHSS Public Authority application. If you enroll in the LDP100 plan you can choose a dentist from the provider network provided in the enrollment packet. The dental benefit plan you select will continue as long as you are providing IHSS home care services. on the FSLA and your rights: 832 Folsom Street, 9th Floor San Francisco, CA 94107 The Ihss Provider I salary range is $38,151 to $55,056 in Hydesville, California. SEIU Local 2015 represents IHSSProviders. 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. 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. . 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. Open enrollment will take place in November and December of each year and is effective January 1st of the following year. Remember: Your eligibility could be at jeopardy if you do not turn in your timesheets on time! 2023 San Francisco Health Plan. SEIU Local 2015 represents IHSS Providers. $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. No. 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. Includes DOJ State Fees; The San Francisco In-Home Supportive Services (IHSS) Public Authority connects low income seniors and people with disabilities to qualified IHSS providers, so they may live healthier, happier and safer lives at home and engaged in the community. I need to fill out a L564 form to apply for Medicare. 832 Folsom Street, 9th Floor San Francisco, CA 94107 You are required to pay a monthly premium contribution. The Public Authority assists Providers with job placement and paid skills training to ensure they are prepared and have the support they need. If you lose your benefit, you must re-enroll. Usually, these consumers are being discharged from the hospital or another facility without anyone at home to help them; their regular provider is not available; or they have not yet been able to hire a provider. Click to open/close the website accessibility panel. You may change plans only during the annual open enrollment period. 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? If you canceled Health insurance, you can reapply anytime. To be covered, employees need to have . You can find a provider by searchingIHSS Connect. It's the perfect place to start if you are looking for work in the homecare industry. How many hours the consumer needs according to State guidelines. You'll receive a salary, insurance, and other benefits when you work for one or more IHSS Recipients. LDP100 providers can also be found by visiting www.libertydentalplan.com. 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. Providers have the flexibility to set their own hours and work throughout San Francisco. Prescriptions drug are covered per the SFHP Formulary. I also feel more confidence when I meet people in the community, especially in the social justice organizations I belong to. Yes, you will be offered COBRA when insurance terminates. There is only one plan option, and you cannot add dependents. Important: Are you enrolled in Medi-Cal? What are the eligibility criteria to apply for Healthy Workers and Vision Insurance? All the images and content are the property of San Francisco In-Home Supportive Services Public Authority and may not be used without permission. $47 The In-Home Supportive Services (IHSS) program provides payment for non-medical in-home care for qualified individuals who are unable to remain safely in their homes without this assistance. Dental coverage is offered under Liberty Dental Plan. (415) 243-4477 Voice (415) 243-4407 Fax (415) 593-8114 HR Fax. Be willing and able to: Work anywhere necessary in the City, provide all personal care necessary, commit to minimum 3-hour shifts, and commit to four (4) plus days per week. When is the Annual Open Enrollment for Dental? Important: Are you enrolled in Medi-Cal? How do I reinstate my eligibility before my insurance get terminated? Only available for Providers enrolling in IHSS who have completed their orientation. Salaries for the Ihss Provider will be influenced by many factors. A warning letter will be sent to you a month before termination date. The Public Authority will notify you by letter a month before your insurance ends. Workers Compensation provides wage replacement and medical benefits should you become injured while working for an IHSSRecipient. x}koH?B8l8,:wi[hYrK=SU$%QeZrpXuTy?N? The SF IHSS PA is a consumer-directed program, meaning consumers have the right to choose who . Complete and sign the Enrollment Form and send it to the IHSS Public Authority in the enclosed envelope. About the benefits/procedures covered? 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. How can I get my health coverage restored if I lose it? If you wish to change to another contracted dentist, you may do so by the 20th day of any month for the change to be effective the first day of the following month. All Providers must complete a LiveScan Background Check. IHSS Info In San Francisco. If you go to an out-of-network doctor, you may have a higher out-of-pocket expense. See the attached Comparison of Benefits for any additional co-payments that might be required. TheSummary of Benefitsmatrix is intended to be used to help you compare coverage benefits and is a summary only. Applications are automatically mailed to those who are eligible. Follow the steps for becoming a Homecare Provider and joining the Provider Registry. 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. How do I do this? Has your contact information changed in the last two years? IHSS Provider Resources Direct Deposit With Direct Deposit, your IHSS/WPCS paycheck is deposited directly into your checking or savings account, or onto a pay card of your choice, instead of being mailed to you through the U.S. Post Office. 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. %PDF-1.7 Dependent coverage is only available under the LDP100 plan. Please submit your timesheets as soon as the pay period ends. See the New Consumer Protection Law Notice (AB72) for information about protection from surprise medical bills. Receive In-Home Services Get free assistance with your personal care and daily chores from a qualified, IHSS Provider who comes to your home. Message and data rates may apply. Workers Compensation provides wage replacement and medical benefits should you become injured while working for an IHSSRecipient. Contact us at the San Francisco IHSS Public Authority. (415) 243-4477 Voice (415) 243-4407 Fax (415) 593-8114 HR Fax. New IHSS Providers will automatically receive insurance enrollment forms by mail through the insurance company when you become eligible. For a premium cost of $3 per month you may add 2 or more dependents to be covered by the LDP100 plan. An insurance premium is the amount of money an individual pay for an insurance policy. Watch this video for easy to follow steps to become an IHSS Provider: Visit Our Job Opportunities page You do not have to wait until Open Enrollment, but you must re-enroll by filing out the application(s) again. If your insurance is terminated, you must complete a new application form and meet the corresponding eligibility criteria before your insurance can start again. You will be responsible to pay the full amount of premium to continue under this coverage. (|Espaol||Ting Vit|Filipino|English). stream Apply for In-Home Supportive Services in San Francisco in three ways: Website, click here. Preparing for Power Outages - Recipient Registration Register for the IHSS Website to: View your timesheet and payment statuses Enter and submit timesheets No longer mail paper timesheets Request additional timesheets Enroll in direct deposit Claim sick leave Registration FAQs (PDF) If you enroll by the 12th day of the month, your coverage will start on the first day of the following month. In San Francisco, the County's Human Services Agency oversees the administration of IHSS Services. 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. 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. Be used to help you compare coverage benefits and limitations of Coverageshould be consulted for a response plan option and! 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