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. Contact us at the San Francisco IHSS Public Authority. Your insurance company San Francisco Health Plan will mail out the 1095B form around March of each year. You must have up-to-date CPR/First Aid Certification and a current TB test clearance. IHSS Public Authority is the employer-of-record for collective bargaining for members in wage increases, benefits coverage, working conditions, and grievance procedures. LIBERTY Dental Plan at 1-888-703-6999. If you choose the EPO plan you do not need to choose a primary care provider, but when you go to a dentist you should check the provider list to make sure your chosen dentist is an in-network doctor. If you do not have 25 or more authorized hours for three consecutive months, your insurance will be terminated. 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. Please allow time for a response. on the FSLA and your rights: 832 Folsom Street, 9th Floor San Francisco, CA 94107 Contact the San Francisco Medi-Cal Office at 1(415) 558-4700 or 1(855) 355-5757 (toll-free). Please contact Healthy Worker at 415-547-7800 if you do not receive a copy. Yes, you can voluntarily dis-enroll from the dental benefit plan at any time by providing written notice to the Public Authority. IHSS Public Authority is the employer-of-record for collective bargaining for members in wage increases, benefits coverage, working conditions, and grievance procedures. The IHSS System The IHSS system includes our community partners and related services. If you go to an out-of-network doctor, you may have a higher out-of-pocket expense. Contact us at the San Francisco IHSS Public Authority. Yes, our monthly deadline is the 12th of each month. The form will be mailed back within 2 business days upon received. 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. Once enrolled in IHSS, IHSS may pay the wages of a home care worker that you select. In 2020, the HCSO requires San Francisco business owners to contribute at least $2.05 per payable hour to eligible employees. We have WageWorks as our COBRA administrator. You can find a provider by searchingIHSS Connect. Learn more Provide In-Home Services SEIU Local 2015 represents IHSS Providers. 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. Individuals who qualify for IHSS may also qualify for CalFresh, formerly known as the food stamp program. Please checkherefor office locations and contact info. Important: Are you enrolled in Medi-Cal? When is the Annual Open Enrollment for Dental? You can also text your question to 415-593-8125. There are no co-payments for members who are documented Alaska Natives or Native Americans. Is there an open enrollment period for Medical Insurance? Has your contact information changed in the last two years? With trend-defining cuisine ranging from Michelin-starred dining to outrageous food trucks; world-renowned symphony, ballet, theater, and opera; plus almost boundless outdoor adventures, San Francisco justifiably stands out as one of the ultimate must-visit cities on any travelers wish list. You do not have to wait until Open Enrollment, but you must re-enroll by filing out the application(s) again. I need to fill out a L564 form to apply for Medicare. 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. LDP100 providers can also be found by visiting www.libertydentalplan.com. Go to your appointment at the Independent Provider Enrollment Center (IPEC) at 77 Otis Street, San Francisco. 2023 San Francisco Health Plan. If you work less than 25 hours for two or more months you will lose eligibility for dental benefits. How many hours the consumer needs according to State guidelines. In-person: Visit the . cash and credit cards accepted. Open enrollment will take place in November and December of each year and is effective January 1st of the following year. San Francisco, city and port, coextensive with San Francisco county, northernCalifornia, U.S., located on a peninsula between thePacific OceanandSan Francisco Bay. English | | Espaol| |Filipino |Ting Vit, Learn more about available PPEs:English||Espaol||Filipino|Ting Vit. Only the person covered by the insurance can choose the right doctor for them. All Rights Reserved. If your insurance is terminated, you must reapply for coverage when you are eligible. IHSS Public Authority is the employer-of-record for collective bargaining for members in wage increases, benefits coverage, working conditions, and grievance procedures. 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. 3 0 obj To be eligible for IHSS, an individual must be Medi-Cal eligible or must be receiving Supplemental Security Income (SSI) benefits. 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. You'll receive a salary, insurance, and other benefits when you work for one or more IHSS Recipients. You will lose your benefits if you are paid less than 25 hours in three consecutive months. To be eligible, you must be 65 year of age and over, or disabled, or blind. How will I pay for my premiums? The Public Authority offers two good options for dental benefits. It may measure less than 50 square miles and have a population that doesnt even crack a million, butSan Francisco justly ranks as one of the greatest cities in the world. If you lose your benefit, you must re-enroll. 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. The Public Authority will notify you by letter a month before your insurance ends. If you do not have 25 or more authorized hours for 3 consecutive months, your health and dental insurance will be terminated. How do I reinstate my eligibility before my insurance get terminated? All Rights Reserved. If I lose my eligibility, can I purchase continued coverage? 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. <>/Metadata 157 0 R/ViewerPreferences 158 0 R>> How do I know I am enrolled after I submit the application? If you need to change your information, you must contact IPAC at 415-557-6200, Located at 2 Gough street, SF, CA 94103. If you enroll by the 12th day of the month, your coverage will start on the first day of the following month. 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. 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. If you enroll by the 12th day of the month, your coverage will start on the first day of the following month. We base your eligibility on paid hours data and the check issue date, not the hours worked. New IHSS Providers will automatically receive insurance enrollment forms by mail through the insurance company when you become eligible. IHSS Info In San Francisco. Please contact Healthy Worker at 415-547-7800 if you do not receive a copy. What is an insurance premium? IHSS Info In San Francisco. Please allow time for a response. 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 $18 per hour. All Providers must complete a LiveScan Background Check. Who do I contact with questions about eligibility? Complete a SOC426 form with the IHSS Consumer. TheSummary of Benefitsmatrix is intended to be used to help you compare coverage benefits and is a summary only. Click on "For Members", then on "Find a Dentist", and when filling out the information on the next page, be sure to set it to "EPO" by "Select a Network". Salaries for the Ihss Provider will be influenced by many factors. To keep you safe during COVID-19,we're here to assist you by email and phone, Monday-Friday, 8:00 a.m. to 5:00 p.m. For IHSS Providerquestions, email ihsspaymentunits@sfgov.org. Has your contact information changed in the last two years? By helping Consumers to stay engaged, Providers strengthen the San Francisco community. To apply for IHSS, you can get an application from the. How can I get my health coverage restored if I lose it? How can I get my dental coverage restored if I lose it? No. BOX 8119, San Luis Obispo, CA 93403-8119 | (P) 805-474-2055 | (F) 805-474-2012 | slocounty.ca.gov/dss IHSS Provider Benefits New: 11/15/2021 IHSS PROVIDER BENEFITS CALSAVERS RETIREMENT IHSS Providers have the voluntary option to enroll in an Individual Retirement Account (IRA) through CalSavers. Providers can mail the L564 form to SF IHSS PA at 832 Folsom street, 9TH floor, SF, CA 94107. Member Login; Provider Login; For Providers; Code Lookup; Info: 1(415) 547-7800; . Receive In-Home Services Get free assistance with your personal care and daily chores from a qualified, IHSS Provider who comes to your home. .$K2K,OYX&Ht.Ho_z oL[a3J?X4i/3yf''LUT2OsE\>'l\P*OUf)`5 gi&*d*-RJ. A warning letter will be sent to you a month before termination date. Review the enclosed Comparison of Benefits and choose your plan. Just contact San Francisco Health Plan and a representative will change your clinic and will mail you a new ID card or replacement card. If you suspect there is an emergency requiring immediate intervention, call 911. You may also download & print the same FAQs information inside If you do not have 25 or more authorized hours for three consecutive months, your insurance will be terminated. Audiological evaluations, hearing aids, supplies, visits for fitting, counseling, adjustments, repairs, Annual exams to determine the need for corrective lenses, Therapeutic radiological services, ECG, EEG, mammography, other diagnostic laboratory and radiology tests, laboratory tests for the management of diabetes, Orthoses and prostheses as prescribed by SFHP providers. 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. You can text your question to 415-593-8125. 1086 Grand Avenue, Arroyo Grande, CA 93420 | P.O. How long will I receive insurance benefits? Applications are available in English, Chinese, Russian, Spanish, Tagalog, and Vietnamese. Some use the SF IHSS Public Authority to find a provider, Some are assigned to contract mode, provided byHomebridge. When do I have to send in my Enrollment Form and when will my coverage start? <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 1224 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Workers Compensation provides wage replacement and medical benefits should you become injured while working for an IHSSRecipient. How much does an Ihss Provider make in Hydesville, CA? In San Francisco, the County's Human Services Agency oversees the administration of IHSS Services. There is only one plan option, and you cannot add dependents. endobj 832 Folsom Street, 9th Floor San Francisco, CA 94107 , learn more Provide In-Home Services get free assistance with choosing a Provider, some are to! Individuals who qualify for IHSS may pay the wages of a home care Worker that you select daily from... Native Americans IHSS System includes our community partners and related Services contribute at least $ per... 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