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Basics of Durable Medical Equipment for Dual Eligibles
This Justice in Aging resources provides a basic overview of access to durable medical equipment (DME) for dual eligible beneficiaries.
Balance Billing: what advocates can do for dual eligibles
This Justice in Aging resource discusses what advocates can do to help dual eligible clients who receive medical bills
Advocates Guide To California’s Coordinated Care Initiative
This Justice in Aging guide is designed for advocates and individuals who provide assistance to dual eligibles (for both Medi-Cal and Medicare) and seniors and persons with disabilities.
Exemptions to the ACA Tax Penalty
The Affordable Care Act now requires most people to have health coverage or face a tax penalty. Some people do not have to pay the penalty if they qualify for an exemption.
I Cannot Afford the Health Insurance at my Job-What Can I do?
If you cannot afford the health insurance available through your job, you might have other options to get coverage that you can afford.
Grievances & Appeals in Covered CA
Managed Care in CA #5: Covered California members have the right to a notice when their plan denies access to a service, and there are many ways to challenge the plan’s decision through a grievance or appeal.
Continuity of Care in Medi-Cal
Managed Care in CA #6: Continuity of Care rules allow Medi-Cal beneficiaries to continue receiving treatments (including medications) or seeing a prior providers without having to go through additional prior authorization for a period of time after a transition.
Grievances & Appeals in Medi-Cal Managed Care
Managed Care in CA #4: Medi-Cal beneficiaries in managed care plans have grievance and appeal rights when they are denied access to medically necessary services.
Covered CA Special Enrollment Periods
How to enroll in a Covered CA health plan outside of the open enrollment period.
2016 FPL Income Chart
Eligibility for health coverage by federal poverty level (FPL)
Medi-Cal Managed Care & Network Adequacy
Managed Care in California #1: Medi-Cal Network Adequacy. Approximately 70 percent of Medi-Cal enrollees receive services through a managed care plan. Learn about how to access care in this structure.
A section by section map of the rules of managed care.
County Organized Health System Medi-Cal Plans
Managed Care in California #3: In certain counties, Medi-Cal managed care is operated by a single County Organized Health System (COHS).
Covered CA & Network Adequacy
Managed Care in California #2: Network Adequacy in Covered CA
FAQ on Continuity of Care in Covered CA
How to continue receiving services, or continue seeing providers, from another plan when you enroll in a new Covered CA plan.