Know Your Rights: Consumer Health Coverage Info

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Advocate Brief
Helping Families Obtain Durable Medical Equipment and Supplies Through The California Children’s Services (CCS) Program

This advocates issue brief provides the framework for accessing Durable Medical Equipment and medical supplies through the California Children’s Services (CCS) program, including: a program overview, existing guidance on how to access services in Whole Child Model and traditional counties, considerations when children have Medi-Cal and/or other health coverage, and consumer rights.

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Fact Sheet
Denti-Cal Benefits

As part of the 2017-18 Budget Act, adult dental benefits were fully restored to Medi-Cal recipients effective January 1, 2018. This means that partial dentures, root canals on back teeth and gum treatment are now covered benefits.

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Fact Sheet
NHeLP’s Protect Medicaid Funding Series
In an updated series of fact sheets called Protect Medicaid Funding, NHeLP provides succinct analysis of the policy proposals that if enacted would jeopardize the health and financial security of the tens of millions of low-income individuals who depend on the Medicaid guarantee every year.
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Advocate Brief Fact Sheet Web Page
Internal Grievances and External Review for Service Denials in Covered California Plans
Federal and state law and the Constitution ensure that enrollees in publicly-funded health care plans receive notice, grievance and appeal rights when they are denied access to medical services. Enrollees in Covered California plans have the right to a notice when their plan denies access to a service and have several avenues to contest the plan’s decision through a grievance or appeal. Frequently, however, enrollees fail to receive the required notice, get an inadequate notice, or do not understand their right to appeal the plan’s decision. This fact sheet will describe the legal protections available to consumers in California and how to enforce these rights.
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Consumer Brochure
What Can I Do if I Get a Medical Bill? (with translations)
This consumer brochure discusses what a consumer can do if they get a medical bill and do not have health insurance. Translations:  English: What can I do if I get a Medical Bill?   Arabic: أن أفعله ماذا يمكنني إذا وصلتني فاتـورة طبــية؟ Armenian:  ماذا يمكنني أن أفعله إذا وصلتني فاتـورة طبــية؟   Cambodian/Khmer: តើខ្ញុំគួរធ្វើបែបណា បើខ្ញុំទទួលបាន វិក័យប័ត្រពេទ្យ? Korean: 의료청구서를 받으면 어떻게 해야 하나요?     Russian: Что делать, если я получил счет за медицинские услуги? Simplified Chinese/Cantonese: 如果我收到医疗费账单该怎么办? Tagalog: Ano Ang Maari Kong Gawin Kung Makatanggap Ako Ng Singil sa Medikal? Traditional Chinese/Mandarin: 如果我收到醫療費帳單該怎麼辦? Vietnamese: Tôi có thể làm gì nếu tôi nhận được hóa đơn y tế?  
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