Guide to Health Insurance Part I: What you need to know before you apply.

Tamaño: px
Comenzar la demostración a partir de la página:

Download "Guide to Health Insurance Part I: What you need to know before you apply."

Transcripción

1 Guide to Health Insurance Part I: What you need to know before you apply. 1. What is health insurance and how does it help? Having health insurance protects you in the case of an emergency or sudden illness but it also provides free health screenings and immunizations to help prevent disease or find it early. It also lowers the cost of regular doctor visits and medications. Some individuals/families may be eligible for free state-sponsored health insurance called Medi-Cal. Others may have to pay a monthly fee called a premium for private health insurance but may qualify for financial assistance to reduce the costs. There are several health insurance companies that offer health insurance. If you are not eligible for free health insurance, the cost will depend on the number of people in your household and their ages, household income and zip code you live in. 2. Who is eligible for health insurance? All U.S. citizens and lawfully-present California residents are eligible for the state-sponsored Medi-Cal and Covered California private insurance plans. Lawful residents have permission to live and work in the U.S. and include individuals with green cards, naturalization papers, Deferred Action for Childhood Arrivals (DACA), refugees, asylees and others with protected status. Individuals who are not eligible for full Medi-Cal or Covered CA, including those without documents, may still qualify for limited Medi-Cal for emergencies and pregnancy as well as other free or discount programs. Individuals are encouraged to meet with a SYHC Certified Eligibility Specialist to learn about their options. SYHC does not turn anyone away! 3. What can I get with my health insurance? As of January 2014, insurance plans are now required to cover 10 Essential Benefits; including FREE health screenings, immunizations and: Emergency services and hospitalization Maternity and newborn care Mental health and substance-abuse treatment Pediatric services, including dental and vision care. Prescription drugs Rehabilitation services 4. How much does health insurance cost? Individuals that have an annual income under $16,000 or families of four with a total income under $32,000 may be eligible for FREE Medi-Cal. Everyone else may qualify for a private health insurance plan and can purchase it through Covered CA. However, individuals with incomes between $16,000 - $45,000 may qualify for financial assistance to pay for the monthly premium as well as other out-of-pocket expenses. 5. What do I need to consider before selecting a health insurance plan for me and my family? Current Doctor If you have a doctor you want to keep, you should ask him/her what plans they accept before you select a plan. Hospitals If you prefer to go to a specific hospital, you will want to make sure that the plan you are considering includes that hospital in their network. Medications Even though most plans cover the same generic medications, not all plans cover the same name-brand medications. Just in case, you should call the plan to make sure they cover your specific medications.

2 6. What are the health insurance terms I need to know? The following terms only apply to private insurance, not Medi-Cal. Premium The amount you pay for private insurance each month or year. Tax Credit (also called Subsidy) Financial assistance (discount) you get from the government to help pay for your private health insurance. You can apply this financial assistance at the time you purchase the plan or you can choose to have it deducted from your taxes at the end of the year. Deductible The amount you must pay before the company will start covering their share of the costs. Co-Pay The amount you pay each time you go to the doctor. Range is $15-40 In-Network This refers to the doctors, hospitals and clinics that you can go to with no extra cost. If you go out of network, you will have to pay more for those visits. 7. How do I apply for health insurance? What information is needed? You can call our Health Insurance Hotline at to find out what you are eligible for and to set up an appointment with one of our Certified Specialists that will help you apply. To complete the application for Medi-Cal or Covered California, you will need to bring the following information to your appointment: 1. Number of family members living in the household 2. Identification for every family member applying for health insurance (i.e. Driver s License or identification card, birth certificate, school identification, immigration papers (such as green card or naturalization papers, etc.) 3. Social Security numbers for family members applying for health insurance IMPORTANT: A Social Security number is NOT required when applying for health insurance on behalf of family. 4. Last two pay stubs, last year s federal tax return or other income information for each family member applying for health insurance. 5. Information about current or previous health insurance for any family member; such as Medi-Cal, Medicare or private insurance. IMPORTANT: Families that include immigrants without documents are encouraged to apply for their U.S. citizen children or dependents. All information is CONFIDENTIAL and will not impact immigration status, citizenship application or be used for immigration enforcement. CALL (619) TO SET UP YOUR APPOINTMENT TODAY!

3 Guía de Seguro de Médico Parte I: Lo que usted necesita saber antes de solicitar 1. Qué es un seguro médico y para qué sirve? El seguro médico le protege en caso de una emergencia o enfermedad repentina, también le ofrece exámenes de salud gratuitos y vacunas para ayudarle a prevenir enfermedades o a detectarlas a tiempo. Además reduce el costo de las visitas regulares al doctor y de los medicamentos. Algunas personas/familias podrían ser elegibles para Medi-Cal, un seguro gratuito patrocinado por el estado. Otros tal vez tengan que pagar una cuota mensual llamada prima de seguro médico privado, pero podrían calificar para asistencia financiera para reducir esta cuota mensual, así como otros costos. Hay varias compañías de seguros médicos que ofrecen diferentes cuotas. Si usted no es elegible para el seguro médico gratuito, el costo dependerá del número de personas en su hogar y sus edades, el ingreso familiar y el código postal del lugar donde vive. 2. Quién es elegible para un seguro médico? Todos los ciudadanos de Estados Unidos y los inmigrantes legalmente presentes en California son elegibles para Medi-Cal, el seguro patrocinado por el estado y los planes de seguro privado con Covered California. Los inmigrantes legalmente presentes son aquellos que tienen permiso para vivir y trabajar en los EE.UU. e incluye a personas con mica, certificado de naturalización, la Acción Diferida (DACA), refugiados, asilados y otros con estatus protegidos. Las personas que no son elegibles para Medi-Cal con cobertura completa o Covered CA, podrían calificar para Medi-Cal con cobertura limitada para emergencias y el embarazo, así como otros programas gratuitos o de descuento. Se anima a los individuos a reunirse con un Especialista de Elegibilidad Certificado de SYHC para que se entere de sus opciones. SYHC no niega los servicios a nadie! 3. Qué cubre mi seguro médico? A partir de Enero del 2014, los planes de seguro médico están obligados a cubrir 10 Beneficios Esenciales; incluyendo exámenes de salud GRATUITOS, vacunas y: Servicios de emergencia y hospitalización Maternidad y cuidado del recién nacido Consejería y tratamiento para el abuso de sustancias Servicios de pediatría, incluyendo atención dental y de visión. Medicamentos con receta Servicios de rehabilitación 4. Cuánto cuesta un seguro médico? Las personas que tengan un ingreso anual menor de $16,000 o las familias de cuatro personas con un ingreso total menor de $32,000 dólares podrían ser elegibles para Medi-Cal GRATUITO. Los demás podrían calificar para un plan de seguro médico privado a través de Covered California. Sin embargo, las personas con ingresos entre $16,000 - $45,000 podrían calificar para ayuda financiera para pagar la prima mensual, así como otros costos. 5. Qué debo tener en cuenta antes de elegir un plan de seguro médico para mí y mi familia?

4 Médico actual - Si usted ve a un médico y lo desea conservar, pregúntele que planes de seguro médico acepta antes de seleccionar su plan. Hospitales - Si tiene preferencia por un hospital específico, asegúrese de que el plan de seguro médico que está considerando tenga a este hospital dentro de su red. Medicamentos - A pesar de que la mayoría de los planes cubren los mismos medicamentos genéricos, no todos los planes cubren los mismos medicamentos de patente. Por si acaso, usted debe llamar al plan para asegurarse de que sus medicamentos específicos estén cubiertos. 6. Cuáles son los términos de seguro médico que debo saber? Los siguientes términos aplican solo a los seguros médicos privados y no a Medi-Cal. Prima - La cuota que usted paga por el seguro cada mes o al año. Crédito Fiscal (también llamada Subsidio) Asistencia financiera (descuento) del gobierno para ayudarle a pagar su seguro médico privado. Usted puede usar esta asistencia financiera en el momento de comprar el plan o puede optar por deducir esta cantidad de sus impuestos a fin del año. Deducible - La cantidad que usted debe pagar antes de que el seguro médico comience a cubrir su porción de los gastos médicos. Co-pago - La cantidad que usted debe pagar cada vez que vaya al médico. El promedio es de $15-$40 por cada visita. Dentro de la red - Se refiere a los médicos, hospitales y clínicas a los que usted puede acudir sin costo adicional. Si usted sale de la red, usted tendrá que pagar más por esas visitas. 7. Cómo puedo solicitar un seguro médico? Qué información se necesita? Usted puede llamar a nuestra Línea De Información De Seguros Médicos al (619) para averiguar a que es elegible y para hacer una cita con uno de nuestros Especialistas Certificados que lo ayudaran a llenar la solicitud del seguro médico. Favor de traer la siguiente información a su cita para completar la solicitud de Medi-Cal o Covered California: 1. Cuantos miembros de la familia viven en el hogar. 2. Identificación para cada miembro de la familia que solicita el seguro médico (por ejemplo; licencia o tarjeta de identificación, acta de nacimiento, identificación escolar, documentos de inmigración (como la mica o un certificado de naturalización, etc.) 3. Números de Seguro Social para los miembros de la familia que solicitan seguro médico. IMPORTANTE: No se requiere su número de seguro social si solo está solicitando el seguro para su familia. Su información será confidencial y no será utilizada contra usted o su familia. 4. Dos últimos talones de pago y declaración de impuestos federales del año pasado para cada miembro de la familia que solicita el seguro. 5. Información sobre el seguro médico actual o anterior de los miembros de la familia; tales como Medi-Cal, Medicare o un seguro privado. IMPORTANTE: Se invita a las personas sin documentos migratorios a que soliciten un seguro médico para sus hijos o dependientes que sean ciudadanos estadounidenses. Toda la información será CONFIDENCIAL, no afectará su estatus migratorio o su solicitud de ciudadanía y no será compartida con agencias de inmigración. LLAME HOY AL (619) PARA HACER SU CITA!

5

Guide to Health Insurance Part II: How to access your benefits and services.

Guide to Health Insurance Part II: How to access your benefits and services. Guide to Health Insurance Part II: How to access your benefits and services. 1. I applied for health insurance, now what? Medi-Cal Applicants If you applied for Medi-Cal it will take up to 45 days to find

Más detalles

Asistencia para alimentos de Iowa (Iowa Food Assistance Program) SCRIPT

Asistencia para alimentos de Iowa (Iowa Food Assistance Program) SCRIPT Asistencia para alimentos de Iowa (Iowa Food Assistance Program) http://video.extension.iastate.edu/2011/12/14/asistencia para alimentos de iowa/ Six minute video in Spanish explaining what Food Assistance

Más detalles

Saturday, June 22. Don t put it off any longer! It is vital that 100% of those eligible for DACA submit an application.

Saturday, June 22. Don t put it off any longer! It is vital that 100% of those eligible for DACA submit an application. NO-COST ASSISTANCE WITH YOUR APPLICATION FOR DEFERRED ACTION Don t put it off any longer! It is vital that 100% of those eligible for DACA submit an application. If you or a family member arrived in the

Más detalles

SFGH FHC Healthy Children Vaccination Program Frequently Asked Questions

SFGH FHC Healthy Children Vaccination Program Frequently Asked Questions SFGH FHC Healthy Children Vaccination Program Frequently Asked Questions The Family Health Center (FHC) Healthy Children Vaccination Program at SF General Hospital (SFGH) provides immunization services

Más detalles

Janssen Prescription Assistance. www.janssenprescriptionassistance.com

Janssen Prescription Assistance. www.janssenprescriptionassistance.com Janssen Prescription Assistance www.janssenprescriptionassistance.com Janssen Prescription Assistance What is Prescription Assistance? Prescription assistance programs provide financial help to people

Más detalles

Affordable Care Act Informative Sessions and Open Enrollment Event

Affordable Care Act Informative Sessions and Open Enrollment Event 2600 Cedar Ave., P.O. Box 2337, Laredo, TX 78044 Hector F. Gonzalez, M.D., M.P.H Tel. (956) 795-4901 Fax. (956) 726-2632 Director of Health News Release. Date: February 9, 2015 FOR IMMEDIATE RELEASE To:

Más detalles

Puede pagar facturas y gastos periódicos como el alquiler, el gas, la electricidad, el agua y el teléfono y también otros gastos del hogar.

Puede pagar facturas y gastos periódicos como el alquiler, el gas, la electricidad, el agua y el teléfono y también otros gastos del hogar. SPANISH Centrepay Qué es Centrepay? Centrepay es la manera sencilla de pagar sus facturas y gastos. Centrepay es un servicio de pago de facturas voluntario y gratuito para clientes de Centrelink. Utilice

Más detalles

New Health Insurance Marketplace Coverage Options and Your Health Coverage

New Health Insurance Marketplace Coverage Options and Your Health Coverage New Health Insurance Marketplace Coverage Options and Your Health Coverage Form Approved OMB No. 1210-0149 (expires 11-30-2013) PART A: General Information When key parts of the health care law take effect

Más detalles

Asistencia para cuidado infantil

Asistencia para cuidado infantil SPANISH Asistencia para cuidado infantil El Gobierno Australiano ofrece una gama de pagos y servicios para ayudar a las familias con los costes de cuidado infantil incluyendo: Child Care Benefit para cuidado

Más detalles

2015 16 Student Eligibility Verification Advanced Placement/International Baccalaureate Test Fee Program

2015 16 Student Eligibility Verification Advanced Placement/International Baccalaureate Test Fee Program 2015 16 Student Eligibility Verification Advanced Placement (AP) and/or International Baccalaureate (IB) Exams AP Exam IB Exam AP and IB Exams I. Student Information Last Name First Name MI Grade High

Más detalles

ODJFS Bureau of Civil Rights. ODJFS Bureau of Civil Rights. ODJFS Bureau of Civil Rights. ODJFS Bureau of Civil Rights

ODJFS Bureau of Civil Rights. ODJFS Bureau of Civil Rights. ODJFS Bureau of Civil Rights. ODJFS Bureau of Civil Rights ODJFS Bureau of Civil Rights I NEED AN INTERPRETER, PLEASE. Title VI of the Civil Rights Act of 1964 prohibits discrimination on the basis of national origin. If you do not speak English well, social services,

Más detalles

Purpose of Sliding Scale Policy and Procedure Disclaimer Policy

Purpose of Sliding Scale Policy and Procedure Disclaimer Policy San Luis Valley Health s Behavioral Health department offers a sliding fee discount program to eligible patients. If you would like more information, please call 589-8008, or ask one of our Admitting Clerks

Más detalles

Important News About Your Health Plan

<P.O. Box 3418> <Scranton, PA 18505> Important News About Your Health Plan December 1, 2015 Dear UI Health Plus Member, Important News About Your Health Plan Your health plan, UI Health Plus, has joined Blue Cross Community Family Health Plan.

Más detalles

Covered California. If your 2015 household income is between 16,105 $ 46,680 21,708 $ 62,920 27,311 $ 79,160 32,913 $ 95,400 38,516 $ 111,640

Covered California. If your 2015 household income is between 16,105 $ 46,680 21,708 $ 62,920 27,311 $ 79,160 32,913 $ 95,400 38,516 $ 111,640 FACT SHEET Covered California California s Health Insurance Marketplace Covered California is the state s destination for quality, affordable health care. A part of the national health care law (also called

Más detalles

Aprende más sobre Acción Diferida para los llegados en la infancia. Learn more about Deferred Action for Childhood Arrivals

Aprende más sobre Acción Diferida para los llegados en la infancia. Learn more about Deferred Action for Childhood Arrivals Aprende más sobre Acción Diferida para los llegados en la infancia Learn more about Deferred Action for Childhood Arrivals 1 DACA: Acción diferida para los llegados en la infancia En 2012, el Presidente

Más detalles

www.deltadentalins.com/language_survey.html

www.deltadentalins.com/language_survey.html Survey Code: Survey 1 February 6, 2008 Dear Delta Dental Enrollee: Recent changes in California law will require that all health care plans provide language assistance to their plan enrollees beginning

Más detalles

New Health Insurance Marketplace Coverage Options and Your Health Coverage

New Health Insurance Marketplace Coverage Options and Your Health Coverage New Health Insurance Marketplace Coverage Options and Your Health Coverage Form Approved OMB No. PART A: General Information When key parts of the health care law take effect in 2014, there will be a new

Más detalles

GUIDE FOR PARENT TEACHER CONFERENCES

GUIDE FOR PARENT TEACHER CONFERENCES GUIDE FOR PARENT TEACHER CONFERENCES A parent-teacher conference is a chance for you and your child s teacher to talk. You can talk about how your child is learning at home and at school. This list will

Más detalles

ALERT. Customers inquiring about the letter must be asked if he/she has filed 2014 tax return and:

ALERT. Customers inquiring about the letter must be asked if he/she has filed 2014 tax return and: ALERT Customers who received a premium tax credit in 2014 and are preparing to renew his/her health coverage for 2016 are required to have filed his/her 2014 taxes in order to continue receiving his/her

Más detalles

Washington State Medicaid (Medical Coupons) will now include people between the ages of 19 up to 65 beginning in January of 2014

Washington State Medicaid (Medical Coupons) will now include people between the ages of 19 up to 65 beginning in January of 2014 What if my income is above the 138% Federal Poverty Level? Adults who s income is 139% and up to 400% the Federal Poverty Level will be eligible for tax credits and cost sharing reductions. In other words,

Más detalles

2014 15 Student Eligibility Verification Advanced Placement/International Baccalaureate Test Fee Program

2014 15 Student Eligibility Verification Advanced Placement/International Baccalaureate Test Fee Program 2014 15 Student Eligibility Verification Advanced Placement (AP) and/or International Baccalaureate (IB) Exams þ AP Exam IB Exam AP and IB Exams I. Student Information Last Name First Name MI Grade High

Más detalles

Screener for Peer Supporters

Screener for Peer Supporters Screener for Peer Supporters Primary Recruiter: Secondary Recruiter: Potential Peer Supporter Name: Phone #1: Home/Cell Phone #2: Home/Cell Address: City: Zip: Contact 1: Date: / / Contact 2: Date: / /

Más detalles

Sus hijos tienen seguro médico? Do Your Children Have Health Insurance? Nuestros Niños

Sus hijos tienen seguro médico? Do Your Children Have Health Insurance? Nuestros Niños Do Your Children Have Health Insurance? FREE or LOW-COST health insurance is now available for uninsured CHILDREN. Sus hijos tienen seguro médico? Ahora hay seguro médico GRATIS o de BAJO COSTO para los

Más detalles

Elija un proveedor de cuidado primario

Elija un proveedor de cuidado primario What You Need to Know about Health Insurance Información esencial sobre el seguro médico Choosing a Health Plan Cómo conservar y usar un seguro médico Title Here Title Here Title Here Title Here Title

Más detalles

Improving Rates of Colorectal Cancer Screening Among Never Screened Individuals

Improving Rates of Colorectal Cancer Screening Among Never Screened Individuals Improving Rates of Colorectal Cancer Screening Among Never Screened Individuals Northwestern University, Feinberg School of Medicine Contents Patient Letter Included with Mailed FIT... 3 Automated Phone

Más detalles

Insured www.communityfirsthealth.org 888-675-7135

Insured www.communityfirsthealth.org 888-675-7135 Live Insured www.health.org SPBD 12.00465 Rev 2 11/14 888-675-7135 HOW TO FIND THE RIGHT PLAN Community First strives to go above and beyond to protect the health of you and your family. Insurance costs

Más detalles

MajestaCare Healthy Baby Program

MajestaCare Healthy Baby Program MajestaCare Healthy Baby Program Helping you have a healthy baby Para que tenga un bebé saludable Your baby s provider After your baby becomes a member of MajestaCare health plan, you will get a letter

Más detalles

IRS DATA RETRIEVAL NOTIFICATION DEPENDENT STUDENT ESTIMATOR

IRS DATA RETRIEVAL NOTIFICATION DEPENDENT STUDENT ESTIMATOR IRS DATA RETRIEVAL NOTIFICATION DEPENDENT STUDENT ESTIMATOR Subject: Important Updates Needed for Your FAFSA Dear [Applicant], When you completed your 2012-2013 Free Application for Federal Student Aid

Más detalles

SAN BERNARDINO & RIVERSIDE COUNTIES. Catholic Charities. Moreno Valley Regional Center. 23623 Sunnymead Blvd., Ste. E Moreno Valley, CA 92553

SAN BERNARDINO & RIVERSIDE COUNTIES. Catholic Charities. Moreno Valley Regional Center. 23623 Sunnymead Blvd., Ste. E Moreno Valley, CA 92553 SAN BERNARDINO & COUNTIES Catholic Charities Moreno Valley Regional Center 23623 Sunnymead Blvd., Ste. E Family and Community Assistance Programs Information & Referral, Case Management Basic Needs, Emergency

Más detalles

Chattanooga Motors - Solicitud de Credito

Chattanooga Motors - Solicitud de Credito Chattanooga Motors - Solicitud de Credito Completa o llena la solicitud y regresala en persona o por fax. sotros mantenemos tus datos en confidencialidad. Completar una aplicacion para el comprador y otra

Más detalles

All Medicaid Members Who Also Have Medicare

All Medicaid Members Who Also Have Medicare M E M B E R B U L L E T I N B T 2 0 0 5 2 3 O C T O B E R 3 1, 2 0 0 5 To: All Medicaid Members Who Also Have Medicare Subject: Medicare Prescription Drug Coverage Overview Beginning Sunday, January 1,

Más detalles

We look forward to hearing from you soon!

We look forward to hearing from you soon! Larry Meredith, Ph.D., Director DIVISION OF SOCIAL SERVICES Public Assistance Branch CHILDRENS HEALTH INITIATIVE is LOW-COST HEALTH INSURANCE FOR KIDS IN MARIN under 19 years of age! The goal of the Children

Más detalles

Person ID:
, Mailed:

Person ID: <MPI_ID> <Primary Applicant/AREP FMLNS> <Address Line 1> <Address Line 2> <City>, <State> <Zip> Mailed: <Current Date> Person ID: , Mailed: Your HUSKY Health Coverage is Scheduled to End on August 31st Dear

Más detalles

Lump Sum Final Check Contribution to Deferred Compensation

Lump Sum Final Check Contribution to Deferred Compensation Memo To: ERF Members The Employees Retirement Fund has been asked by Deferred Compensation to provide everyone that has signed up to retire with the attached information. Please read the information from

Más detalles

Dolores de cabeza Trabaje con su doctor para evitar las visitas a la Sala de Emergencia

Dolores de cabeza Trabaje con su doctor para evitar las visitas a la Sala de Emergencia Headaches, Working with your Doctor to Avoid the Emergency Room Dolores de cabeza Trabaje con su doctor para evitar las visitas a la Sala de Emergencia Conozca a su equipo de cuidados para los dolores

Más detalles

DEPARTAMENTO ESTATAL DE SERVICIOS DE SALUD DE TEXAS

DEPARTAMENTO ESTATAL DE SERVICIOS DE SALUD DE TEXAS DEPARTAMENTO ESTATAL DE SERVICIOS DE SALUD DE TEXAS DAVID L. LAKEY, M.D. DIRECTOR P.O. Box 149347 Austin, Texas 78714-9347 1-888-963-7111 TTY (teletipo): 1-800-735-2989 www.dshs.state.tx.us 1 de marzo,

Más detalles

CO148SPA.1206 PAGE 1 OF 3

CO148SPA.1206 PAGE 1 OF 3 Assurance of Support Algunos inmigrantes necesitan obtener una Assurance of Support (AoS) (Garantía de mantenimiento) antes de que se les pueda conceder su visado para vivir en Australia. El Department

Más detalles

Administración de ingresos. Voluntaria

Administración de ingresos. Voluntaria Administración de ingresos Voluntaria Qué es Administración de ingresos (Income Management)? La Administración de ingresos (Income Management) es una manera de ayudarle a administrar su dinero a fin de

Más detalles

Welcome to the CU at School Savings Program!

Welcome to the CU at School Savings Program! Welcome to the CU at School Savings Program! Thank you for your interest in Yolo Federal Credit Union s CU at School savings program. This packet of information has everything you need to sign your child

Más detalles

PREMIUM BOOKLET B U PA GROUP

PREMIUM BOOKLET B U PA GROUP PREMIUM BOOKLET B U PA GROUP EFFECTIVE JANUARY 1, 2015 ADMINISTRATIVE NOTES Rates are in U.S. dollars and don t include taxes. Rates do not apply to Puerto Rico, the U.S. Virgin Islands, or Brazil. An

Más detalles

Northwestern University, Feinberg School of Medicine

Northwestern University, Feinberg School of Medicine Improving Rates of Repeat Colorectal Cancer Screening Appendix Northwestern University, Feinberg School of Medicine Contents Patient Letter Included with Mailed FIT... 3 Automated Phone Call... 4 Automated

Más detalles

INFORMACION BASICA DEL PACIENTE

INFORMACION BASICA DEL PACIENTE INFORMACION BASICA DEL PACIENTE Apellido del paciente Primer nombre Segundo nombre Dirección Número de apartamento Ciudad Estado Código Postal Teléfono primario ( ) Secundario ( ) Trabajo ( ) Fecha de

Más detalles

The power to control diabetes is in your hands.

The power to control diabetes is in your hands. The power to control diabetes is in your hands. Lots of people with diabetes test their own blood sugar regularly. This helps them know if the things they do to control diabetes are working. Then, they

Más detalles

EMPLOYER & EMPLOYEE RETIREMENT PLAN TAX CREDITS

EMPLOYER & EMPLOYEE RETIREMENT PLAN TAX CREDITS EMPLOYER & EMPLOYEE RETIREMENT PLAN TAX CREDITS For employers who set up and maintain retirement plans, the setup costs, annual administrative costs, and retirement-related employee education costs are

Más detalles

Affinity Medicare. Notificación Anual de Cambios para el 2015. Ultimate with Medicaid Advantage (HMO-SNP) AffinityMedicarePlan.org

Affinity Medicare. Notificación Anual de Cambios para el 2015. Ultimate with Medicaid Advantage (HMO-SNP) AffinityMedicarePlan.org Affinity Medicare Ultimate with Medicaid Advantage (HMO-SNP) Notificación Anual de Cambios para el 2015 AffinityMedicarePlan.org Affinity Medicare Ultimate con Medicaid Advantage (HMO SNP), ofrecido por

Más detalles

Expansion del Medi-Cal

Expansion del Medi-Cal La expansión de Medi-Cal es para niños indocumentados Página 4 Expansion del Medi-Cal Página 5 Cinco cosas que debe saber Página 8 Por que voy a inscribir a mi hija? DICIEMBRE 2015 VOL. 01 2 Hola, amigas

Más detalles

Welcome to the Leaders Only Invitation!

Welcome to the Leaders Only Invitation! Welcome to the Leaders Only Invitation! Q & A A. Ultimate Cycler is here to stay! UC remains completely intact and is complementary to FreeToolBox. As a matter of fact, Ultimate Cycler is getting a facelift!

Más detalles

Nombre de la persona completando esta forma

Nombre de la persona completando esta forma mbre de Paciente mbre de la persona completando esta forma Fecha Relación del paciente / / Sexo Masculino Raza Numero de Seguro Social Fecha de Nacimiento Femenino / / / / POR FAVOR LISTE TODA LA GENTE

Más detalles

Ausentismo (Truancy - Why it's important to go to school)

Ausentismo (Truancy - Why it's important to go to school) Ausentismo (Truancy - Why it's important to go to school) By Jesus Villasenor-Ochoa Reproduced with permission of the University of MN 2003 BRYCS is a project of the United States Conference of Catholic

Más detalles

Shortcut to Informal Spanish Conversations Level 2 Lesson 1

Shortcut to Informal Spanish Conversations Level 2 Lesson 1 Shortcut to Informal Spanish Conversations Level 2 Lesson 1 These lessons extend on the ideas from Shortcut to Informal Spanish Conversations Level 1 http://www.informalspanish.com and Shortcut to Spanish

Más detalles

Cómo comprar en la tienda en línea de UDP y cómo inscribirse a los módulos UDP

Cómo comprar en la tienda en línea de UDP y cómo inscribirse a los módulos UDP Cómo comprar en la tienda en línea de UDP y cómo inscribirse a los módulos UDP Sistema de registro y pago Este sistema está dividido en dos etapas diferentes*. Por favor, haga clic en la liga de la etapa

Más detalles

We All Need Health Care.

We All Need Health Care. Please Help! Ask policy-makers to find a health care solution. Name Address City State Zip Phone Your Health Clinic E-mail REQUIRES FIRST-CLASS POSTAGE.39 Health care isn t affordable or efficient anymore.

Más detalles

Dear Parents and Patrons,

Dear Parents and Patrons, Dear Parents and Patrons, The purpose of this letter is to inform you that according to the 2013-14 state student assessment results NeSA reading, Gibbon Elementary School is considered a Title 1 School

Más detalles

Down Payment Assistance Application Packet

Down Payment Assistance Application Packet Down Payment Assistance Application Packet Please assure that all needed items are attached and complete. Please note that your application will not be considered until all documents are received. 1. Down

Más detalles

Salud Plan Highlights

Salud Plan Highlights Salud con Health Net Groups Salud Plan Highlights HMO, PPO and EPO Health care coverage for your diverse workforce Herminia Escobedo, Health Net We get members what they need. Salud con Health Net Latino

Más detalles

Q. What is the 1095-B form and why does it matter to me?

Q. What is the 1095-B form and why does it matter to me? FAQ This tax season, certain Medicaid members will receive Form 1095-B from the Georgia Medicaid/ PeachCare for Kids program. Select members who receive their healthcare coverage through Fee-for-Service

Más detalles

El Abecedario Financiero

El Abecedario Financiero El Abecedario Financiero Unidad 4 National PASS Center 2013 Lección 5 Préstamos Vocabulario: préstamo riesgocrediticio interés obligadosolidario A lgunavezpidesdineroprestado? Dóndepuedespedirdinero prestado?

Más detalles

IMMIGRATION Canada. Temporary Resident Visa. Mexico City Visa Office Instructions. Table of Contents IMM 5878 E (10-2015)

IMMIGRATION Canada. Temporary Resident Visa. Mexico City Visa Office Instructions. Table of Contents IMM 5878 E (10-2015) IMMIGRATION Canada Table of Contents Document Checklist Temporary resident visa (available in Spanish) Emergency Processing Request Form Temporary Resident Visa Mexico City Visa Office Instructions This

Más detalles

How to navigate your PlanBien SM health care coverage plan

How to navigate your PlanBien SM health care coverage plan Learn how to navigate your health care coverage plan through this easy-to-understand brochure. How to navigate your PlanBien SM health care coverage plan Selecting a health care coverage plan requires

Más detalles

El Estado de Nevada le prestará ayuda con el costo de medicamentos recetados si califica:

El Estado de Nevada le prestará ayuda con el costo de medicamentos recetados si califica: Necesita ayuda para pagar sus medicamentos recetados? SeniorRx puede ser la solución! El Estado de Nevada le prestará ayuda con el costo de medicamentos recetados si califica: - Edad 62 años o más -Residentes

Más detalles

Cover Florida Plan I Understanding Your Share

Cover Florida Plan I Understanding Your Share Cover Florida Plan I Understanding Your Share for Covered Services Our limited health benefit plan under Cover Florida offers a new solution to Floridians looking for affordable health coverage. We make

Más detalles

A Member of My Community

A Member of My Community Connection from School to Home Kindergarten Social Studies Unit 1 A Member of My Community Here is an easy activity to help your child learn about what it means to be a member of a community. Here is what

Más detalles

Are You Eligible for a FREE Mammogram? Es Usted Elegible Para una Mamografía GRATIS? C OLUMBIA U NIVERSITY B REAST C ANCER S CREENING P ARTNERSHIP

Are You Eligible for a FREE Mammogram? Es Usted Elegible Para una Mamografía GRATIS? C OLUMBIA U NIVERSITY B REAST C ANCER S CREENING P ARTNERSHIP C OLUMBIA U NIVERSITY B REAST C ANCER S CREENING P ARTNERSHIP Are You Eligible for a FREE Mammogram? Es Usted Elegible Para una Mamografía GRATIS? Columbia Presbyterian Center NewYork-Presbyterian Hospital

Más detalles

A los niños que tienen Medicaid (Asistencia Médica) Jamás debe. cobrárseles unacantidad por las recetas médicas aún cuando tengan

A los niños que tienen Medicaid (Asistencia Médica) Jamás debe. cobrárseles unacantidad por las recetas médicas aún cuando tengan Disability Rights Network of Pennsylvania 1414 N. Cameron Street Second Floor Harrisburg, PA 17103-1049 (800) 692-7443 (Voice) (877) 375-7139 (TDD) www.drnpa.org A los niños que tienen Medicaid (Asistencia

Más detalles

THE SKYLIGHT ONE CARD. Bringing Convenience to Payday

THE SKYLIGHT ONE CARD. Bringing Convenience to Payday THE SKYLIGHT ONE CARD Bringing Convenience to Payday 4000 12 18 FREEDOM, SIMPLICITY, AND SECURITY IN A CARD You should be able to spend your money when you want, the way you want. Why wait in line to cash

Más detalles

EXPAND HORIZONS. When you gaze out at the horizon, what do you see? You see where one vista ends and another one begins. You think POSSIBILITIES

EXPAND HORIZONS. When you gaze out at the horizon, what do you see? You see where one vista ends and another one begins. You think POSSIBILITIES EXPANDING HORIZONS EXPAND HORIZONS IS WHAT PAUL CUFFEE SCHOOL DOES. When you gaze out at the horizon, what do you see? You see where one vista ends and another one begins. You think POSSIBILITIES Selected

Más detalles

Help Stop Medicare Fraud

Help Stop Medicare Fraud Help Stop Medicare Fraud An important message from Medicare for people in Miami-Dade, Broward and Palm Beach Counties Fraud costs the Medicare Program billions of dollars every year. Fraud can happen when

Más detalles

UNIVERSIDAD GABRIELA MISTRAL Departamento de Relaciones Internacionales. Formulario de Postulación (Aplication For Admission/Exchange Student)

UNIVERSIDAD GABRIELA MISTRAL Departamento de Relaciones Internacionales. Formulario de Postulación (Aplication For Admission/Exchange Student) Personal Data Nombre/First Name Apellidos/Last Name Dirección/Permanent Address Numbers/Street Ciudad City/Province País Country Teléfono Local Phone Number (with area codes) E-mail Fecha de Nacimiento

Más detalles

QUÉ ES COVERED CA? LO QUE NECESITA PARA INSCRIBIRSE Y LOS INDOCUMENTADOS? Cómo me puede ayudar. Obamacare? Cristina Saralegui

QUÉ ES COVERED CA? LO QUE NECESITA PARA INSCRIBIRSE Y LOS INDOCUMENTADOS? Cómo me puede ayudar. Obamacare? Cristina Saralegui QUÉ ES COVERED CA? LO QUE NECESITA PARA INSCRIBIRSE Y LOS INDOCUMENTADOS? Cómo me puede ayudar Obamacare? Cristina Saralegui Hola amigos en California. Como madre y abuela, no hay nada más importante que

Más detalles

CONDADO SAN DIEGO AVISO ANUAL DE CAMBIOS. AdvantageOptimum Plan (HMO) H5928_15_028_EOC_AO_SD_SPA (010) Accepted

CONDADO SAN DIEGO AVISO ANUAL DE CAMBIOS. AdvantageOptimum Plan (HMO) H5928_15_028_EOC_AO_SD_SPA (010) Accepted 2015 CONDADO SAN DIEGO AVISO ANUAL DE CAMBIOS H5928_15_028_EOC_AO_SD_SPA (010) Accepted AdvantageOptimum Plan (HMO) 1 Care1st AdvantageOptimum Plan (HMO) es ofrecido por Care1st Health Plan Aviso anual

Más detalles

Notificación Anual de Cambios para el año 2014

Notificación Anual de Cambios para el año 2014 Blue Shield 65 Plus (HMO) ofrecido por Blue Shield of California Notificación Anual de Cambios para el año 2014 Actualmente, usted está inscrito como miembro de Blue Shield 65 Plus. El próximo año, habrá

Más detalles

Cirugía para epilepsia

Cirugía para epilepsia Material educativo para el paciente y la familia Epilepsy Surgery: Making A Decision About Treatment / Spanish Cirugía para epilepsia Consideraciones para el tratamiento El grupo de doctores de la atención

Más detalles

Grow healthy. Stay healthy. Grow healthy. Stay healthy. www.startsmartforyourbaby.com PREGNANCY JOURNEY BOOK DIARIO DEL EMBARAZO

Grow healthy. Stay healthy. Grow healthy. Stay healthy. www.startsmartforyourbaby.com PREGNANCY JOURNEY BOOK DIARIO DEL EMBARAZO www.startsmartforyourbaby.com PREGNANCY JOURNEY BOOK 2012 Start Smart for Your Baby. All rights reserved. TM 2012 Start Smart for Your Baby. All rights reserved. TM DIARIO DEL EMBARAZO www.startsmartforyourbaby.com

Más detalles

Haga de su salud una prioridad esencial

Haga de su salud una prioridad esencial Haga de su salud una prioridad esencial Su guía para el Mercado de Seguros Médicos ChooseHealthDE.com Línea de Ayuda 24/7: 1.800.318.2596 TTY: 1.855.889.4325 El deducible fue de $3,000 menos que en mi

Más detalles

Creating your Single Sign-On Account for the PowerSchool Parent Portal

Creating your Single Sign-On Account for the PowerSchool Parent Portal Creating your Single Sign-On Account for the PowerSchool Parent Portal Welcome to the Parent Single Sign-On. What does that mean? Parent Single Sign-On offers a number of benefits, including access to

Más detalles

I already have health coverage. How will Health Reform impact me?

I already have health coverage. How will Health Reform impact me? I don t have health coverage. How can I get healthcare NOW? Healthy Way LA (HWLA) This is a free program you can apply for right now. Learn more at www.ladhs.org/hwla or call 1-877-333-4952. Medi-Cal Right

Más detalles

La atención de salud está cambiando OBTENGA LA INFORMACIÓN Y LA COBERTURA QUE USTED NECESITA DE COVERED CALIFORNIA

La atención de salud está cambiando OBTENGA LA INFORMACIÓN Y LA COBERTURA QUE USTED NECESITA DE COVERED CALIFORNIA La atención de salud está cambiando OBTENGA LA INFORMACIÓN Y LA COBERTURA QUE USTED NECESITA DE COVERED CALIFORNIA TM Covered California es el nuevo mercado de seguros de salud en internet que le facilitará

Más detalles

Su guía para las nuevas leyes de atención médica. La atención médica está cambiando, al igual que sus opciones.

Su guía para las nuevas leyes de atención médica. La atención médica está cambiando, al igual que sus opciones. Su guía para las nuevas leyes de atención médica DE La atención médica está cambiando, al igual que sus opciones. No hay nada más importante que su salud. Creemos que usted merece estar al día con los

Más detalles

Tres componentes importantes del programa Título I El propósito del Título I es de asegurar que todos los estudiantes tengan la oportunidad de

Tres componentes importantes del programa Título I El propósito del Título I es de asegurar que todos los estudiantes tengan la oportunidad de Qué es Titulo I? El programa Título I para la Educación Primaria y Secundaria es el programa educacional más grande que recibe fondos federales El gobierno federal proporciona asistencia financiera a las

Más detalles

\RESOURCE\ELECTION.S\PROXY.CSP

\RESOURCE\ELECTION.S\PROXY.CSP The following is an explanation of the procedures for calling a special meeting of the shareholders. Enclosed are copies of documents, which you can use for your meeting. If you have any questions about

Más detalles

What is family health history?

What is family health history? Family Health History Project Pre-Survey What is family health history? Family health history is information about diseases that run in your family, as well as the eating habits, activities, and environments

Más detalles

Keeping Your Home, Protecting Your Investment. Cómo retener su casa, Cómo proteger su inversión

Keeping Your Home, Protecting Your Investment. Cómo retener su casa, Cómo proteger su inversión Keeping Your Home, Protecting Your Investment Cómo retener su casa, Cómo proteger su inversión Learn The Steps You Can Take Today Aprenda los pasos que puede tomar hoy Don t risk losing your home or jeopardizing

Más detalles

Learning Masters. Fluent: Wind, Water, and Sunlight

Learning Masters. Fluent: Wind, Water, and Sunlight Learning Masters Fluent: Wind, Water, and Sunlight What I Learned List the three most important things you learned in this theme. Tell why you listed each one. 1. 2. 3. 22 Wind, Water, and Sunlight Learning

Más detalles

Financial Affidavit for Child Support, DC 6:5(2) Declaración Jurada de Finanzas para Manutención de Menores, DC 6:5(2).

Financial Affidavit for Child Support, DC 6:5(2) Declaración Jurada de Finanzas para Manutención de Menores, DC 6:5(2). IN THE DISTRICT CURT F CUNTY, NEBRASKA (county where Complaint filed) EN LA CRTE DE DISTRIT DEL CNDAD DE, NEBRASKA (condado donde se entabló la Demanda), ) (your full name) (su nombre completo) ) Plaintiff,/

Más detalles

La Reforma de Salud y la Comunidad Inmigrante

La Reforma de Salud y la Comunidad Inmigrante La Reforma de Salud y la Comunidad Inmigrante Quiénes Somos? Services, Immigrant Rights and Education Network (SIREN) Community Health Partnership (CHP) La misión de SIREN es empoderar a los inmigrantes

Más detalles

Low-Income Telephone and Electric Discount Programs Enrollment Form (LITE-UP) For Questions, Call LITE-UP Texas toll-free at 1-866-454-8387

Low-Income Telephone and Electric Discount Programs Enrollment Form (LITE-UP) For Questions, Call LITE-UP Texas toll-free at 1-866-454-8387 Low-Income Telephone and Electric Discount Programs Enrollment Form (LITE-UP) For Questions, Call LITE-UP Texas toll-free at 1-866-454-8387 January 27, 2009 Courtesy_Title Full_Name 1 Mail_Address_2 Mail_Address_1

Más detalles

VIH, Inmigrantes, y la Ley Documentos y Organizaciones importantes

VIH, Inmigrantes, y la Ley Documentos y Organizaciones importantes VIH, Inmigrantes, y la Ley Documentos y Organizaciones importantes Organizations and Publications: Organizaciones y Publicaciones: National Immigration Law Center http://www.nilc.org Centro Nacional de

Más detalles

It is call the clients paradise... MWP2 clients are as partners with the company.

It is call the clients paradise... MWP2 clients are as partners with the company. En español clic aqui Hello, my name is: Arturo Bravo and my email arcangelmi@hotmail.com and has been client of MWP2 since 28/03/2016 05:29 and I am contacting you to let you know the same opportunity

Más detalles

To ask about services or doctors: 1-877-639-2447 1-800-783-5386 TTY line for people with a hearing or speech disability:

To ask about services or doctors: 1-877-639-2447 1-800-783-5386 TTY line for people with a hearing or speech disability: Compare Value-Added or Extra Services Offered by CHIP Medical Plans in the Lubbock Service Area (Carson, Crosby, Deaf Smith, Floyd, Garza, Hale, Hockley, Hutchinson, Lamb, Lubbock, Lynn, Potter, Randall,

Más detalles

CARTA INFORMACIONAL AL LITIGANTE LINEA DE AYUDA HOJA DE CALCULOS DE MANUTENCION DE MENORES

CARTA INFORMACIONAL AL LITIGANTE LINEA DE AYUDA HOJA DE CALCULOS DE MANUTENCION DE MENORES CARTA INFORMACIONAL AL LITIGANTE LINEA DE AYUDA HOJA DE CALCULOS DE MANUTENCION DE MENORES CHILD SUPPORT WORKSHEET HELPLINE INFORMATIONAL LETTER TO LITIGANT Estimado Pro Se Litigante, Dear Pro Se Litigant,

Más detalles

Aviso anual de cambios para 2016

Aviso anual de cambios para 2016 Care1st AdvantageOptimum Plan (HMO) ofrecido por Care1st Health Plan Aviso anual de cambios para 2016 En la actualidad, está inscrito como miembro de Care1st AdvantageOptimum Plan. El próximo año, se aplicarán

Más detalles

Notificación anual de modificaciones para 2015

Notificación anual de modificaciones para 2015 El plan Blue Cross MedicareRx (PDP) SM se ofrece a través de HCSC Insurance Services Company Notificación anual de modificaciones para 2015 Actualmente usted está inscrito como asegurado de Blue Cross

Más detalles

Required Documentation for Charity Care

Required Documentation for Charity Care Patchogue, New York 11772 Required Documentation for Charity Care The completed signed application listing all family members, must be filled out and returned to the Patient Financial Services Department

Más detalles

School Preference through the Infinite Campus Parent Portal

School Preference through the Infinite Campus Parent Portal School Preference through the Infinite Campus Parent Portal Welcome New and Returning Families! Enrollment for new families or families returning to RUSD after being gone longer than one year is easy.

Más detalles

Citizenship. Citizenship means obeying the rules and working to make your community a better place.

Citizenship. Citizenship means obeying the rules and working to make your community a better place. Citizenship Citizenship means obeying the rules and working to make your community a better place. I show good citizenship when I help keep my school and community clean. I am a good citizen when I follow

Más detalles

Get an early start. Read this first. Use these Back-to-School flyers to reach parents early in the school year.

Get an early start. Read this first. Use these Back-to-School flyers to reach parents early in the school year. Get an early start. Read this first. Use these Back-to-School flyers to reach parents early in the school year. Choose your favorite style, complete the form, then make enough copies to distribute them

Más detalles

Cómo Tomar Medicamentos Correctamente

Cómo Tomar Medicamentos Correctamente Cómo Tomar Medicamentos Correctamente Taking Medications Safely Spanish Translation Follow these guidelines when taking medications: Siga estas pautas cuando tome medicamentos: General Guidelines Pautas

Más detalles

LA FIRMA THE FIRM QUIENES SOMOS ABOUT US

LA FIRMA THE FIRM QUIENES SOMOS ABOUT US LA FIRMA THE FIRM QUIENES SOMOS Somos una firma de abogados especialistas en derecho laboral, comercial y administrativo que entrega a sus clientes su conocimiento y experiencia de manera eficiente, oportuna

Más detalles

IMMIGRATION Canada. Study Permit. Buenos Aires Visa Office Instructions. Table of Contents. For the following countries:

IMMIGRATION Canada. Study Permit. Buenos Aires Visa Office Instructions. Table of Contents. For the following countries: IMMIGRATION Canada Table of Contents Document Checklist Study Permit (available in Spanish) Study Permit Buenos Aires Visa Office Instructions For the following countries: Argentina, Chile, Easter Island,

Más detalles

Long Beach/Orange County Plan

Long Beach/Orange County Plan Plan 278 Kaiser HMO Long Beach/Orange County Plan Benefit Summary Medical and Dental SUMMARY OF BENEFITS MEDICAL HMO The following is a summary of the benefits payable under the Kaiser Permanente HMO.

Más detalles