Health Insurance Programs
To ensure that all Plumas County residents have access to vital life-saving and life-sustaining health, medical and prevention services, Plumas County Public Health Agency presents this guide to insurance programs and services.
Individuals, families, and small business owners can find out more about public and private health insurance options at the Affordable Care Act website, The California Department of Health Care Services, Covered California, and review the lists and links below. To locate private insurance providers, please look in the local phone directory. View additional Health Insurance and Affordable Care Act information.
These quick links will connect you with external websites. To review a brief description of each health insurance link, scroll down and continue reading.
How to Apply & Eligibility
An application can be done online for many programs through the C4YOURSELF website, or other online application portals. There are also many Certified Application Assistants throughout Plumas County that can help you get started and through the process. Look for the Family Resource Center nearest to you.
Eligibility: For many state and federal insurance programs, eligibility is based on many factors, including income. It is recommended to apply, and contact a program directly, to find out if you are eligible. Some have exceptions, and nuances that may be found only by direct contact or research. For those that do factor income, review this page provided only to determine your income eligibility related to programs. Because income eligibility guidelines may change from time to time and vary from one program to another, we suggest you contact the health insurance programs directly to confirm the latest requirements and insurance benefits offered. Some public programs provide co-pays for private insurance costs under certain circumstances. Make contact, apply, ask questions, do the research to make the most of these services to keep your family healthy!
Covered California is committed to ensuring that Californians are aware of their health coverage options. Through Covered California, you will be able to get financial assistance, compare a range of health plans and choose the right one for you. We will provide information in a range of languages and in culturally relevant ways.
Plumas County Public Health Agency is proud to promote C4Yourself, a statewide online application system that allows individuals to apply from any internet-connected computer. This is a secured site that keeps all of your information private and safe. Individuals and families can apply for health insurance and other benefits, complete and submit annual redeterminations/recertifications, access their quarterly/ mid-year status reports. Also, you will be able to view the status of your application or program status. For more info visit the C4Yourself website.
Children’s and Family Programs
CHILD HEALTH AND DISABILITY PREVENTION PROGRAM (CHDP)
The CHDP is a preventive program that delivers periodic health assessments and services to low-income children and youth in California. It provides care coordination to assist families with medical appointment scheduling, transportation, and access to diagnostic and treatment services. Health assessments are provided by enrolled physicians and community clinics.
Any child may be eligible and a well-child check-up is available based on the schedule in this brochure.
CALIFORNIA CHILDREN’S SERVICES (CCS)
California Children’s Services (CCS) is a state program for children with certain diseases or health problems. Through this program, children up to 21 years old can get the health care and services they need. CCS will connect you with doctors and trained health care people who know how to care for your child with special health care needs. Contact Linda DeWolf (530) 283- 6330 - www.dhcs.ca.gov/services/CCS
Medi-Cal is California’s Medicaid program. This is a public health insurance program that provides needed health care services for low-income individuals including families with children, seniors, persons with disabilities, foster care, pregnant women, and low-income people with specific diseases such as tuberculosis, breast cancer or HIV/AIDS. Medi-Cal is financed equally by the state and federal governments. You can apply for Medi-Cal through the C4Yourself online portal. Contact Plumas County Social Services Department. In Plumas County: (530) 283-6350 or toll free (800) 242-3338.
MEDI-CAL ACCESS PROGRAM (FORMERLY ACCESS FOR INFANTS & MOTHERS (AIM))
AIM provides low-cost health Insurance coverage to uninsured women and can also help you if you have a private health insurance plan with a maternity-only deductible or copayment greater than $500. It’s designed for women who do not have health insurance and have income too high to qualify for no-cost Medi-Cal. Check with your private health insurance plan to see if your deductible or copayment is for maternity-only services.
For questions regarding the AIM Federal Income Guidelines, call 1-800-433-2611, Monday to Friday, 8 a.m. to 8 p.m., or on Saturday, 8 a.m. to 5 p.m.
Sight for Students
Sight for Students is a VSP charity that provides free vision exams and glasses to low-income, uninsured children. The program operates nationally through a network of community partners who identify children in need and VSP network doctors who provide eye care services. Please review the qualification guidelines, and then use the Web site to find a partner in your area. 1-888-290-4964 - Sight for Students Website
FAMILY PACT (Planning Access Care Treatment)
Family PACT is California’s innovative approach to providing comprehensive family planning services to eligible low-income men and women, including teens. This clinical program increases access to services by expanding the provider network to include medical providers, pharmacies, and laboratories. 1-800-942-1054 – Family PACT Website - 530-283-6330
Medicare is a national social insurance program, administered by the U.S. federal government that guarantees access to health insurance for Americans ages 65 and older and younger people with disabilities. Medicare has four parts: Part A is Hospital Insurance. Part B is Medical Insurance. Medicare Part D covers prescription drugs. Medicare Advantage plans, also known as Medicare Part C, are another way for beneficiaries to receive their Part A, B, and D benefits. All Medicare benefits are subject to medical necessity. To check eligibility go to the Medicare Eligibility website or call 1-888-290-4964 – Medicare Website and CA Health Advocates Website
COUNTY MEDICAL SERVICES PROGRAM FOR MEDICALLY INDIGENT ADULTS (CMSP)
The County Medical Services Program (CMSP) provides health coverage to adults in Plumas County and thirty-four, primarily rural California counties. CMSP provides health care to individuals who are not eligible under the Affordable Care Act. For a description of benefits. For application, contact Plumas County Social Services Department or use the C4yourself portal. In Plumas County: (530) 283-6350 or toll free: (800) 242-3338. The state organization can be reached at Call 916-649-2631 or got o the County Medical Services Program website
THE OFFICE OF THE PATIENT ADVOCATE’S MISSION is to inform and educate consumers about their rights and responsibilities as health plan enrollees and to teach them how to make the best use of the services offered by their health plans.
Department Of Managed Health Care (DMHC) oversees all HMOs in California and some other kinds of health plans. It can help you understand different types of health plans and compare plans. There is also information for people who are not insured. This website can help you learn about keeping your group health insurance or buying individual health insurance. Group health insurance is health insurance you have through an employer or union. Individual health insurance is health insurance you buy on your own. California law says that health plans must provide many basic services and certain other services. Plans must only provide services when the service is medically necessary.
Veterans Health Services
For information call: 1-877-222-VETS (8387) between the hours of 8:00 AM and 8:00 PM ET Monday - Friday
In Plumas County, Jimmy LaPlante, at Plumas County Veteran’s Services can be reached at (530) 283-6275 or 1(800) 801-6330.
Your comprehensive VA Health Benefits Package includes all the necessary inpatient hospital care and outpatient services to promote, preserve, or restore your health. Determine if you are eligible for VA Health Care.
The first step in accessing valuable VA health benefits is to apply! There are several methods available to apply. Once your application is received and processed, you will receive written notification of your enrollment status in the VA health care system. Why wait?
If you served in the active military, naval, or air service and are separated under any condition other than dishonorable, you may qualify for VA health care benefits.
Returning Service Members (OEF/OIF/OND)
If you served on active duty in a theater of combat operations after November 11, 1998, you may be eligible for an extended period of free VA health care benefits.
Active Duty Servicemembers
Active duty service members separating or retiring may be eligible for VA Health Benefits.
Family Members of Veterans
Under certain circumstances, family members of Veterans are eligible for health benefits. This section provides a brief overview of CHAMPVA, Spina Bifida, Children of Women Vietnam Veterans, and Caregiver Programs.
Treatment of Allied and Foreign National Beneficiaries
If you are a former member of the armed forces of a nation allied with the United States (U.S.) in World War II, you may be eligible for health benefits.
Family Resource Centers
Local Family Resource Centers are located in five communities in Plumas County with staff members and volunteers that can help you find the right health insurance program for you and your family. Most of these centers have Certified Application Assistants that are available to assist you in applying for health insurance programs, and some have other resources that will help you get the health care you need to stay healthy. The other services may include financial assistance to travel out of county to a medical appointment, assistance with prescriptions, but these may change from time to time so call and find out what’s currently offered. Maternal, Child, and Adolescent Health program at the Plumas County Public Health Agency also has Certified Application Assistants on staff. Each resource center is unique, providing local access to valuable opportunities and services. Call a resource center to find out what activities and services are offered near you.
Family Resource Centers
ABC Resource Center
372 Main Street ~ Chester, CA
Indian Valley Resource Center
709 Crescent Street ~ Greenville, CA
Mohawk Community Resource Center
8989 Highway 89 ~ Graeagle, CA
Plumas Crisis Intervention Resource Center
591 W. Main Street ~ Quincy, CA
330 Bush Street ~ Greenville, CA
Portola Family Resource Center
49 Commercial Street ~ Portola, CA
Eligibility Based on 2012 Federal Income Guidelines
UNIVERSAL DECLARATION OF HUMAN RIGHTS - ARTICLE 25
The Universal Declaration of Human Rights provides for adequate health and medical services for everyone as a basic human right.
Article 25. (1) Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing, and medical care and necessary social services, and the right to security in the event of unemployment, sickness, disability, widowhood, old age or other lack of livelihood in circumstances beyond his control.
(2) Motherhood and childhood are entitled to special care and assistance. All children, whether born in or out of wedlock, shall enjoy the same social protection