If you had health coverage in 2015 the 1095 form will help you complete your taxes. This form reports to the IRS important information about your health coverage and any premium tax credits you may have received during the prior year.  You should review this form closely for any mistakes and, if any start the process for correcting it as soon as possible. This article helps explain the process.

Covered California

• General home page
• Offered Health Plans

Medi-Cal

• County of San Diego’s Medi-Cal webpage
• County of San Diego Medi-Cal Program Guide
• Summaries of relevant Medi-Cal regulations
• Medi-Cal Eligibility Procedures Manual
• Medi-Cal Policy Letters 
• Medi-Cal Renewal Flyer English or  Spanish Version

Medicare

• Center for Medicare Advocacy, Inc. provides education, advocacy and legal assistance to help older people and people with disabilities obtain fair access to Medicare and necessary health care.
• Official Medicare webpage.
• Health Insurance Counseling & Advocacy Program (HICAP) provides free and objective information and counseling about Medicare. Call 1-800-434-0222.

Cal MediConnect

• The Cal MediConnect Website provides updates for Californians on new developments in Cal MediConnect under California’s Coordinated Care Initiative.

County Medical Services

• County of San Diego HHSA County Medical Services Program Guide

Issues with Private Insurance Plans:
California Department of Insurance (DOI)

• DOI Website
• DOI Complaint Process
• DOI Independent Medical Review

Department of Managed Health Care (DMHC)

• DMHC Website
• Complaint and Independent Medical Review Instructions
• Filing a Grievance/Complaint directly with your health plan

Department of Social Services State Hearing Division (Runs Fair Hearings for Medi-Cal and Covered California )

• DSS State Hearing Division Website

Other Helpful Resources

• 211  2-1-1 San Diego connects people with community, health and disaster services through a free, 24/7 stigma-free phone service and searchable online database. Using the power of technology and innovation, it connects people to the help they need.
• San Diegans for Health Care Access  Convening the community, providing the voice, and serving as the navigator to achieve optimal health coverage and care for all San Diegans.
• Disability Rights California  Has the stated mission to advocate, educate, investigate and litigate to advance and protect the rights of Californians with disabilities.
• Health Consumer Alliance (HCA)  HCA is a partnership of programs operated by community-based legal services organizations which helps Californians obtain essential health care.
• Aging and Independence Services IHSS  IHSS provides homemaker and personal care assistance to persons receiving Supplemental Security Income or who have a low income and need aid in the home to remain independent.
• Western Center on Law and Poverty  Western Center advances and enforces the rights of low-income Californians to the basic necessities of life by working statewide for systemic change.
• National Health Law Program  The National Health Law Program protects and advances the health rights of low income and underserved individuals. NHeLP advocates, educates and litigates at the federal and state level.
• California Code of Regulations  A hyper linked and searchable electronic version of California regulation.
• Social Security Administration  Official website of the Social Security Administration where one can apply for benefits, obtain rules and regulations, and estimate future benefits.

Covered California Hearing request form to appeal an eligibility determination 
Covered California form to appeal a premium tax credit issue 
Current Federal Poverty Level Chart 
DHCS/DSS declaration forms (coming soon)

Our staff regularly participates in outreach events and provides trainings.  If you would like Consumer Center staff to come to your organization, client or family support group, or event, please use this form to submit a request.