All About Covered Ca

2. California's health care exchange
3. This page in C-IV will show you the Covered Ca case number and clients application information
6. The amount a person will be responsible to pay after any co-pays and deductibles will have been paid
7. This is short for Modified Adjusted Gross Income.
11. A holding status that continues an APTC plan while a Medi-Cal determination is made. This insures continuous coverage
12. The process of removing a CalHEERS case from one County of Responsibility
13. The amount a person pays before a health plan will begin to cover services
14. The amount a person pays when they visit a doctor
15. County of responsibility. This is the county that has a hold over a Covered Ca case
17. The amount a person will have to pay for brand name pharmaceuticals before the health plan will begin to pay
19. A network of doctors & providers. Ability to see any doctor you want
20. Remember to give a client their ________ in order for them to be able to gain access into their Covered Ca account
21. A network of doctors & providers. Usually need a referral to see a specialist. May have lower premiums

1. A person can receive these to help offset the costs of a health plan through Covered Ca
4. President Obama signed this into effect into 2014 to allow for more people to get health insurance
5. When a households annual income differs from their current monthly income
7. The amount you will pay for some specialized services before the health plan will begin to cover
8. Covered Ca may sometimes do this to a person in a case to allow them to remain covered even though they are not eligible. This can be removed in C-IV
9. The most you will pay in a year and then the health plan will pay for all services
10. A case may have a mixture of MAGI, Non-MAGI and APTC eligible members
16. These resources can be found in Covered Ca and cover various Covered Ca topics
18. When a household is over MAGI income limits monthly but still eligible under annual income limits