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California health insurance  -  California health insurance basics  -  State resources for California health market

List for California Health Insurance Resources

Choosing and Comparing California Health Insurance

DMHC Plan Surveys and Summary Reports
Conducts surveys on California health plans by the DMHC to make sure they meet certain standards.
www.dmhc.ca.gov/

Agency for Healthcare Research and Quality
Goal of improving health care service qualify
1-800-358-9295
www.ahrq.gov

California Department of Insurance (CDI)
The regulatory entity for most things health insurance in California including brokers, carriers, health plans, and consumer protection.
1-800-927-4357
1-800-482-4833 
www.insurance.ca.gov

Internal Revenue Service
Important support
 especially regarding the HSA or Health Savings Accounts
1-888-829-1040
1-829-4059
www.irs.gov

MRMIP (California Major Risk Medical Insurance Program)
High risk pool online content
 for people unable to qualify based on health including pregnant women.
1-800-289-6574
1-800-735-2929
www.mrmib.ca.gov

National Committee for Quality Assurance
HMO plan standards
1-888-275-7585
www.ncqa.org

 

Getting Low-Cost or No-Cost Health Insurance

AIM Program (Access for Infants and Mothers)
Low cost health insurance option for expecting women based on income.
1-800-433-2611
www.aim.ca.gov

California Children's Services (CCS)
Program for children with health issues and disabilities
www.dhs.ca.gov/pcfh/cms/ccs/

County Health Departments
low and no cost health insurance options by county
www.dhs.ca.gov/mcs/medi-calhome/CountyListing1.htm

County Medical Services Program (CMSP)
Low-income adults health insurance options in 34 California counties
www.cmspcounties.org

Health Consumer
Fact sheets on low-cost California health care, in many languages
www.healthconsumer.org

Healthy Families
State program with low-cost health and dental insurance for children in low-income families
1-800-880-5305
www.healthyfamilies.ca.gov

Medi-Cal
No or now cost State health insurance based on low or no incomes and/or costly disabilities
1-800-541-5555
www.medi-cal.ca.gov

 

Keeping Your Health Insurance (Federal COBRA, Cal-COBRA, HIPAA)

These are laws that allow you to keep your health insurance if you lose your job or your hours are reduced.

U.S. Department of Labor COBRA
Federal department that regulated continuation of Group health insurance also called Cobra
1-866-444-3272
1-877-889-5627
www.dol.gov/

U.S. Department of Labor HIPAA
online content
 on HIPAA continuation coverage

1-866-444-3272 
1-877-889-5627
www.dol.gov/

 

Disabilities

California AIDS Hotline
HIV/AIDS services in California
1-800-367-2437
1-888-225-2437
www.aidshotline.org

California Foundation for Independent Living Centers
Online online content
 for people with disabilities
1-916-325-1690
1-916-325-1695
www.cfilc.org

Californians for Disability Rights
Member organization representing people with disabilities
www.disabilityrights-cdr.org

Deaf Counseling, Advocacy and Referral Agency
online content
 for people who are deaf or hard of hearing
1-877-322-7299
1-877-322-7288
www.dcara.org

Disability Rights Advocates
online content
 on the health care rights of people with disabilities
www.dralegal.org

Disability Rights Legal Center
Legal aid and referrals for people with disabilities
www.disabilityrightslegalcenter.org

Family Voices
Health care advocacy for children with disabilities
1-888-835-5669
www.familyvoices.org

Protection Advocacy
Legal online content
 and assistance for people with disabilities
1-800-776-5746
www.pai-ca.org

 

Medi-Cal

Centers for Medicare and Medicaid Services (CMS)
Medi-Cal online content
 as part of Federal Medicaid program
1-800-267-2323
1-866-266-1819
http://cms.hhs.gov

Medi-Cal
State and federal program with health care for people who qualify because of low or no incomes and/or costly disabilities
1-800-541-5555 
1-916-636-1980
1-866-784-2595
www.medi-cal.ca.gov

Medi-Cal Fair Hearing
File an appeal if your health plan denies you the services you need
1-800-952-5253

Medi-Cal Managed Care Ombudsman
Help if you have a problem you cannot solve with your health plan
1-888-452-8609

Medi-Cal Mental Health Care Ombudsman
Help with Medi-Cal mental health care services
1-800-896-4042

 

Aging/Medicare

California Registry
hospice and long-term care info in California
1-800-777-7575
www.calregistry.com

CalMedicare
online content
 on Medicare in California, Medicare Part D and other prescription drug programs, and financial aid for low-income seniors
1-888-430-2423  
www.calmedicare.org

Family Caregiver Alliance
online content
 and help for family caregivers
1-800-445-8106
www.caregiver.org

HICAP (California Health Insurance Counseling and Advocacy Program)
Free online content, counseling, and advocacy for people who have or will soon have Medicare
1-800-434-0222
www.calmedicare.org

Lumetra (California Medical Review)
Help for Medicare members with complaints about quality of care concern, delays in receiving care, or being sent home from the hospital to soon
1-800-841-1602
1-800-881-5980
www.lumetra.com

Medicare
The official Medicare website and phone number
1-800-MEDICARE
1-877-486-2048
www.medicare.gov

National Institute on Aging
online content for seniors about aging, staying healthy, and getting health care
1-800-222-2225
1-800-222-4225
www.nia.nih.gov

National Senior Citizens Law Center
Advocacy for the independence and well-being of seniors with low incomes
www.nsclc.org

Senior online content
 and Referral
online content
 about local services for seniors, including health care, legal aid, housing, employment, home health care, and companionship
1-800-510-2020
1-800-735-2929
www.aging.ca.gov

 

Mental Health

California Network of Mental Health Clients
A peer-run advocacy organization for mental health consumers
1-800-626-7447
www.californiaclients.org

California Office of Patients' Rights
Advocacy for patients hospitalized with mental illness
1-916-575-1610

Medi-Cal Mental Heath Care Ombudsman
online content
 and help with Medi-Cal mental health care services
1-800-896-4042
1-800-896-2512
www.dmh.cahwnet.gov/SpecialPrograms/ombud.asp

National Alliance for the Mentally Ill (NAMI)
An advocacy group for people with mental illness and their families
1-800-950-6264
www.nami.org

National Institute of Mental Health
online content
 and research on mental health treatments
1-866-615-6464
www.nimh.nih.gov

National Mental Health Association
online content
, advocacy, and referrals for adults and children
1-800-969-6642 
1-800-433-5959
www.nmha.org

Diseases and Treatments—General online content
 

American College of Surgeons
online content
 on common operations and choosing a surgeon
1-312-202-5000
www.facs.org

Advance Directives
online content
 on Advance Health Care Directives
1-800-952-5225
1-800-952-5548
http://caag.state.ca.us/consumers/general/adv_hc_dir.htm

Agency for Health Research and Quality
Government agency with tips for getting good health care and Personal Health Guides for routine care (order or view the brochure, Next Steps After Your Diagnosis at www.ahrq.gov/consumer/diaginfo.htm)
1-800-358-9295
www.ahrq.gov

California Health Decisions
Tips for using California health care services
www.cahd.org

Centers for Disease Control and Prevention
online content
 on immunizations, preventing diseases, health disasters, and other issues
1-800-232-4636
1-888-232-6548
www.cdc.gov

Clinical Trials
online content
 on clinical trials
www.clinicaltrials.gov

Food and Drug Administration
online content
 on medicines and durable medical equipment
1-888-463-6332
www.fda.gov

Healthfinder
Health online content
 from many federal agencies
www.healthfinder.gov

Health online content
 Index
online content
 on many diseases and health-related conditions
www.health.nih.gov

Joint Commission on Accreditation of Healthcare Organizations
online content
 on health care standards
www.jcaho.org

Kids Health
online content
 on children's health
www.kidshealth.org

Lab Tests Online
online content
 about lab tests
www.labtestsonline.org

Mayo Clinic Health Oasis
Easy-to-understand online content
 on health topics
www.mayohealth.org

Medline Plus
online content
 on many health topics
www.medlineplus.org

National Guideline Clearinghouse
Government agency with care guidelines for many health conditions
www.guideline.gov

National Hispanic Prenatal Helpline
Información sobre el embarazo, parto, y el cuidado de los infants
online content
 about pregnancy, birth, and child care
1-800-504-7081
www.hispanichealth.org

National Immunization Hotline
A guide to vaccines for children and adults
1-800-232-2522 
1-888-232-6348
http://www.cdc.gov/nip

National Institute of Health
Government agency with online content
 on many health issues, including new treatments for diseases
www.nih.gov

National Library of Medicine
Prescription drug online content
; directories of physicians, hospitals, and other medical providers
www.medlineplus.gov

Diseases and Treatments—Specific online content
 

Alzheimer's Association
Local services, support groups, 24-hour helpline, and online content
 for caregivers
1-800-272-3900
1-866-403-3073
www.alz.org

American Diabetes Association
online content
, programs, and services for people with diabetes
1-800-DIABETES
www.diabetes.org

Arthritis
online content
 about arthritis and musculoskeletal and skin diseases
1-877-226-4267
www.niams.nih.gov

California AIDS Hotline
online content
 on HIV/AIDS services
1-800-367-2437
1-888-225-2437
www.aidshotline.org

California Dental Association
online content
 about oral health and an online search to find a dentist or a dental clinic that provides free or low-cost dental services
1-800-CDA-SMILE
www.cda.org

California Smoker's Helpline
Telephone and online help to stop smoking
1-800-662-8887
1-800-933-4833
www.californiasmokershelpline.org

Cancer online content
 
Government agency with online content
 on cancer treatments
1-800-422-6237
www.cancer.gov

Diabetes, Digestive and Kidney Disorders
Health online content
, research, clinical trials, and personal stories
www.niddk.nih.gov

Drug Abuse
online content
 for health professionals, parents, teachers, students, and young adults
www.nida.nih.gov

Heart Diseases
online content
, research, and clinical trials
www.nhlbi.nih.gov

Obesity and Overweight
online content
 on obesity and chart to check Body Mass Index (BMI)
www.cdc.gov/nccdphp/dnpa/bmi/calc-bmi.htm

Osteoporosis
online content
 and research on osteoporosis and other bone diseases
1-800-624-2663
www.osteo.org

Stroke
online content
, research, news, and events related to stroke and neurological disorders
1-800-352-9424
www.ninds.nih.gov

Agencies that Oversee and License Providers

American Board of Medical Specialties
online content
 about specialists' training
1-866-275-2267
www.abms.org

Board of Behavioral Sciences
Licenses and takes complaints on Marriage and Family Therapists, Clinical Social Workers, Associate Clinical Social Workers, and Educational Psychologists; online license check
1-916-574-7830
www.bbs.ca.gov

Board of Pharmacy
Licenses and takes complaints on pharmacists; online content
 for consumers, including ways to save money on drugs
1-916-574-7915 (8 am-12 noon)
1-916-574-7909 (12:30-4:30 pm)
www.pharmacy.ca.gov

Board of Podiatric Medicine
Licenses and takes complaints on podiatrists; online license check and online content
 for consumers
1-916-263-2647
www.bpm.ca.gov/consgde

Board of Psychology
Licenses and takes complaints on psychologists; consumer online content
 and online license check
1-916-263-2699
www.psychboard.ca.gov

Board of Registered Nursing
Licenses and takes complaints on registered nurses, nurse practitioners, nurse midwives, clinical nurse specialists, nurse anesthetists, and psychiatric/mental health nurses; online license check
1-916-322-3350
1-916-322-1700
www.rn.ca.gov

Dental Board of California
Licenses and takes complaints on dentists; online license check
1-916-263-2300
www.dbc.ca.gov

Hospitals, Nursing Homes, and Clinics
Licenses and takes complaints on hospitals, nursing homes, and clinics
1-916-552-8700
1-800-236-9747
www.dhs.ca.gov/Inc/default.htm

Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
Accredits and takes complaints on health care organizations; online content
 on health care standards
1-800-994-6610 (for complaints and concerns)
www.jcaho.org

Medical Board of California
Licenses and takes complaints on medical doctors and certain other providers; online check of licenses and citations
1-800-633-2322
1-916-263-0935
www.medbd.ca.gov

Physical Therapy Board of California
Licenses and takes complaints on physical therapists; online license check
1-800-832-2251
www.ptb.ca.gov

Health Care Industry Related Financial online content

National Association of Insurance Commissioners
The NAIC assists state insurance regulators, individually and collectively, in serving the public interest and achieving insurance regulatory goals in a responsive, efficient and cost effective manner.
http://www.naic.org/

Securities and Exchange Commission
The mission of the U.S. Securities and Exchange Commission is to protect investors, maintain fair, orderly, and efficient markets, and facilitate capital formation.
http://www.sec.gov/

Centers for Medicare and Medicaid Services
The mission for Centers for Medicare and Medicaid Services is to assure health care security for beneficiaries.
http://www.cms.hhs.gov/

New York State Department of Insurance
The Insurance Department is responsible for supervising and regulating all insurance business in New York State.
http://www.ins.state.ny.us/

Texas Department of Insurance The Texas Department of Insurance regulates licenses the Texas insurance industry including healthcare.
http://www.tdi.state.tx.us/

California Department of Insurance (CDI)
online content
 on health insurance plans in California (CDI licenses and regulates some non-HMO health and disability insurance and most Medigap plans.)
1-800-927-4357
1-800-482-4833 
www.insurance.ca.gov

 

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