Provider Services

The Provider Services department includes customer service for providers. Paychecks Customer Service, Paycheck Deductions, Employment Verifications , Health Benefits and more!
Change font size: [A] [A] [A]
 
AuctionPublic

Health Benefits

This program is designed for a limited number of IHSS providers who are not eligible for Medi-Cal, Medicare, or other health insurance.

The Individual Providers’ (IP) health benefits plan is contracted through Select Benefits which provides separate plans for Health, Dental, and Vision. Select Benefits, Inc. is the administrator and resource for membership and general questions regarding coverage for each plan.

Eligibility for health benefits is dependent upon individual providers meeting the following minimum requirements:

Paid timely for a minimum of 80 hours, two consecutive months. Aging and Adult Services uses state payroll information to determine if this requirement is being met and it is up to the IP to ensure their timesheets are turned in on time each pay period.

Submit a completed health benefits application when invited to participate in the plan. It is important for IPs to keep their contact information updated with their Social Workers at In Home Supportive Services and clerks for Aging And Adult Services if the IP is part of the Registry.

For more infromation on Health Benefits call Public Authority Customer Service at 1-866-985-6322 (Press 5, then 1) for any questions regarding eligibility.

Frequently Asked Questions…

Who will provide the health services and where can I obtain care?

Select Benefits, Inc, Western Dental and Avesis Vision.

How much will I have to pay for my health insurance benefits?

You will pay a premium of $60 per month automatically deducted from your paycheck but will not have deductions for Dental ($5.00). You will also be required to pay co-payments for most of the services you receive.

Are my dependents (e.g., spouse and/or children) eligible for the health benefits plan offered by Aging and Adult Services, through Select Benefits?

No. The health benefit plan does not include dependents.

Where is my membership card?

Contact Select Benefits, Inc. if your card is missing, lost, or stolen.

What if I am eligible for Medi-Cal, MediCare or another health insurance?

IHSS providers with other health insurance coverage or who are eligible for coverage such as zero share-of-cost Medi-Cal, Medicare, Healthy Families or spousal coverage, individual, conversion or coverage under a Group Plan offering Domestic Partners are not eligible to enroll in the Health Plan.

What if my physician is not listed on the plan or I wish to change my current doctor?

Contact Select Benefits Inc. for more information about choosing a primary care physician at (800) 497-3699.

If I lose my eligibility, can I purchase continued coverage?

By law, at the time of your termination of coverage you will receive an initial notification, which explains your rights for continued coverage, which you will have to pay for, under COBRA. You will have 60 days to elect coverage with no lapse in coverage.

Where can I get more information about the benefits provided by the Plan?

For questions about Eligibility call:
Public Authority Customer Service 1-866-985-6322 (Press 5, then 1)
For questions about Membership & General Plan Info call:
Select Benefits, Inc. 1-800-497-3699