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Health Insurance Information Service

During the 新型冠状病毒肺炎 pandemic, remote consultations are available.

The Washington Hospital Health Insurance Information Service is a free and confidential service that can provide you with all the information you need to make an informed decision about your health insurance. 你 may reach this service by calling 800.770.9447 从早上8点开始.m. 到5点.m.星期一至星期五. 你可能有 your questions answered over the phone or set up an appointment for a 个人咨询. For a current list of health plans accepted by Washington Hospital Health护理 System, click 在这里.

See Washington Hospital’s Health Insurance Information Service featured on Bay Area Healthier Together, a partnership between Washington Hospital 和ABC7. Click below to watch the 30-second video.

To view the full 5-minute video about Health Insurance Information Service, 点击这里.

The Washington Hospital Health Insurance Information Service will help you:

  • Understand the difference in the choices you have for open enrollment from 你的雇主
  • Understand health insurance policies and terminology
  • Determine what to look for in a plan
  • Maximize your benefits when both you and your spouse are enrolled in separate plans
  • Find any available insurance programs which cover specialized needs
  • Explore health insurance options
  • Use a resource list of licensed brokers to find a policy that best meets 你的需求
  • Access government-sponsored programs
  • Determine which plans allow you to use Washington Hospital and its facilities

生活方式问题

T在这里 are certain lifestyle issues that might affect your choice of health 保险计划,例如:

  • 你最近结婚了吗??
  • Does your spouse have health insurance benefits through his or her employer?
  • Are you expecting any major life changes in the next year? 例如, moving to a new area, retirement, job change or relocation, divorce, child attending college, birth or adoption of a child, or a dependent grandchild.
  • Have you been declined coverage for insurance before?
  • Are you currently taking any medications to control a medical condition? Do you have any chronic conditions such as asthma or diabetes?
  • Are you eligible for Medi护理 benefits?
  • Are your children uninsured due to parents' employment issues and changes?

Are the services you need covered?

The following services are not always covered by insurance plans or may 有一些年度限制:

  • 紧急服务
  • 精神健康服务
  • 实验室测试
  • Medical equipment/prosthetics
  • 光学/视力保健
  • 妊娠和儿科护理
  • Preventive services/annual examinations
  • 家庭保健
  • 处方药

保险计划的种类

Preferred Provider Organizations (PPO)

你 choose providers in the insurer's network to receive maximum benefits. 你 may see a provider outside the network, but you pay a higher share 成本的多少. 你 may be expected to make payment at the time of service for applicable co-insurance and deductible amounts.

Health Maintenance Organizations (HMO)

你 choose a primary 护理 physician or medical group to manage your health 护理. 你 must obtain a referral to access specialists. 预防保健 是强调. No benefits are provided if you receive 护理 from providers 不包括在网络中.

政府资助计划

  • 覆盖加州 is an easy-to-use marketplace implementing the federal Patient Protection and Affordable Care Act in California.
  • Medi-Cal is a medical assistance program for individuals in the State of California who are medically indigent and meet certain criteria. 它是 financed by state and National funding.
  • 医疗保险是美国.S. Government's health insurance program for senior's age 65 and older and individuals with qualified disabilities.