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Free or lowcost medical insurance for our family??

July 2007

We'll be out of medical insurance for a year, starting August 1, 2007. I'm looking for insurance for my husband for the whole year, and for our 15-year-old until the end of December. Then he'll join me to live in a European country with a nationalized health plan. We could get cobra, but it's very pricey. We'll be 0 income, at least initially, but we do own a house (or our loan institution does) in Berkeley. This year, by the beginning of August, our 2007 income will be maximum $35,000. I'd appreciate any advice. I've tried California Healthy Families, but there's a 3-month 'no insurance' waiting period that makes me a little nervous. My husband is somewhat disabled - if that information might help. Thank you for any tips. a 'sicko' wife & mom


Please call Keith Vaisnor, KEV Insurance Services. He's a whiz at knowing what's out there. If anyone can help you find a solution, he can. He has a terrific website as well, www.KEV-INS.COM, where you can answer many of the questions yourself. He's very approachable and loves these kinds of challenges. You can reach him by phone at (925) 299-8726 Julie G

Health care for low-income baby

May 2007

My 6 month old daughter and I will be returning to the Bay Area (living in Fremont, schooling at UCB) this August after my being away for two years. We are both US citizens, yet Sophia hasn't set foot on American soil yet. My concern is her medical care. Can't afford to pay for it and very insecure she'll get medi-cal (as I haven't the documents they request for the application). I just need to know what there is for babies of low-income families as far as getting regular check- ups, immunizations, and care for the typical baby maladies. For instance: any free clinics?


There are a number of community clinics that you can use, regardless of your ability to pay. If you are Medi-cal eligible, the counselors at the clinic will help you in applying, and they see patients without papers all the time so can help you figure out exactly what to do.

I work for a non-profit agency that supports community clinics in Contra Costa and Solano Counties. Our website, www.clinicconsortium.org, shows all of the clinics in our area. There is a very similar non-profit in Alameda County and their website, http://www.alamedahealthconsortium.org/, lists every clinic in Alameda County. For all community clinics in California, see http://www.cpca.org.

If it turns out that you are not Medi-cal eligible, another option I would highly reccomend looking into is the Kaiser Permanente Child Health Plan. The program costs only $8 to $15 per month, depending on income, and is full-fledged Kaiser health insurance with every benefit. Check out http://prospectivemembers.kaiserpermanente.org/kpweb/healthplans/ individualplans.do and click on Child Health Plan for more information. Best wishes to you in finding health care for your family. Tara


Here are a few suggestions:

1) There are several community health centers in the Bay Area with a mission to provide health care to everyone, regardless of their ability to pay. In Oakland, you can try Clinica de la Raza or San Antonio Neighborhood Health Center. You can also try Asian Health Services or LifeLong Medical Care. (LifeLong tends to cater to older patients, but call them and they'll tell you which would be best for a baby.) All of these clinics offer a sliding scale payment structure, and your cost could be as low as $0, probably around $20.

2) Call the Alameda Public Health Department. Or go to their website. http://www.acphd.org/default.asp Public Health Depts. always offer free or low-cost vaccines, and they can point you in the right direction for a good clinic.

3) Sign your child up for Healthy Families or Medi-Cal. Your County Social Services Dept. will know how to do this. (In fact, any community health clinic will also know how you can enroll your child.) There's also another program called CHDP (Child Health and Disability Prevention Program) that your local clinics are very familiar with. CHDP will cover the costs of well-child visits. If you qualifym for CHDP (which you probably will), your baby will automatically be enrolled in Medi-Cal for two months, while you figure out the paperwork you need. If your income turns out to be too high for Medi-Cal, you will be referred to Healthy Families.

The short answer is... go to a local clinic and they'll figure out how to get permanent coverage for your baby. There are lots of resources out there. Good luck! a mom in the know about health insurance for kids


Tiburcio Vasquez Health Center is a community health center that provides excellent care. They can also help your child qualify for MediCal (vs. going through the gov't offices). http://www.tvhc.org/ anon
Lifelong Medical Care has a number of clinics in Berkeley and Oakland and their West Berkeley Family Practice sees families and kids, including those who are uninsured. Go to www.lifelongmedicalcare.org for more information. Kate

Need insurance for my 2-year-old - I make too much for Medi-cal and Healthy Families

October 2006

Does anyone know how I can get low cost health insurance for my two-year-old. She had Medi-Cal but was recently denied because I now make too much money. I tried to get her healthy families but was also denied because I made like $200 more than they allowed. Then I tried to get low cost Kaiser but I am just over their financial requirements as well. I have no problem paying for health insurance I just can't pay $400/month (as my job asks to cover a dependent). I am a single mother living in Oakland and don't get regular child support from her dad. I was planning to just pay out of pocket if she needed to go to the regular doctor's but what about if she needs to go to the hospital??? has anyone been in this situation and have any ideas about what I should do? No Health Insurance jenni


Check into a ''High Deductible Health Plan'', combined (perhaps) with a ''Health Savings Account''. With these plans you pay out-of-pocket for all minor and routine care, but get coverage in case of really expensive things.

(Note: the policy idea behind these plans is to make the costs of health care visible -- with traditional plans nobody asks for the list price of services, because it's covered. This plan option is not perfect - the HSA is a pointlessly awkward paperwork nightmare.).

With a healthy 2-year old, this type of plan could be really economical. Bryce N


Please use CAUTION if you decide to go with an HSA (health savings account). In theory, they could potentially be a good idea, but we found that the health insurance would not give us any info about procedures until after the fact, arguing that it was proprietary infomation abnd it could lead to price wars, which wasn't fair to the providers-- Oh my! It's like going to the store to but a pair of shoes, but not knowing how much they are going to cost until you have already worn them and then much later get the bill in the mail-- doesn't sound like smart shopping to me! That was with HealthNet, and we have since switched to Blue Cross (3 months ago), who does give you the $$ amount as long as you have the procedure code. It was interesting to find out when I called the health insurance commissioner's office in Sacramento that hair salons and dry cleaners are required to give you the prices for services upfront, but there is no law for health care providers (doctors, x-rays labs, etc.) to do the same. One lab snuck me the negotiated rate with Healthnet onto a slip of paper, so I could know what to expect to pay before I got my blood tests, but then had to take it back and shred it so the person wouldn't get in trouble. And...just so you know, there are wildly different prices out there. At Alta Bates Imaging my daughter got a chest x-ray for suspected pneumonia, and it cost about $200, at the insurance's negotiated rate. We needed to get her the same xray about 5 weeks later (to make sure the pneumonia was gone) and went to Children's since the other lab was closed-- we had to pay over $550 for the same exact procedure. I have since learned that ''hospitals always charge more''-- but that is a huge difference! Good luck, and proceed with caution! mad about health care in the US
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Last updated: Sep 3, 2007
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