Providers are covered under HEALTHYWORKERS, which is administered by San Francisco Health Plan (SFHP) and includes doctor visits, hospitalization, pharmacy services, and vision care. Dental coverage is offered under Liberty Dental Plan.
If you do not have 25 or more authorized hours for 3 consecutive months, your health and dental insurance will be terminated. The Public Authority will notify you by letter a month before your insurance ends. If your insurance is terminated, you must complete a new application form and meet the corresponding eligibility criteria before your insurance can start again.
HEALTHYWORKERS: when you are authorized to work for 2 consecutive months for at least 25 hours a month, you are eligible to apply for coverage for yourself.
Liberty Dental Plan: when you have worked and been paid by IHSS for 6 consecutive months for at least 25 hours a month, you are eligible to apply for coverage for yourself.
Applying for Coverage
Applications are automatically mailed to those who are eligible. Fill out the application form and mail or hand deliver it to the Public Authority. If your application form is received by the Public Authority on or before the 12th of the month, your coverage will start on the 1st day of the following month.
For further questions regarding health and dental benefits,
look through our Frequently Asked Questions below or please call (415) 593-8125.
If you need to change your information, please contact IPAC first for any changes. PA will get a monthly update but if you are being refused for medical or dental service due to information error, please fill out the Public Authority’s Change of Information Form. Any PA employee can provide you this form and you can submit it in person, by email, or by mail.
The Benefits Coordinator signs all submitted L564 forms. Providers can bring the form filled out to the office and the receptionist will put them in the designated L564 box. The form can then be mailed or emailed back to the Provider depending on their preference.
The benefit plans you select will continue as long as you are providing IHSS home care services. If you work less than 25 hours for two or more months consecutively you will lose eligibility for all benefits. A Warning letter will be sent to you a month before termination date.
If you should have a period of lower than 25 hours in any month, you will receive a warning letter, however if you are paid 25 hours or more the following month your benefits will not be affected. You will lose your benefits if you are paid less than 25 hours in three consecutive months.
Remember: Your eligibility could be at jeopardy if you do not turn in your timesheets on time! We base your eligibility on paid hours data and the check issue date, not the hours worked. Please submit your timesheets as soon as the pay period ends.
You can request to cancel health and dental benefits by filling out a cancellation request form. If Public Authority received the form by the 12th of the month, your insurance will be canceled effective the first day of the next month. If you canceled Health insurance you can reapply anytime, but once you canceled your dental insurance, you must wait till Open Enrollment to re-enroll.