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State of California—Health and Human Services Agency
Department of Health Care Services Jennifer Kent DIRECTOR
EDMUND G. BROWN JR. GOVERNOR
NOTICE TO TERMINATING EMPLOYEES Health Insurance Premium Payment (HIPP) Program The California Department of Health Care Services will pay health insurance premiums for certain persons who are losing employment and have a medical condition that requires a physician’s treatment. In order to qualify for the Health Insurance Premium Payment (HIPP) Program, you must meet all of the following conditions: Health insurance cannot be court ordered. If a non-custodial parent has been ordered by the court to provide the health insurance, the child will not be eligible for enrollment in HIPP; 1. Applicant must have full scope or fee-for-service Medi-Cal; 2. Must have a medical condition that requires a physician’s treatment; 3. Meet the cost-effectiveness analysis criteria; 4. Must have a current health insurance policy that covers your medical condition, COBRA or CAL-COBRA continuation policy; or a COBRA Conversion policy in effect or available at the time of application; 5. The health Insurance policy must cover your medical condition; 6. Apply online at https://apps.dhcs.ca.gov/AutoForm2/Page/SecureCode.aspx A. Please upload all attachments in PDF format only; 7. Cannot be enrolled in a Medi-Cal managed care or prepaid health plan, County Organized Health System (COHS), Geographic Managed Care Program, County Medical Services Program (CMSP) and/or Medicare.
For Persons Disabled by HIV/AIDS Office of AIDS HIPP Program, Department of Public Health OA-HIPP is a program that pays the monthly health insurance premiums for eligible California residents with an HIV/AIDS diagnosis. This program is available to individuals with health insurance who are at risk of losing it, as well as to individuals currently without health insurance who would like to purchase it. For information please call 1-844-421-7050.
