State of California—Health and Human Services Agency
Department of Health Care Services
WILL LIGHTBOURNE |
GAVIN NEWSOM |
DIRECTOR |
GOVERNOR |
NOTICE TO TERMINATING EMPLOYEES
Health Insurance Premium Payment (HIPP) Program
The California Department of Health Care Services administers the HIPP program, which is an optional premium reimbursement program under Medi-Cal. If you have recently lost your job and qualify for Medi-Cal benefits, or you are the parent or guardian of someone who qualifies for Medi-Cal benefits, you may be eligible to receive payment for your existing private insurance premium and cost-sharing. In order to qualify for the HIPP program, you must meet all of the following conditions:
1.You must have full scope Medi-Cal coverage;
2.You must have an existing private insurance policy (also referred to as “other health coverage”), a COBRA or CAL-COBRA continuation policy, or a COBRA Conversion policy at the time of application for Medi-Cal benefits;
3.You must have a medical condition covered under your existing other health coverage, and you must have received treatment for the medical condition within 90 days of application to the HIPP program;
4.Your other health coverage must be cost-effective to Medi-Cal. This means that the sum of your premium and cost-sharing obligations must be less expensive than the cost that Medi-Cal would pay for your care;
5.You have applied for Medicare benefits.
In addition, you do not qualify to participate in the HIPP program if any of the following apply:
1.You are not enrolled in Medi-Cal.
2.You do not have full scope Medi-Cal coverage.
3.You are enrolled in Medicare.
4.You are enrolled in a Medi-Cal managed care plan, or have the option to enroll in a Medi-Cal managed care plan.
