FAQs & Glossary

FAQs

Insurance

Q How long must a person live in California before being considered a legal California resident?

+
A

If you pay and file taxes in the state of California, you qualify as a legal resident. Please note however that for Medi-Cal eligibility, exceptions may apply. Please contact a Family Health Centers of San Diego Certified Enrollment Counselor at (619) 515-2363 for more information.

Q When can I expect to hear from a Certified Enrollment Counselor after I contact them?

+
A

Patients can expect a call back within 48 hours.

Billing

Q What languages are offered through the enrollment process?

+
A

English and Spanish

Q For enrollment purposes in Covered California and Medi-Cal, do “spouses” include same-sex marriages and/or domestic partnerships?

+
A

Medi-Cal and Covered California consider same-sex partners as spouses for enrollment purposes.

Appointments & Visits

Q What constitutes “preventative care?”

+
A

Preventative care is defined as routine physicals, screenings (for HIV, sexually transmitted diseases, breast cancer, anemia, cholesterol, etc.), immunizations and chronic disease management (e.g. diabetes, asthma).

Q How much does Covered California insurance cost?

+
A

Covered California costs are different for each individual since the cost is based on income and family size. Please contact our Certified Enrollment Counselors at (619) 515-2363 or enrollment@fhcsd.org for questions about the cost of Covered California health insurance plans.

General

Q Can I keep my doctor if I enroll in a Covered California plan?

+
A

FHCSD Certified Enrollment Counselors can assist you in determining whether your doctor accepts a Covered California plan.

Q How is Medi-Cal similar to private insurance?

+
A

Much like private insurance, Medi-Cal is comprehensive health coverage that provides access to a primary care provider, outpatient and inpatient services, dental and vision care and a wealth of other health care services.

Glossary Of Health Care Terms

Pre-existing condition: a health or medical condition recognized by your health plan prior to receiving insurance

Lifetime or annual limits: a monetary limit on the services paid for by an insurer under his or her policy

Federal Poverty Level (FPL): the minimum amount of combined income a family or individual needs for clothing, food, transportation, housing and other basic necessities as determined by the federal government

Deductible: a specified amount of money that you must pay before an insurance company will pay an insurance claim

Out-of-pocket expenses: expenses paid with your own money instead of an insurance company’s

Life-changing event: an event or experience that changes a person’s life or circumstances in a substantial way (e.g. having a child, getting married, death of a loved one)

Schedule an Appointment

Scroll