This form is a sample letter in Word format covering the subject matter of the title of the form.
Letter For Recovery From Illness In Alameda
Category:
State:
Multi-State
County:
Alameda
Control #:
US-0026LTR
Format:
Word;
Rich Text
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FAQ
Central California Alliance for Health (the Alliance) is a managed care health plan for people who have Medi-Cal. The Alliance works with the State of California to provide health care to people who live in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties.
You will have the option to change your plan or cancel. Visit CoveredCA or call Covered California's service center at (800) 300-1506 to learn more.
As an Alliance Medi-Cal member, you may receive dental benefits through the Medi-Cal dental program, Denti-Cal. Please note that authorization from the Alliance may be required.
Income-based Medi-Cal Your family size:1 2 3 4 5 6 7 8 9 10 11 12 Income-based Medi-Cal, adults (138% FPG) $20,783 Income-based Medi-Cal, children (266% FPG) $40,060 Subsidized private plans, reduced fees (250% FPG) $37,650 Subsidized private plans (no income limit) --8 more rows
The Alliance is a health plan for people who have Medi-Cal. The Alliance works with the State of California to help you get the health care you need.
Medi-Cal is California's Medicaid health care program. This program pays for a variety of medical services for children and adults with limited income and resources.
Medi-Cal is a state-sponsored health insurance program administered to you through the Alliance. Medi-Cal provides comprehensive health care coverage for those who meet income guidelines. This includes: Families and children.
Alameda County SAR 7 Online Form Completion Agency Name: Alameda County Social Services Agency. Phone: 510-271-9185. Email: TRoberts@acgov. Address: 2000 San Pablo Ave Oakland, CA 94612.
More info
Blank Application Forms. The below forms may be dropped at a secure drop box, at one of our offices, during regular business hours, am to pm.To view or print these files you need the free Adobe Acrobat Reader or other PDF reader. To reach our office, call or text , or fill out the form on our Contact Us page. To reach ACPHD, call (Option 2), M-F AM-5PM. After hours and on weekends, ask for the ACPHD Duty Officer on call at . For assistance completing forms or filing a petition, please visit the Alameda County Superior Court Self-Help Center. If you have questions and would like additional information, you may contact the Medical Records Department at 5104374466. Parents must fill out the cards completely, including all pertinent health information and physician and dentist phone numbers to call in an emergency. Print and complete the Alameda County Behavioral Health Authorization to Disclosure Individually Identifiable Health Information form: English (PDF).