IHSS Providers who work for consumers in Marin County have access to governmental subsidized medical and dental insurance benefits. In Marin County there are currently approximately 250 benefits slots funded for eligible IHSS Providers. Once a Provider fulfills the eligibility requirements, they must submit an application. Once the application is received and eligibility is verified, the Provider is place on a wait list in the order the applications are received. As insurance benefits allocation spots become available, wait listed applicants are awarded the opportunity to receive health benefits for a small shared cost premium, as long as they have maintained eligibility during their wait list period.
Eligibility Requirements for Provider Health Benefits
For IHSS Providers to be eligible for health insurance benefits certain requirements must be fulfilled.
- A Provider must work a minimum of 85 hours per month
- 85 hours must be maintained for three (3) consecutive months eligible to apply.
- While on the wait list, the Provider must maintain a minimum of 85 hour per month to remain eligible.
- If hours fall below the minimum 85 for two consecutive months, health benefits will be terminated and the provider must reapply once eligibility has been reestablished.
- Provider must track own eligibility and request an application packet once requirements have been met.
Cost
IHSS Providers pay a low monthly premuim for Kaiser medical and Delta dental insurance. Currently, the provider’s shared cost of the premium is $34.03 for Kaiser and $6.00 for Delta. These premiums are taken out of the providers paycheck monthly.
