Transcript presentation - American College Health Association

Tips for Caring for the Uninsured:
A Guide Based on One State’s Possibilities
American College Health Association
Annual Meeting
June 3, 2010
Bev McCoy, FNP
Clinician/Clinic Manager
Arizona State University
Polytechnic Student Health Center
Objectives for today’s session:
The attendee will be able to:
1.
Describe briefly some of the
statistics about the uninsured
college population.
2. Identify how and where to look for
health care for the uninsured.
3. Identify examples of and sources
for care for the uninsured.
Background


13.7 million uninsured in the 19 to
29 age group (2008 estimate),
comprise about 30% of uninsured
under 65 years old (per Commonwealth
Fund, since 2003, it’s worse every
year)
Many skip care (76% of uninsured,
2009) or accumulate debt due to
care. Many often quit school.
(in US News & World Report, Health website, posted
5/21/10)
Uninsured Rates Among Nonelderly
by State, 2007-2008
NH
VT
WA
MT
MN
OR
WY
NV
CA
AZ
MI
PA
IA
NE
IL
CO
KS
NM
TX
OH
TN
RI
VA
MD
NC
DC
SC
AR
AL
NJ
CT
DE
WV
KY
MS
AK
IN
MO
OK
MA
NY
WI
SD
ID
UT
ME
ND
GA
LA
FL
HI
National Average = 17%
<14% Uninsured (18 states & DC)
14 to 18% Uninsured (18 states)
>18% Uninsured (14 states)
SOURCE: Kaiser Commission on Medicaid and the Uninsured/Urban Institute analysis of 2008 and 2009 ASEC
Supplements to the CPS., two-year pooled data.
Adults’ Health Insurance Coverage by Family
Poverty Level, 2008
Private
Medicaid/Public
Uninsured
4%
300% +
89%
200-299%
71%
100-199%
Under 100%
7%
44%
22%
8%
19%
33%
21%
36%
45%
NOTES: The Federal Poverty Level for a family of four in 2008 was $22,025. Family size and
total family income are grouped by insurance eligibility. Adults includes all individuals aged 19-64. Data
may not total 100% due to rounding.
SOURCE: Kaiser Commission on Medicaid and the Uninsured/Urban Institute analysis of 2009 ASEC
Supplement to the CPS.
Number
94.1 M
28.7 M
30.4 M
30.9 M
Barriers to Health Care Among Nonelderly Adults, by
Insurance Status, 2008
Percent of adults (age 18 – 64) reporting:
52%
No Usual Source
of Care
No Preventive
Care
Went Without
Needed Care Due
to Cost*
Could Not Afford
Prescription
Drug*
* In past 12 months.
10%
10%
42%
6%
6%
24%
11%
Uninsured
Medicaid/Other Public
4%
Employer/Other Private
27%
13%
5%
Respondents who said usual source of care was the emergency room were included among those not having a usual
source of care.
SOURCE: KCMU analysis of 2008 NHIS data.
Adults’ Health Insurance Coverage by Family
Poverty Level, 2008
Private
Medicaid/Public
Uninsured
4%
300% +
89%
200-299%
71%
100-199%
Under 100%
7%
44%
22%
8%
19%
33%
21%
36%
45%
NOTES: The Federal Poverty Level for a family of four in 2008 was $22,025. Family size and total
family income are grouped by insurance eligibility. Adults includes all individuals aged 19-64. Data may
not total 100% due to rounding.
SOURCE: Kaiser Commission on Medicaid and the Uninsured/Urban Institute analysis of 2009 ASEC
Supplement to the CPS.
Number
94.1 M
28.7 M
30.4 M
30.9 M
Health Insurance Coverage of the Nonelderly and Low Income
Population, 2007
All Nonelderly
261.4 Million
Low Income Nonelderly
91.0 Million
Uninsured
17%
Medicaid/
Other Public
16%
Private Nongroup
6%
Uninsured
32%
Employersponsored
Insurance
61%
(~159
million)
Employersponsored
Insurance
26%
(~24
million)
Private Nongroup
6%
Medicaid/
Other Public
36%
Note: Low-income includes those with family incomes less than 200% of the federal poverty level. ($42,400 per year for family of four
in 2008); Medicaid/Other Public includes Medicaid, SCHIP, other state programs, Medicare and military-related coverage.
Source: Kaiser Commission on Medicaid and the Uninsured/Urban Institute analysis of 2008 ASEC Supplement to the CPS.
Insurance and College Students



1.7 million uninsured,
approximately 20% of college students
Characteristics of group similar to
uninsured generally
$120-255 million in uncompensated
care (2005)
This and next 2 slides from Elizabeth Redden’s article in Inside Higher
Education, March 31, 2008, based on 2008 GAO report on health
insurance at colleges
College Student Coverage (cont.)



67% through employee-sponsored
plans (usually parent’s)
7% other private plans (including
student health insurance)
6% public programs
Colleges Offering Health Plans



57% offer insurance to students
82% of four-year public
71% of four-year private, nonprofit
29% of 2-yr public
Annual premiums range $30 to $2400
Often there are limits such as
$2500/incident or $1 million life-time
maximum, no drug coverage, services
may not be included.
ACHA 2007: Colleges Requiring
Health Insurance Coverage


1/3 of public and nearly 80% of
private colleges require insurance
for full-time students
With the trend toward fee-forservice funding, many more are
considering offering health
insurance to students.
ACHA 2007: Underinsured

94% Public and 75% private
schools are concerned about
underinsured students:
>$1000 deductible
Inadequate prescription or mental
health coverage, no catastrophic
coverage and other concerns
These 2 slides from ACHA Presentation at 2007 Annual meeting in San
Antonio, TX “The State of Student Health Insurance: Implications for
ACHA Standards by Donna Mills, MPH, Marquette University, 6/1/07
STORIES




Lexapro 10 mg for pt with
depression—$98.37 (from Costco)
Zofran 8 tabs from the ED-- $54!
Advair 250/50 for asthmatic who
needs it: $216.86 (from Costco)
Your stories???
Cover the Uninsured.com
Arizona Statistics (per their site)




81.9 % of population w/ health
insurance
55.0 % of employers offering
health insurance to employees
87.0 % of population that could
get medical care when needed
15.2 Patients served by FQHCs
as a % of population under
200% FPL
To find health coverage in your state


On the map, select your state
Get:


State Profile
Guide to Finding Health Insurance
Coverage __________ (your state)
Guide to Finding Coverage in AZ
Step 1 COBRA
Have you recently lost your job,
had health insurance at your job and
your employer had at least 20 employees:
COBRA
fewer than 20 employees: may get COBRA
Must pay total premium.
Guide to Finding Coverage in AZ
Step 2 COBRA
Have you recently had a change in
family status (graduated, divorced,
legally separated, widowed):
--at least 20 employees—COBRA
--fewer than 20 employees—may
have a right to COBRA

www.dol.gov/ebsa/faqs/faq_consumer_cobr
a.html or toll-free 1.866.275.7922
Guide to Finding Coverage in AZ
Step 3 HCTC
Have you recently lost your job
because of trade policy (job moved
oversees, increased imports):
Health Coverage Tax Credit (HCTC)
may pay up to 65% of premium for 1 yr
Customer Contact Center by calling
Toll free 1.866.628.HCTC or at
www.irs.gov/individuals/index.html.
Guide to Finding Coverage in AZ
Step 4 HCTC
If you are an early retiree and lost
your insurance….
o
55+ years old
o
Lost pension that was paid by
Pension Benefits Guarantee Corp:
Health Coverage Tax Credit (HCTC)
may pay up to 65% of premium for 1 yr
(see contact info above)
Guide to Finding Coverage in Az
STEP 5 AHCCCS/Medicaid
If you cannot afford health
insurance…
You may qualify for AHCCCS
(Arizona’s Medicaid Program)
http://www.ahcccs.state.az.us/ and
http://www.ahcccs.state.az.us/Publi
cations/Reference/IncomeLimits/Eli
gibilityRequirements.pdf
Guide to Finding Coverage in Az

How poor do you
have to be for
AHCCCS?
*If working FT
cannot earn more
than $5.20/hr or if
½ time $10.40/hr
(100% of Federal Poverty
Level $10,830)
1 person
$10,836*
2 people $14,580
3 people $18,312
4 people $22,056
Guide to Finding Coverage in Az

Be sure to ask about other available
programs when you contact AHCCCS.
More Help Finding Your Way
You may want help finding out what
programs exist, if you qualify and how to
work through the system:
Community Legal Services at 800 852 9075.

Guide to Finding Coverage in Az
KidsCare (Az CHIP)
Covers children up to
19th birthday
(freshmen?)
Must have been w/o
insurance coverage for
last 3 months
Monthly premium based
on income: $10-$35
Size
Annual
Income
1
$21,660*
2
$29,148
3
$36,624
4
$44,110
*200% of FPL
http://www.kidscare.state.az.us/English/Default.aspApplicatio
[email protected]?subject=KidscareApplication
Guide to Finding Coverage in Az

Serious medical condition or
disability: perhaps Medicare
Arizona Center for Disability Law at
520.327.9547 or 800.922.1447
or visit www.acdl.com.
Guide to Finding Coverage in Az

Blind or disabled & have
low income or
spend most of income on medical
care: Medicaid/AHCCCS
NOTE:
Often denied & need to appeal.
For Help:
Medicare in AZ 1.800.432.4040
Community Legal Services to find the
nearest office 1.800.852.9075
Guide to Finding Coverage in Az



STEP 6 Private Insurance
Many private companies offer
individual and family coverage
Brand name companies and
unknowns, which can be found by
going to an independent health
insurance agent
Comparison shop CAREFULLY!
Private Health Insurance Example
20 yr old woman in Maricopa County
Deductible
$10,000
7,500
5,000
2,500
1,000
none
Monthly Premium
$29.66-90.60
$33.47-$86
$56.56-$135
$44.89-$162.93
$97.98-$408
only 1: $136
*from ehealthinsurance.com: all have various co-pays,
co-insurance amounts, deductibles and types of
coverage (HMO, PPO)
Private Health Insurance Example
20 yr old man in Maricopa County
Deductible
$10,000
7,500
5,000
2,500
1,000
none
Monthly Premium
$28.39-$70.86
$32.20-$65
$46-$92.35
$43.62-$152.95
$85.28-$165.37
$112.80-$297
*from ehealthinsurance.com: all have various co-pays,
co-insurance amounts, deductibles and types of
coverage (HMO, PPO)
Guide to Finding Coverage in Az
STEP 8 FQHC/CHC
If you still can’t find coverage…
Federally-funded Community Health Centers
17 Az Health centers provide health care
regardless of ability to pay and even if
there is health insurance coverage.
Find the health center closest to you @
http//:ask.hrsa.gov/pc .
Arizona Community Health Centers
Adelante Healthcare*
Mariposa CHC
Canyonlands Community
Healthcare
Mt. Park Health Ctr.*
Chiricahua Community Health
Centers
Native Health*
CHCs Yavapai
North County Health Ctr.
Copper Queen Medical Associates Sun Life Family Health
Desert Senita CHC
Sunset Family Health
El Rio Health Center
United Community Health
Center
Marana Health Center
Wesley Community*
Maricopa Integrated Health
Systems*
*5 in ASU campus areas
ASU Health Center Plans
ASU Bridge Service Plan

For $129 per semester
fall coverage 8/16/10-1/15/11
spring 1/16/11-8/15/11
Discount on services only at
ASU health centers:
$10 Office visit
$20 lab/x-ray
(at Tempe)
Specialists at ASU-Tempe (derm,
GYN, ENT & Ortho) $30
Bridge Service Plan (cont.)
Plan can be used:
o alone for uninsured or
o If private insurance (personal, parent’s
employer’s) won’t cover services at oncampus health center
o Greatly reduces price of care for students
with high deductibles on their policies.
When they enroll in the program, they can
predict how much they will pay for
services (membership + copay fees).
Student Health Insurance Plan
Arizona Board of Regents offers a policy to
all University Students (ASU, NAU, U of A)
2009-2010 premium $1523
Fall $588 Aug. 16-Jan.3
Spring $935 Jan. 4-Aug. 15
$250 deductible annually
HMO Services at ASU
$10 office visit
No pharmacy coverage
Referrals usu. required
$10 lab copay
$10 x-ray at ASU-Tempe
State Programs
Check:
o
State’s Department of Health
Services
o
Association of Community Health
Centers
o
Center for Medicare and Medicaid
@ www.cms.gov
o
Bureau of Primary Care @
www.bphc.hrsa.gov
AdultBasic Program-Pennsylvania
Family
Size
1
Age 1965
$21,660*
2
$29,140*
$36/mo. per family member
3
$36,620*
*Income levels after earned income
4
$44,100*

Adult without
children:
AdultBasic program
Qualified adults pay
and dependent care deductions
(See plan website for more details) **18 yr olds may qualify for CHIP
Veterans
Veterans’ Assistance
Iraq & Afghanistan Veterans entering
college under the GI Bill



Health care & drug coverage through a VA
medical facility.
Student may be eligible for assistance if
he/she served on active duty and have an
honorable or general discharge.
VA Health Benefits Service Center toll-free at
1.877.222.VETS or visit www.va.gov/health.
County Health Departments
Counties in Arizona (except Gila
County) offer clinics for low-income
residents.
Guide to Finding Coverage in AZ
Sliding Clinics Fee
include primary care
services, pediatrics,
women’s
health, dental services,
behavioral health and
sometimes specialty
services.

http://www.azdhs.gov/hsd/sfsclinics.htm
Guide to Finding Coverage in AZ
Sliding Fee Scale Clinics
A sliding fee schedule (SFS) is used by
providers offering discounted fees for
services to persons without health
insurance. The SFS determines, based on
gross family income, the percentage or
portion of billed charges that the
uninsured client will be responsible to pay
Phone: (602) 542-1219
AzDHS, Bureau of Health Systems
Development
U.S. Sliding Fee Clinic Map @
www.needymeds.com
The 11,071 clinics in this database are free
or low cost with a sliding scale based on
income.
Find clinics two ways:

Enter the ZIP code to find clinics in your
area or click on your state on the map
AZ-161 clinics on list
OR
Menu on Left: Additional Programs—then
Free/low cost clinics
Links on www.needymeds.com
Additional Programs
Disease-Based
Assistance
Government Programs
Free/Low Cost Clinics
Medicare Information
Discount Drug Cards
Medicaid Sites
State-Sponsored
Programs
SHIP Sites
Federal Poverty Guidelines (has income calculator)
Federal Poverty Levels 2010
Family
Size
48 contiguous
states
Alaska
Hawaii
1
$10,830
$13,530
$12,460
($5.20/hr if FT;
($6.50/FT;
$10.40/hr if ½ time) $13 ½ time)
($5.99/FT;
$11.98 ½
time)
So if 20hr/week can’t earn > $10.40/hr—AZ or PA
2
$14,570
$18,210
(total income not >$7 ($8.75/hr if
per hr if FT)
FT)
$16,760
($8.05/hr if
FT)
Tips for Caring For the Uninsured
Other Sources of Care
Indian Health Services
Services comprehensive
range from primary care
(inpatient & outpatient)
to tertiary care & specialty
In addition:
-dental services;
-behavioral health;
-public health nursing;
-health education; and
-environmental health services
From www.ihs.gov


o
o
o
Eligibility?
Member of a tribe (enrolled or not)or pregnant
with an eligible member or in case of public health
concern
Live on a reservation or in a clinic service area
Where?
IHS or contracted health service
Few services in urban areas—
Phoenix: Native American Community Health
Center.
Check Urban Indian Health Program directory on
web site.
Private Entities

Mission of Mercy (Maricopa Co.)
Mobile clinic, primary care, 3 locations:
Maryvale Church of the Nazarene
Christ the King Catholic Church Community
Center
Shepherd of the Valley Lutheran Church
More Private Entities

St. Vincent de Paul in Phoenix

John C. Lincoln Medical Center in Phoenix

Neighborhood Christian Clinic in Phoenix

Scottsdale Memorial Medical Center in
Scottsdale
Low-Cost Health Plans
The Mercy Healthcare Center
Phone number: 602-406-3540
Mission: To provide healthcare to all members
of the community through the hospital's
Medical Education Program.
Description of services: accepts most major
insurance plans & also serves qualified lowincome and uninsured patients for full internal
medicine primary care and a variety of
specialty clinics that include a breast and
geriatric medicine, podiatry and dermatology to
patients 16 years and older.
Another Low-Cost Healthcare Plan
FAMILY HEALTH PLAN/SLIDING FEE PROGRAMS of
Canyonlands Community Health Center
Family Health Plan: for people who lack adequate insurance and
have limited income, for access to all the quality health care at
Canyonlands Urgent Care& Lake Powell Medical Center. Charge
based on individual finances from $15.00 to 75% of the charges.
No charge for membership. If you have insurance, it may serve
as a secondary payer on the balance due.
Requirement: 1)application and 2) Proof of Income (most recent
tax return, check stubs, Affirmation of Income, etc.)
www.canyonlandschc.org
Patients are qualified at different levels, depending on income.
B 0-$15 minum C 25% or minimum D 50% or minimum
E 75% or minimum F Full Payment
For the self-employed/small businesses
HEALTHCARE GROUP OF ARIZONA
602.417.6755 or 1.800.247.2289
Eligibility*:
-50 or fewer employees;
-no group health insurance for the past 180 days
-Active business in Arizona for at least 60 days.
*N/A ifpolitical subdivision (e.g., a city, town, county)
HCG provides multiple products at reasonable prices:
 HMO (Varying levels of coverage, deductibles and copayments)
 PPO with expanded pharmacy coverage
 Dental coverage
 Vision coverage
Discount Cards
Discount Cards for Health Services—
many!
Healthcare Connect—Phoenix
a medical discount program
Health Care Network at affordable:
No monthly premiums.
$50 a yr/ individuals; $100 per family/yr
Very low fees are due to the health care provider at each visit
Enrollment fees are non-refundable.
Connect is easy to use:
You pay only for services used. Eligibility is not denied because of existing
medical conditions
Services include:
Primary Care Visits Specialty Physician Visits Hospital Services Laboratory &
Radiology Services Prescription Drug Discounts Dental Services Discounts
Vision Services Discounts Behavioral Health Services Discount
You can join HealthCare Connect if:
You do not qualify for any other programs, live in Maricopa County, meet income
requirements.
http://www.healthcareconnect.org/documents/Application%20for%20HealthCare%20Connect.pdf
Health Services Discount Card
For uninsured employers/employees
ANNUAL FEE:$60 PER FAMILY
ALMA Healthcare DISCOUNT Card provides access to:
ALMA Referral Directory –
Discounts of 25% or more primary and specialty care
Dental and vision care savings
Up to 70% discount* on radiology services,
Up to 40% on laboratory services
Prescription drug savings
Discounted health screens
Urgent Care savings
Hospital care / prosthetics & orthotics savings
Apply on-line: http://www.latinohealthonline.com/alma/cardapp.html
Apply by mail: http://www.latinohealthonline.com/alma/cardmail.html
Search for the wide network of participating services on-line.
A Discount Program in Pima County
Pima Community Access Program, (PCAP),
not-for-profit agency
--access
to network of professional health care
(doctor except OB, hospitalization, lab & radiology,
specialty care, pharmacy discount, transportation
discount)
--aimed at uninsured (not eligible for any other
insured programs ) in Pima County
--low membership fee of $40/yr (no monthly fee)
Eligibility Hourly Income
>100% to 250% Federal Poverty Level (>10,830$27,075)
http://www.benefitscheckup.org/
Apply for Medicare Rx Extra Help... 1
If you are one of millions of people with Medicare who
have limited income and resources, apply now for Extra
Help through Medicare’s Prescription Drug Coverage.
Find More Benefits Programs... 2
Find and enroll in federal, state, local and private
programs that help pay for prescription drugs, utility
bills, meals, health care and other needs.
Apply for Benefits... 3
Get applications and fact sheets for over 250 programs
that will help pay for prescription drugs, and health care
costs.
BenefitsCheckUp quickly finds federal, state and
private benefit programs available to help Seniors
save money on prescription drugs, health care,
utilities, taxes, and more.
Banner Health Financial Assistance
Banner Health Patient Financial Services (PFS) Once a
patient indicates an inability to meet their financial
obligation, a financial evaluation is conducted
 Basic Financial Assistance Program
Uninsured patients, annual household income of
$125,000 or less. This income level is verified by a
certification signed by the patient. Patients can qualify
for this plan without having to apply for Medicaid
assistance.
The costs for services are comparable to what many
insurance companies charge.
o Enhanced Assistance Program
serves uninsured individuals with a household income at
or below 500% of the Federal Poverty Line. The patient
may qualify for substantial discounts or even free care.
(Must be denied from Medicaid)
Other hospitals have similar programs
(Catholic Healthcare West,
John C.Lincoln, etc.).
www.211.org

ALL states, DC and PR
except AZ, PA and WY
Services to search on site: health care
and childcare, job training, education and
recreation, retirement, disability and
social service information. This Directory
contains information on nonprofit and
public health and human service
programs and some for-profit programs,
such as housing.
Arizona 211 Line continued
Arizona’s 211 system was shut down in
an effort to balance the 2009 state
budget.
Walk-In Clinics
For episodic care, the nurse practitioner
walk-in clinics, like Minute Clinic, STAT
Clinic, CIGNA CareToday, etc., are an
inexpensive alternative.
They usually have a very LIMITED scope.
Check on-line to get more info.
Prices are around $35-65 per visit + cost of
labs.
Women’s Health & Family Planning
Title X Family Planning Clinics

Title X is the only federal grant program
dedicated solely to providing individuals
with comprehensive family planning and
related preventive health services.
approximately 75% of U.S. counties,
there is at least one clinic that receives
Title X funds, designed to provide access
to contraceptive services, supplies and
information to all who want and need
them.
http://www.azfpc.org/
Services are available to both teens and adults. Minors are
encouraged, but not required, to involve a parent or legal
guardian in their reproductive health decisions.
A wide range of family planning services* are available,
including: Physical Exams
 Birth Control
 Counseling and Education
 Pregnancy Testing
 Emergency Contraception
 STD Testing and Treatment
 HIV Testing and Counseling
 Infertility Screening
 Sterilization - Tubal Ligation and Vasectomy
 *Abortion is not considered a family planning service and is
not provided.
Az Family Planning Council (cont.)
***Income qualifications apply.
Approved contraceptive methods.
Please contact a clinic to see if they offer the
method you are looking for:
Condom - Male & Female Birth Control Pills
Depo Provera Shot IUD NuvaRing®
Natural Family Planning
Sterilization - Male & Female
Diaphragm
Spermicide
Sponge
All Title X funded clinics offer Emergency
Contraception (the morning after pill).
Call the office in your county.
Types of Services that are
delegated agencies:




County health departments
Wesley Health Care Center
NP Healthcare- Grace, ASU-DTP
College of Nursing and Health
Innovation
Planned Parenthood of Central &
Northern Az
Title V The Commonwealth Fund
Type of projects

Mission: to promote a high
performing health care system that
achieves better access, improved
quality, and greater efficiency,
particularly for society's most
vulnerable, including people with
low-incomes, the uninsured, minority
Americans, young children, people
with disablities, and the elderly.
Maternal Child Health Services
Block Grants

Find programs in your state:
www.commonwealthfund.org
Low-Cost Women’s &
Family Planning Services
Arizona
Kirsten Grina, Program Manager
Family Planning Program, 150 North 18th Avenue, Suite
320, Phoenix, Arizona 85007
Phone: (602) 542-0360 Fax:
(602) 364-1496
Email: [email protected]
The Reproductive Health/Family Planning
Project is supported entirely by federal funds from Title
V, the Maternal and Child Health Services Block Grant and
are available at the following county health departments:
Apache
La Paz
Cochise
Coconino
Maricopa Mohave
Graham
Navajo
Greenlee
Yavapai
Yuma
Services provided by Az Family Planning Council
Well Woman Health Check
(Inc. Mammography)
***Partnership with AzDHS + CDC***
Office of Chronic Disease Prevention and Nutrition Services
Well Woman HealthCheck Program is a state-wide program that
provides free cancer screening to women that
qualify. Women on the program may receive: Clinical Breast
Exam
Pap Test Mammogram Pelvic Exam
To qualify, call 1-888-257-8502.
To qualify for the Well Woman HealthCheck Program,
you must:
 be a woman,
 for breast cancer screening (mammogram, etc.), be at
least 40 years old (any age if you have symptoms, such as
pain, a lump, nipple discharge, an inverted nipple, etc.),
 for cervical cancer screening (Pap tests, etc.), be at least
18 years old,
 Un- or underinsured**,
 and not exceed 250% of FPL
Well Woman HealthCheck Program, 150 N. 18th Avenue
Suite 310, Phoenix, AZ 85007
1-888-257-8502
(602) 542-7520 Fax
Some Locations of Well Woman Health
Check in AZ
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Marcopa County
Greenlee County
Mujer Saludable
Apache County
Coconino: North Country Healthcare
Pinal County
Pima County
Navajo County
Chiricahua Community Health Center
**www.wellwomanhealthcheck.org**
1-888-257-8502
Specialty Care
Many Places to Look
Specialty Services-Counties/State
Cardiac
Orthopedics
Diabetes
Newborn follow ups
HIV Services
HIV/STD Clilnics
TB Clinics
Pregnancy Testing
Radiation Screening-Coconino County
Refugee Health Infectious Diseases
Well Child Clinic-Gila County
Maternal Child Services:
*Preconception Health Information
*Prenatal Education
*Development assessment to promote early or behavioral
health needs.
*Child Car Seat Checks
*Newborn information on brain development, physical
development, nutrition and safety.
*Breastfeeding information.
Specialty Services-Private
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Maricopa County: Mission of Mercy
Services Available
Head, Eye, Ears, Nose and Throat/////Neck
Musculoskeletal/////Cardiovascular
Respiratory/////Gastrointestinal
Genitourinary/////Skin Conditions
Glandular//////Psychiatric
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Children’s Rehabililtation Services
3 sites in AZ: St. Joe’s, Flagstaff & Yuma
For “covered” congenital disorders
Private Resources
Hearing & Vision
Lion’s Clubs For Information Contact:
The Lions Sight & Hearing Foundation of
Arizona
3427 N. 32nd Street
Phoenix, AZ 85018
Phone 602-954-1723 or 800-486-0518
E-mail [email protected]
Wed site: www.ls-hf.org
State Resources-see Az DES website
Maternity Services
Maternity Services
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CPLC (Chicanos Por La Causa)Women's Care
Center partnership with Phoenix Baptist Hospital
(PBH) developed a cash-pay clinic that provides prenatal care to South Phoenix women.
FAP y Su Clinica Maryvale Hospital4550 North 51st
Avenue #51Phoenix, AZ 85031 623-849-1944
NACA Family Health Center 1500 E. Cedar Ave.,
Suite 26 Flagstaff, AZ 86004
(between Safeway and Brandy's)
Phone (928) 773-1245 Fax (928) 773-9429
North Country Community Health Center offers
integrated prenatal and pediatric care for women
and children.
Oral Health
Community Health Centers
Sliding Fee Scale Clinics
Some private dentists /
dental discount programs
Community Colleges that offer dental hygiene
and dental assistant programs
Your dentist?
Behavioral Health Services
Government & Private Sources
Behavioral Health
Regional Behavioral Health Authorities
(RBHAs),
o to administer behavioral health services
throughout the State.
o
health maintenance organization
o
prevention programs for adults and children
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a full continuum of services for adults with
substance abuse and
general mental health disorders,
adults with serious mental illness, and
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children with serious emotional disturbance.
Tribal RHBAs
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Gila River Indian Community, Navajo
Nation, Pascua Yaqui Tribe and the White
Mountain Apache Tribe of Arizona each
have an IGA for both Title XIX (Medicaid)
and State Subvention Services.
Colorado River Indian Tribe has an IGA
for State Subvention Services.
Services to other Native American Indian
Tribes are provided and covered by the
local RBHA in which the tribal reservation
resides.
Agencies serving RBHAs
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Magellan serves Maricopa County.
Community Partnership of Southern
Arizona (CPSA) serves Pima, Graham,
Greenlee, Santa Cruz & Cochise Counties.
Northern Arizona Behavioral Health
Authority (NARBHA) serves Mohave,
Coconino, Apache, Navajo, and Yavapai
Counties.
Cenpatico Behavioral Health of Arizona
serves Pinal, Gila, Yuma and La Paz
Counties.
Search Site
National Mental Health Information
Center.
mentalhealth.samhsa.gov/databases
Other Behavioral Health Services
Head Start screens children and provides services as needed
North Country CHC has several behavioral health counselors
on our medical team.
Chicanos Por La Causa: VIA De Amistad, Centro De La
Familia, Corazon
Good Fit Counseling Center-Children birth-5 & families;
Sliding fee scale, AHCCCS, KidsCare
Jewish Family & Children’s Services-low-cost services(602) 256-0528
Pinal-Gila Children’s Services -Jonah Gillooly
[email protected]
Mariposa Community Health Center (Nogales Campus)
1852 N. Mastick Way
Nogales, Arizona 85621
520-281-1550
Community Health Center-Yavapai County,
Prescott Area: (928) 583-1000 Verde Valley: (928) 639-8132
Immunizations
Immunizations
What is the Vaccines for Children Program?
a federal program that provides eligible children
all recommended vaccines at no cost
(may be charged a small processing fee)
doctors and clinics agree to give the vaccines
Eligibility:
 Children from birth through 18 years of age can
receive vaccines through the VFC program if they
are at least one of the following:
 eligible for Medicaid
 without health insurance
 American Indian or Alaska Native
 under-insured
The savings can be well over $400!
VFC For College Students
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HPV is a covered immunization
(also Tdap, Hep A & B, Menactra)
If the first dose is given before 19th
birthday, the series may be
completed.
Very important as each dose costs
$170 or more!
Medication Assistance
Medications
Medication
Zoloft 100 mg
(Sertraline)
Quantity
Walgreen’s
6/1/10
30
$124.9*
tabs
($31.99)
Costco
6/1/10
$108.36
($11.15)
pack
53
tabs
$153.99* $127.92
Singulair 10 mg
30
$137.99* $130.45
Chantix starter
tabs
Proair HFA MDI
8 gm
$44.99* $43.83
Azithromycin 250
mg (generic)
6 tabs $42.99* $8.62*
Medications
$4 prescriptions-WalMart, Target, Kroger
(Fry’s), Sam’s Club, United Drug
(Basha’s), Safeway in our area.
Check your area.
(search $4 prescription medications)
I’ve printed a copy and keep it in a binder in
the office. Each contains >300
medications.
(Each one’s list is about the same.)
Medications
Discount Drug Card
MANY! Just Google.
Arizona CoppeRx Discount Card
http://azgovernor.gov/coppercard/ind
ex.asp $15-55% discount at several
pharmacies
Rx Card
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Member McCoy, Beverly
ID Number 5171107
rxPCN GN
rxBIN 610198
rxGroup GNET11
More Free Drug Cards for Uninsured
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Merck Prescription Discount Card
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Pfizer Pfriends
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Together Rx Access Card
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http://www.needymeds.com/company_list.taf?_f
unction=name&program_id=1107
http://www.needymeds.com/program_list.taf?_f
unction=name&program_id=406
http://www.needymeds.com/program_list.taf?_f
unction=name&program_id=1127
3-tiered pricing, depending on medication
Drug Cards with Premium paid to
Needymeds.com
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Pharmacy Reward
Benefits: You pay the pharmacy's lowest price
Eligibility: Everyone
Cost: Free
Contact:
www.pharmacyreward.com/needymeds/index.cfm
Rx Help for You
Benefits: 10% to 65%
Eligibility: Everyone
Cost: Free
Contact: www.Rx HelpforYou.com
Some Pharmacies offer discounts to their customers:
WalMart, Sams Club, Costco, Walgreen’s
Patient Assistance Programs
for free or reduced drug costs
www.needymeds.com
Finding a medication
Brand Name List or Generic Name List
 This list has all the drugs and dosages that
are available sorted alphabetically by
name.
 Some drugs are listed more than once
because they are available through more
than one program. If your medicine is not
listed, it's not currently.
 3788 medications as of 7/26/07.
 Drugs are added and deleted often, so
check back regularly.
www.needymeds.com
Click on the first letter of the medication:
ABCDEFGHIJKLMNOPQRSTUVWXYZ
Chose the name from the list.
A program description comes up.
(Generally, the patient must be a
legal resident or citizen.)
Click on the link to “download the application”
www.needymeds.com
Completing the forms:
Read CAREFULLY!
Complete ALL fields
Advise patient of requirements -have
them READ CAREFULLY
Some you can apply on-line
www.needymeds.com
Bridges to Access Glaxo Smith Kline
Become an Advocate by calling
Order application forms—that contain a
coupon for a 2-week supply, available as
soon as patient enrolled by phone
Renewal
Most are for 3 months with renewal each
year.
Most you simply call to get the renewal or a
renewal form is sent with the last 3monthshipment
Assistance with PAP Paperwork
These services charge the patient a fee for
completing the paperwork. There are MANY!
Advised patient to call for pricing.
(Some charge up to $100 enrollment.)
Select Care Benefits Network: $100 application
fee then $15/medication per month
“America's Leading Patient Advocacy
Organization” (2007)
The Partnership for Prescription Assistance
to help qualifying patients without prescription
drug coverage get free or low-cost medicines
through the public or private program that's right
for them. (2010)
PAP Rx Tracker (on needymeds)
Data needs to be entered only once
 Reminders keep users up-to-date
 Up to four staff members can use the program
 Web-based program and password protected
 Pricing no longer on website.
(2007: $1-150 $2 ea, 151-299 no additional
charge, 300+ $1 each)
 One Month No Risk Trial
Risk-free for an unlimited number of participants
for one month.
Contact us for more detailed information:
 email: [email protected]
phone: 215-965-8291
o
Health Care Reform and
College Health
Health Care Reform
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Starting in September dependents can
remain on parents’ insurance to the age
of 26 (even if not dependants or are
married)—group and nongroup plans in
place 3/23/10
Predicted to increase premiums 1% if the
average $3300 annual premium is spread
across all family policies
Not fully enacted until 2014
(US News & World Reports: Health website, posted
5/21/10)
Health Care Reform &
Student Health Plans
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Per ACHA website, unclear exactly
how these will fit in but no wording
against them.
Clarity anticipated before 2014
ACHA’s goal is continuation of
comprehensive student health
insurance plans.
Sources for more Info on
Health Care Reform
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IRS Guidance on Employer-Provided
Health Coverage Now Available for
Children under Age 27
Kaiser Family Foundation Health Reform
website
Kaiser Family Foundation, EXPLAINING
HEALTH CARE REFORM BRIEF: Questions
About the Extension of Dependent
Coverage to Age 26, April 2010
Office of Consumer Information and
Insurance Oversight (US Department of
Health & Human Services)
Conclusion
I hope you all now:
Learned some college health statistics
about the uninsured.
Could identify ways and sources to
locate care for your uninsured
students.
Can give some examples of sources
that can assist uninsured students.
Contact Information
Bev McCoy, FNP
Student Health Center
Arizona State University-Polytechnic
7153 East Thistle Avenue
Mesa, AZ 85212
480 727 1500 M-F
[email protected]