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Form 8965 for Santa Clara California: What You Should Know

In addition, individuals eligible to enroll in a qualified health plan offered through a CA State Public Health Program may receive 1. 3. An average of 7.8 medical care providers in this program.  (California Dept. of Public Health 2016) Part II — Coverage & Services (Health Coverage) Medical — Covered California Medical care is a large program available to people in California. The California Covered California Program provides: 1. Medical care to patients (including physicians, hospitals, and pharmacies) and people enrolled in an eligible private health plan provided that: a. An individual enrolls in a qualified health plan offered through a CA State Health Program; And b. The individual does not receive coverage from any federal health care program such as Medicare or Medicaid. 2. General Medical Services (HMO) Medical care is a large program available to patients in CA. The California Covered California Program provides: 1. The following medical and related services: a. Prescription Drugs (prescription drug plans are excluded) b. Hospital Care Medical & Treatment (not include outpatient hospital care) c. Physicians' Services d. Pharmacy Services (excluding drugstores and EMTs) Note that EMTs are not considered physicians for the purposes of the program. The following are only a few of the benefits available through the program. a. Hospital Care (including outpatient care only) b. Emergency Room Services (if at a hospital) 2. Medical Devices — Life Saver Devices (like G-Cells) & Other Emergency Equipment c. Lab Services d. Dental Health services 3. Prescription Medication and Other Supplies- Supplements, Tests, Devices and Materials (for eligible Medicare Part D benefits): a. Prescription Drugs b. Dental Medications c. Medications (for use in emergencies) d. Supplements e. Other Prescription or Medical Supplies 4. Drugs and Medical Testing- Blood tests, urine tests, X-rays, CAT Scans, and similar services; 5. Physicians' Services Part III — Taxes & Deductions The medical coverage exemption provided by this program is not an eligibility requirement for either CA State Health Programs or the tax breaks available to individuals and families enrolled in the programs from the California Health Benefits Plan. The tax exemption provided by this program is subject to CA State Tax. This program may be subject to federal income tax as well.

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