As a participating provider, you’re eligible to receive powerful reimbursement benefits that can help cover medical costs like premiums, copays, deductibles, and prescriptions. Think of this as your Fund “plus” — the added financial support to lighten your health care expenses.
Here’s what you gain, how it works, and how to keep everything running smoothly.
Applying for Benefits
To apply for Health Care Reimbursement Program Coverage, you must be enrolled in a qualified health insurance plan.
You must show proof that you are enrolled in one of the qualified health insurance plans listed below. If you’re not currently enrolled in one of the plans below, you can enroll in one and then be apply for the Reimbursement Program.
Qualified Health Insurance Plans
| If you are eligible for: | You must enroll in (or already be enrolled in): |
|---|---|
| Medi-Cal | Medi-Cal |
| Covered California | Silver-level HMO plan on Covered California* |
| Medicare or Medicare Advantage | Medicare or Medicare Advantage |
| Both Medicare and Medi-Cal | Both Medicare and Medi-Cal |
| Veterans Administration (VA) health care benefits | VA health care benefits |
| TRICARE | TRICARE |
| Employer-sponsored health insurance plan/COBRA as an eligible employee | Your employer’s plan |
| Employer-sponsored health insurance plan/COBRA as an eligible dependent (the plan from your spouse’s employer) | Your spouse’s employer’s plan OR Silver-level HMO plan on Covered California* |
*If you live in an area that an HMO health plan is not offered/ available, you may enroll in a EPO or PPO silver plan, whichever is lowest cost.
You can cover your family, too!
You can add Health Care Reimbursement Program benefits for your eligible dependents. Read more about the coverage and how to add your dependents.
Contact the Fund Office for help:
If you are not insured under a qualified health insurance plan right now. You can enroll in one in order to become eligible to apply for CCPU Health Care benefits.
If you are not eligible for any of the plans listed above.
