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ABILITY-TO-PAY
(ATP) PLAN
What
services are offered?
Medical
care for Los Angeles County residents including prenatal, maternity,
prescribed medicines, and hospitalization Services are offered at any County
Hospital or Clinic.
Who
can be covered?
Los Angeles County residents not eligible to full-coverage Medi-Cal may qualify for ATP. Persons receiving restricted Medi-Cal may qualify for ATP for non-emergency and non-pregnancy related services. Persons who are linked and potentially eligible for Medi-Cal must apply for and cooperate with the Medi-Cal application process before they can be considered for ATP.
Is
there an income limit?
General
Relief recipients receive care at no cost.
CLINIC
CARE: Other persons
may receive clinic care at no cost if, after deductions, the monthly
income plus other resources in the family are LESS THAN the Clinic
income limits listed below:
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MONTHLY
INCOME
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FAMILY
SIZE
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MONTHLY
INCOME LIMIT
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1
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$
901
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2
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$1,001
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3
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$1,201
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4
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$1,401
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5
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$1,601
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6
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$1,701
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HOSPITALIZATION
CARE:
Hospitalization care is available at no cost if, after deductions,
a person's monthly income plus other resources for the family are LESS
THAN the Hospitalization income limits listed below:
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MONTHLY
INCOME
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FAMILY
SIZE
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MONTHLY
INCOME LIMIT
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1
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$
616
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2
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$
766
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3
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$
951
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4
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$1,116
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5
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$1,276
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6
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$1,431
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Is
there a property limit?
No,
but 1/12 of the value of countable property, such as checking/savings
accounts, stocks and bonds, and other real property, is ADDED to
countable monthly income. If the combined income/property is over the
above income limits for either Clinic or Hospitalization Care, the
ATP worker will figure the ATP obligation amount.
Can
an individual receive services if he/she has other health insurance?
Yes.
ATP will cover your “deductible” for private insurance,
but doesn’t cover inpatient Medicare or Medi-Cal deductibles
Is
citizenship or legal residency required?
No, but must be a Los Angeles County resident and provide acceptable proof of address.
How
to file an application?
Apply at the Los Angeles County DHS Health facilities when requesting
services. To locate the nearest Los Angeles County DHS health facility, Click
Here.
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