Welcome to the State of California 

Office of AIDS

Health Insurance Premium Payment (OA-HIPP) Program Forms

OA-HIPP is subsidy program that pays monthly health insurance premiums for eligible clients.   For detailed instructions and a breakdown of eligibility requirements and client responsibilities, please visit the OA-HIPP individuals page.

Required forms for all clients

Medical Out-of Pocket Cost Benefit

Additional Resources


Insurance Assistance Program Home

Office of AIDS Home


Last modified on: 4/5/2017 3:47 PM