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Health Insurance Premium Payment (HIPP) Program - On Exchange

Overview

The HIPP Program pays your monthly health insurance premiums up to $1,938 and certain outpatient Medical Out-of-Pocket Costs (MOOPs). 

How to Renew Your Health Plan

You must renew your health plan through Covered California, and then submit the required documentation to your local Medication Assistance Program Enrollment Worker, or directly to the CDPH Medication Assistance Program within two days. The fastest way to renew your health plan is to log in to your Covered California account. 

There are two ways to renew your health plan:

  1. Passive Renewal – You previously gave Covered California consent to access electronic data sources to obtain your application information; therefore, no action is required unless you want to change your health plan. CDPH advises you to contact Covered California during each open enrollment period to confirm that no additional action is needed on your part. 
  2. Active Renewal – You will update your household size and/or income, and if desired, change your health plan. If no action is taken, you will likely be renewed without the State Premium Assistance Subsidy and/or Advanced Premium Tax Credit (APTC), which may affect your HIPP Program eligibility. 

You must renew your health plan using one of the following methods:

  • Log in to your Covered California account,
  • Call Covered California at (800) 300-1506, or
  • Work directly with a Covered California Enroller. 

Choosing a Covered California Health Plan

HIPP Program Renewal

The fastest way to renew your HIPP Program is to work directly with your local Medication Assistance Program Enrollment Worker. Clients who are enrolled in a health plan through Covered California and want to maintain enrollment into the HIPP Program must submit:

  • Medication Assistance Program Client Attestation Form (with all applicable boxes checked) 
  • Health insurance plan billing statement 
  • Covered California Welcome Letter or the Covered California “Current Enrollment” page with the following information – 
    • your name (names of those covered by the plan)
    • premium amount
    • name of the health plan
    • APTC and/or State Premium Assistance Subsidy amount
    • plan effective/start date
    • enrollment confirmation number
    • health plan billing address (if available)
    • If you are enrolling in a dental and/or vision plan, be sure the documents include information for those plans as well. 
  • Medication Assistance Program Fax Coversheet, if faxing

Within two days of renewing your health plan through Covered California, you must submit your health plan documents to your local Medication Assistance Program Enrollment Worker, or directly to the CDPH Medication Assistance Program.  

Please note: Clients who enroll in a health plan through Covered California must submit documents to the CDPH Medication Assistance Program by November 30, 2020 for a January 1, 2021 start date. If you submit documents to CDPH after this date, it is recommended you make the initial premium payment to secure your health insurance. Otherwise, you may not receive a January 1, 2021 effective date.

How to Submit Documents

Work with your local Medication Assistance Program Enrollment Worker to submit documents electronically (THIS IS THE FASTEST AND PREFERRED METHOD), or  

Email, fax, or mail the documents to CDPH: 

  • Email:           CDPH MedAssistFax@cdph.ca.gov
  • Fax:               (844) 421-8008
  • Mail:              CDPH – Insurance Assistance           

                                   P.O. Box 997426, MS 7704

                                   Sacramento, CA 95899

Open Enrollment Dates for Covered California

Open enrollment for Covered California is November 1, 2020 through January 31, 2021. 

Tax Credit/Premium Subsidy

You may qualify for an APTC and/or the State Premium Assistance Subsidy Program to help pay for your insurance premium. 

If you qualify for APTC or State Premium Assistance Subsidy Program, you must accept the full amount to qualify for the HIPP Program.

Tax Penalty

Having health coverage is the law. If you don’t have it, you may have to pay a penalty to the California Franchise Tax Board. The penalty for not having coverage the entire year will be at least $750 per adult, and $375 per dependent child under 18 in the household, when you file your 2020 state income tax return in 2021. 

The penalty will be applied by the California Franchise Tax Board. For additional information or questions regarding this tax penalty, please visit the State of California State Franchise Tax Board and use their Penalty Estimator Tool, or contact your tax advisor.

Reporting Changes

Changes in your household size, income, or home address must be reported to Covered California within 30-days using the following methods:

  • Call Covered California at (800) 300-1506, or
  • Log in to your Covered California account

If these changes adjust your APTC, State Premium Assistance Subsidy, and/or premium, you must notify the HIPP Program immediately by submitting updated documentation.

Questions?

For questions about Medication Assistance Program eligibility and enrollment, please call: 

  • Your local Medication Assistance Program Enrollment Worker, or 
  • The Medication Assistance Program Client Services call center at (844) 421-7050. Client Services staff are available Monday – Friday, 8 A.M. – 5 P.M. (excluding holidays).                 
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