Health Insurance Coverage Information
NOTICE: As of December 14, 2018, our Eligibility Services department has relocated
from the Family Health Center at 1770 Orange Grove Avenue to our main
hospital campus at 1798 N. Garey Avenue. If you have an appointment or
are a walk-in, please check-in at our Main Lobby desk.
Renewing Your Health Plan Through Covered California -
Call our Customer Support Line: 909.469.9441 o para informacion en Español marque 909.469.9442. 8 a.m. to 5 p.m. Monday through Friday.
Renew your plan for 2019 from October 15, 2018 through January 15, 2019.
For coverage beginning January 1, 2019, you must sign-up by December 15, 2018.
It is important to take a look at your health plan during the renewal period
because plan options and rates could change each year, and
you may qualify for a different amount of financial help — especially if things like your income, household size and address
have changed since last year. Renewal is also a great time to update your
information with Covered California and shop for new coverage.
To see your health plan options and rates, use our
Shop and Compare Tool. Then either sign in to your Covered California online account, contact
a Certified Insurance Agent or Certified Enrollment Counselor, or call
Covered California at (800) 300-1506 (TTY:  889-4500) to make the change.
If you decide to shop for a new plan, sign in to your account before using
the Shop and Compare Tool so that your selection can be saved. If you
add a plan to your shopping cart before you are signed in, your selection
may not be saved.
This year, Covered California offers a provider search tool to help consumers
find health insurance plans with the doctors they want.
Learn more about searching for providers available in plans you are considering for 2018.
As part of national health care reform, almost all Americans are required
to have health insurance as of Jan. 1, 2014 or risk a tax penalty. The
goal is to make coverage more available and affordable for those who do
not have health insurance or have limited coverage.
Individuals and families may either qualify for private insurance coverage
available through Covered California's health insurance exchange or
for state-sponsored Medicaid coverage. A single streamlined application
is used to identify the best coverage based on the individuals and/or
Private insurance coverage
The Covered California health insurance marketplace opens October 15, 2018
through January 15, 2019 to enroll those who qualify for premium subsidies
and reduced out-of-pocket expenses or those who would like to purchase
coverage for 2019. When open enrollment is closed, you can enroll in a
Covered California health insurance plan only if you experience a
qualifying life event. Pomona Valley Hospital Medical Center can help you learn more about enrolling
in an Affordable Care Act health plan.
If you qualify for MediCal, you may apply at any time throughout the year.
An application is available on the Covered California
website or by contacting our Eligibility Services department.
Eligibility Services Department
Our Eligibility Services Department staff consists of Financial Counselors
and Department of Public Social Services (DPSS) workers. Collaboratively
the hospital staff and DPSS workers strive to make the application process
timely and seamless. Our Financial Counselors undergo various training
programs that include Certified Enrollment Counselor training through
Covered California. The DPSS workers are stationed in the department to
process your MediCal case and allow staff to track your case from start
Our Financial Counselors can assist you with obtaining coverage through
the California Health Benefit Exchange (Covered CA), Medicare, Medi-Cal,
California Children's Services Program, or charity care. We will help
you complete the application, schedule appointments for you with a DPSS
Worker and follow up with you to return all required documentation. We
will assist you in following up with outside Eligibility Workers if you
already have a pending case. We will also assist in setting up payment
arrangements on cash discounted and or charity discount payments.
Whether you have an account with the hospital or if you just need to apply
for coverage, we are here to help you.
Call our Customer Support Line: 909-469-9441 o para informacion en Espanol
Housr: 8 a.m. to 5 p.m. Monday through Friday.
Walk-ins are welcome! Please check-in at the Main Lobby of the hospital.