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B. Understands that Each Insurance Plan has Approved Providers

* Understands managed care plans vs. traditional insurance

* Identifies providers who will accept insurance

* Identifies services covered by the insurance plans

* Knows when and how to ask for assistance from Special Needs Unit or Case Managers in the plan chosen

C. Knows How Each Benefit is Identified

* Understands how to use insurance and when, out of pocket expenses, and carries insurance cards

* Understands who assists with coordination of services and how to contact them

D. Considers all Options and Limitations

* Flow Chart of Health Insurance Options . . . . . . . . . . . . . . . . Page 10

* Transition Time Line . . . . . . . . . . . . . . . . . . . . . . .  Appendix B

* Financial and Legal Concerns . . . . . . . . . . . . . . . . . .  . Appendix C

* Healthy & Ready to Work National Center . . . . . . . . . . . . . . Appendix D

* HIPAA/COBRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . Appendix E

* SSI/SSDI/Ticket to Work/Medicare . . . . . . . . . . . . .  . . . . Appendix F

* Medicaid/MAWD/CHIP/adultBasic . . . . . . . . . . . . . . . . . . . Appendix G

* Medicaid-Funded Waivers . . . . . . . . . . . . . . . . . . . . . . Appendix H

* Special Health Conditions Programs & Clinics . . . . . . . .  . . . Appendix I

* Office of Developmental Programs (ODP) . . . . . . . . . . .  . . . Appendix J

* Mental Health . . . . . . . . . . . . . . . . . . . . . . . . . . . Appendix K

* Children, Youth and Families . . . . . . . . . . . . . .. . . . . . Appendix L

* Office of Vocational Rehabilitation . . . . . . . . . . . . . . . . Appendix M

* Assistive Technology . . . . . . . . . . . . . . . . . . . . .. . . Appendix N

* Medical Home . . . . . . . . . . . . . . . . . . . . . . . . . . .. Appendix O

Page 9

Flow Chart of Health Insurance Options

If you are 18 years old and have:

* No Medical Assistance(MA), No Medical Assistance for Children with Disabilities, No Private Insurance

* MA with SSI, MA for Children with Disabilities, Children’s Health Insurance

Program (CHIP) that will end the month of your 19th birthday, Private Insurance

Then you may:

Apply for MA programs including MA for Workers with Disabilities (MAWD), Apply for CHIP/adultBasic (waiting list or purchase), Explore private health insurance options, in College may apply for student plan, Apply for SSI (Adult Criteria), MA Continues (You may be dropped from Medical Assistance if you do not meet SSI adult disability criteria), Student status or disability group insurance, Check HIPAA Portability, Group Plan through Employer, Opt for COBRA,

Group Plan through Employer

Ask about Health Insurance Premium Payment (HIPP) - A Medical Assistance Program that will pay your premium for insurance plan at work if you qualify

Page 10

Tips to Maintain Health Insurance Tips to Maintain Health Insurance

* Private Insurance - Youth may be able to continue on their family’s insurance plan as long as they are considered an “ adult disabled dependent child.” (page 17 of the Transition Health Care Checklist)

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