PHP, California

Rachel Sakai
AHF Provider

Medical Benefits and Costs

Next year, PHP (HMO SNP) is changing coverage for the medical services listed below. The information below describes these changes. For more details about the coverage and costs for these services, see Chapter 4, Medical Benefits Chart (what is covered and what you pay), in your 2020 Evidence of Coverage.

Benefit

2019 (this year)

2020 (next year)

In-Home Support Services (IHSS) IHSS is not covered. You pay nothing for up to 16 hours a week of IHSS for up to two (2) weeks.  IHSS is available to members after inpatient discharge from an acute hospital or skilled nursing facility.
Meal Benefit Meal benefit is not covered. You pay nothing for up to two (2) meals per day for up to 28 days (56 meal limit per year). Meal benefit is available to members after inpatient discharge from an acute hospital or skilled nursing facility.

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H5852_4006 101519_2020