ProWatch Senior Care Services Policy

Although we process claim information for clients and carriers, we do not at this time accept insurance as payment. This will change within a few months and if you are dependent on an insurance payment for your care, we hope you will check back in a few months.

 Medicare Eligibility

Please click here to go to Medicare's Eligibility Tool on the www.Medicare.gov website.

"The Centers for Medicare & Medicaid Services (CMS) administers Medicare, the nation's largest health insurance program, which covers nearly 40 million Americans. Medicare is a Health Insurance Program for people age 65 or older, some disabled people under age 65, and people of all ages with End-Stage Renal Disease (permanent kidney failure treated with dialysis or a transplant).

This section of the www.Medicare.gov site is designed to provide you with information about your Medicare eligibility and enrollment. You will be asked to answer a series of questions. The number of questions, as well as the questions themselves will be dynamic based on your answers. Once we have collected enough information, we will display detailed information tailored to your specific situation. Please note that Social Security will make the final decision on your eligibility and enrollment status.

NOTE: This tool is entirely confidential. We will not save or share the information you provide with anyone for any purpose." - www.Medicare.gov

Read Medicare 101 for more information

 Medicaid Eligibility

Please click here to go to the US Department of Health & Human Services for answers to your Medicaid questions.

"Good health is important to everyone. If you can't afford to pay for medical care right now, Medicaid can make it possible for you to get the care that you need so that you can get healthy - and stay healthy.

Medicaid is available only to certain low-income individuals and families who fit into an eligibility group that is recognized by federal and state law. Medicaid does not pay money to you; instead, it sends payments directly to your health care providers. Depending on your state's rules, you may also be asked to pay a small part of the cost (co-payment) for some medical services.

Medicaid is a state administered program and each state sets its own guidelines regarding eligibility and services. Read more about your state Medicaid program.

Many groups of people are covered by Medicaid. Even within these groups, though, certain requirements must be met. These may include your age, whether you are pregnant, disabled, blind, or aged; your income and resources (like bank accounts, real property, or other items that can be sold for cash); and whether you are a U.S. citizen or a lawfully admitted immigrant. The rules for counting your income and resources vary from state to state and from group to group. There are special rules for those who live in nursing homes and for disabled children living at home.

Your child may be eligible for coverage if he or she is a U.S. citizen or a lawfully admitted immigrant, even if you are not (however, there is a 5-year limit that applies to lawful permanent residents). Eligibility for children is based on the child's status, not the parent's. Also, if someone else's child lives with you, the child may be eligible even if you are not because your income and resources will not count for the child.

In general, you should apply for Medicaid if your income is low and you match one of the descriptions of the Eligibility Groups. (Even if you are not sure whether you qualify, if you or someone in your family needs health care, you should apply for Medicaid and have a qualified caseworker in your state evaluate your situation.)"
- US Department of Health & Human Services

 California Medicaid Eligibility

Please click here to go to the California's Department of Health Care Services for answers to your questions regarding California Medicaid eligibility.

"Medi-Cal is California's Medicaid program. This is a public health insurance program which provides needed health care services for low-income individuals including families with children, seniors, persons with disabilities, foster care, pregnant women, and low income people with specific diseases such as tuberculosis, breast cancer or HIV/AIDS. Medi-Cal is financed equally by the State and federal government." - California's Department of Health Care Services

 Veterans Benefits

Visit the United States Department for Veteran Affairs for more comprehensive explanations of Veterans Benefits.

"VA health benefits are open to all Veterans. Family members may also be eligible to receive benefits. There is no monthly premium for VA care, but there may be a co-pay.  Visit the site for more information on eligibility and for any necessary applications." - United States Department for Veteran Affairs

 TRICARE

Visit TRICARE online for complete information about this insurance program for uniformed services.

"Eligibility for TRICARE is determined by the uniformed services and reported to the Defense Enrollment Eligibility Reporting System (DEERS). All eligible beneficiaries must have their eligibility status recorded in DEERS.

TRICARE beneficiaries can be divided into two main categories: sponsors and family members. Sponsors are usually active duty service members, National Guard/Reserve members or retired service members. When we say "sponsor," we are referring to the person who is serving or who has served on active duty or in the National Guard or Reserves."

 CalPERS

Visit CalPERS online for complete information about the California Public Employees' Retirement System.

"CalPERS provides retirement, health, and related financial programs and benefits to more than 1.6 million public employees, retirees, and their families and more than 2,500 public employers." - www.calpers.ca.gov

ProWatch Senior Care Services  |  74-967 Sheryl Drive  |  Palm Desert, CA 92260  |  (760) 699-5830