4280 Managed Risk Medical Insurance Board
Program Descriptions

10 - MAJOR RISK MEDICAL INSURANCE PROGRAM

Major Risk Medical Insurance Program - provides health coverage to residents of the state who are unable to secure adequate coverage for themselves and their dependents because insurers consider them to be ''medically uninsurable'' -- at high risk of needing costly care. The program procures subsidized coverage for subscribers through participating health carriers.

20 - ACCESS FOR INFANTS AND MOTHERS PROGRAM

Access for Infants and Mothers Program - provides comprehensive health care to pregnant women and educates women about the dangers of tobacco use. Only pregnant women whose family income is between 200 and 300 percent of the federal poverty level are eligible for the program. Pregnant women with incomes below 200 percent of the federal poverty level are eligible for the Medi-Cal program. The AIM Program provides subsidized coverage through participating health plans and covers eligible women through their pregnancy and 60 days postpartum.

40 - HEALTHY FAMILIES PROGRAM

Healthy Families Program - provides a subsidized children's health insurance program for low- to moderate-income families. The children have a choice of participating health, dental, and vision plans that offer a full range of services and comprehensive benefits equivalent to those provided to state employees. The program provides subsidized coverage for eligible children up to age 19 in families with incomes up to 250 percent of the federal poverty level that are not eligible for Medi-Cal because of income.

50 - COUNTY HEALTH INITIATIVE MATCHING FUND PROGRAM

County Health Initiative Matching Fund Program - provides a subsidized children's health insurance program for moderate-income families in counties that have chosen to participate and have been approved by the federal government. The children, whose families are ineligible for Medi-Cal or the Healthy Families Program because of income, can be enrolled in a county-sponsored insurance program. Participating counties provide subsidized coverage for eligible children up to age 19 in families with incomes between 250 and 300 percent of the federal poverty level. The County Health Initiative Matching Fund Program provides a full range of services and comprehensive benefits equivalent to those provided under the Healthy Families Program. Program costs are funded by matching county funds with federal funds. The Managed Risk Medical Insurance Board manages the funds, and the counties administer the program.