Financial Benefits
The San Francisco AIDS Foundation's financial benefits
program helps clients navigate the complex private and public benefits system,
including the AIDS Drug Assistance Program (ADAP), General Assistance, Food
Stamps, Medi-Cal (California's
Medicaid program), Medicare, CARE/HIPP, and Social Security. Our skilled counselors provide one-on-one
advocacy, assessing what benefits clients are eligible to receive, and can also
assist in the application process.
Below are descriptions of the various benefit programs
available in San Francisco as well
as questions that clients frequently have.
Please call 415-487-8000
if you'd like more information or to schedule an appointment with a benefits
counselor.
What is the AIDS Drug Assistance Program (ADAP) and how do I enroll?
ADAP is a prescription drug
assistance program funded by the federal Ryan White CARE Act and state funds. The
program assists people living with HIV who lack adequate health insurance to
access HIV-related medications that they otherwise could not afford. ADAP pays either a co-payment and deductibles
or the entire cost of medications, depending on
whether or not the client has some form of insurance. San Francisco residents can enroll in ADAP at different sites throughout
the City and also at the San Francisco AIDS Foundation by calling 415-487-8000 and requesting an appointment. Residents outside of San Francisco can call 1-888-311-7632
to learn where to enroll.
What are Social Security
Disability Insurance (SSDI) and Supplemental Security Income (SSI)?
SSDI is the Social Security
retirement fund, which you may receive under age 65 if you are disabled. SSI
is a needs-based program for disabled people with little or no income.
To learn
more about your eligibility for these programs or to discuss them with a
benefits specialist, San Francisco residents can call us at 415-487-8000.
Residents outside of San Francisco should call the Social Security
Administration at 1-800-772-1213 or their local Social Security
office for more information.
What is California State Disability
Insurance (SDI)?
SDI is a short-term benefit
administered by the state of California
for disabled people and is intended for those whose disability is expected to
last less than one year. SDI benefits are provided to workers who are unable to work
due to an illness, injury, or pregnancy that is not covered by worker
compensation law. To apply, California
residents can call the Employment Development Department (EDD) at 1-800-480-3287. San Francisco
residents can call an AIDS Foundation benefits counselor at 415-487-8000 for more explanation and
guidance, if needed.
I'm not a citizen of the US. Am I eligible for SSI?
The welfare reform act of 1996
eliminated Supplemental Security Income/State Supplementary Payment (SSI/SSP)
eligibility for most non-citizens.
However, the state-funded Cash Assistance Program for Immigrants (CAPI) provides monthly cash benefits to
aged, blind, and disabled non-citizens who are ineligible for SSI/SSP solely
due to their immigrant status. Please speak with an AIDS Foundation benefits
specialist to learn more.
What's the difference between Medi-CAL
and Medicare?
Medi-Cal is California's Medicaid program and is a
joint federal and state program that pays for a broad range of medical services
for low-income people who qualify, including doctor/dentist visits, X-rays, lab
tests, prescription drugs, eye care, chiropractic services, and hospitalizations. To ask about your eligibility or to apply, California residents should call their
local County Department of Public Social Services. San Francisco residents interested in Medi-Cal
can call a San Francisco AIDS Foundation benefits specialist at 415-487-8000.
Medicare is a federal health benefits
program for people who are entitled to Social Security retirement insurance and
for people with long-term disabilities (those who have been eligible to receive
SSDI for 24 months). If you are
eligible, enrollment is automatic for a portion of the programs; however, for
comprehensive coverage the beneficiary must elect which programs they would
like to participate in. Please contact 1-800-MEDICARE (800-633-4227) for specific information about
eligibility and enrollment.
What is this new Medicare drug
benefit I have been hearing about and how does it affect my drug coverage?
The new
Medicare drug benefit--also know as Medicare
Part D--interacts in very complex ways with both California's ADAP and
Medi-Cal. To learn more about
this--including brochures developed for clients of the San Francisco AIDS
Foundation--visit SFAF's Medicare page. If you live in San Francisco and need more assistance in
understanding the Medicare drug benefit and how it affects you, please call to
schedule an appointment with a San Francisco AIDS Foundation benefits
specialist at 415-487-8000.
I'm having problems with my
disability insurance. What can I do?
Contact
an AIDS Foundation benefits counselor and explain your situation. They can either directly assist you or they
will encourage you to contact The Positive Resource Center, which specializes
in disability law and advocacy for people with HIV/AIDS. PRC staff and attorneys can provide help with
SSDI, SSI, long-term disability, and problems with health insurance policies. They can also provide representation before
administrative law judges for reconsideration of disability denials. PRC can be reached at 415-777-0333.
Page last updated:
9/14/2007