Term Adult State/Local Health Insurance Programs
Code NL-5000.8000-050
Definition Programs that provide health insurance for adults who do not qualify for Medicaid, do not have access to insurance provided by an employer or cannot afford privately purchased health insurance. Services covered by these programs vary by state but generally include hospitalization, physician services, emergency room visits, family planning, immunizations, laboratory and x-ray services, outpatient surgery, chiropractic care, prescriptions, eye exams, eye glasses and dental care. Other services may include alcohol and drug treatment, mental health services, medical equipment and supplies and rehabilitative therapy. Eligibility requirements also vary. Included are state and/or local government health insurance programs which may be administered by the state or at the local level and public/private partnerships between state and/or local government entities and health insurance companies or other private organizations. Health care is generally provided through participating managed care plans in the area. Also included are other programs that help people prepare and file Adult State/Local Health Insurance applications and/or are authorized to do eligibility determinations for the program.
Created 3/10/92
Changed 5/14/15
Use References Medically Indigent Adult Programs
State Health Insurance for Adults
See Also References
External Classification Terms Financial (ACH F-01)
Government & Public Administration (NTE W20)
Health (CAN HC-300)
Health Care (AIRS HC-300)
Public Assistance (NPC W08.03)
Related Concepts Financial Services/Benefits
Homelessness
Insurance
U.S. Services/Targets
Facet Service
Comments NOTE: A lot of different types of programs help people complete and file application/enrollment forms for various types of benefits and/or are authorized, often by contract, to do eligibility determinations for a specific program. With so many different types of players, it is sometimes difficult to decide which Taxonomy term to select. Here are some guidelines: Use the Benefits Assistance terms in the FT-1000 section for application assistance provided by programs devoted primarily to advocacy for people to ensure that they understand and receive the benefits for which they are eligible. Use Benefits Screening (PH-0700) for programs that provide application assistance in the context of a general assessment of an individual's eligibility for a wide variety of benefits. Use the application/enrollment terms in the NL and NS sections of the Taxonomy for both federal, state, provincial or county offices tasked with benefits application/enrollment processing and eligibility determinations; and for other programs outside those systems that help people complete and file benefits application/enrollment forms or are authorized to do eligibility determinations for a specific benefit. Use Certificates/Forms Assistance (FT-1020) for assistance with any of the wide variety of forms, certificates and other official documents that people need to read and understand or complete and file that do not have a high enough profile to be covered by a dedicated Taxonomy term.
Bibliographic References

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