Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP)
If you or your children are eligible for Medicaid or CHIP and you’re eligible for health coverage from your employer, your state may have a premium assistance program that can help pay for coverage, using funds from their Medicaid or CHIP programs. If you or your children aren’t eligible for Medicaid or CHIP, you won’t be eligible for these premium assistance programs but you may be able to buy individual insurance coverage through the Health Insurance Marketplace. For more information, visit www.healthcare.gov.
If you or your dependents are already enrolled in Medicaid or CHIP and you live in a State listed below, contact your State Medicaid or CHIP office to find out if premium assistance is available.
If you or your dependents are NOT currently enrolled in Medicaid or CHIP, and you think you or any of your dependents might be eligible for either of these programs, contact your State Medicaid or CHIP office or dial 1-877-KIDS NOW or www.insurekidsnow.gov to find out how to apply. If you qualify, ask your state if it has a program that might help you pay the premiums for an employer-sponsored plan.
If you or your dependents are eligible for premium assistance under Medicaid or CHIP, as well as eligible under your employer plan, your employer must allow you to enroll in your employer plan if you aren’t already enrolled. This is called a “special enrollment” opportunity, and you must request coverage within 60 days of being determined eligible for premium assistance. If you have questions about enrolling in your employer plan, contact the U.S. Department of Labor, Employee Benefits Security Administration or call 1-866-444-EBSA (3272).
If you live in one of the following states, you may be eligible for assistance paying your employer health plan premiums. The following list of states is current as of July 31, 2018. Contact your State for more information on eligibility.
|ALABAMA - Medicaid||NEW JERSEY - Medicaid and CHIP|
|Medicaid Website: www.state.nj.us/humanservices/dmahs/clients/medicaid/
Medicaid Phone: (609) 631-2392
CHIP Website: www.njfamilycare.org
CHIP Phone: 1-800-701-0710
|ALASKA - Medicaid||NEW YORK - Medicaid|
|The AK Health Insurance Premium Payment Program|
Email: [email protected]
Medicaid Eligibility: dhss.alaska.gov/dpa/Pages/medicaid/default.aspx
|ARKANSAS - Medicaid||NORTH CAROLINA - Medicaid|
Phone: 1-MYARHIPP (1-855-692-7447)
Phone: (919) 855-4100
|COLORADO - Health First Colorado (Colorado's Medicaid Program) & Child Health Plan Plus (CHP+)||NORTH DAKOTA - Medicaid|
|Health First Colorado Website: www.healthfirstcolorado.com/|
Health First Colorado Phone: 1-800-221-3943
CHP+ Website: www.colorado.gov/pacific/hcpf/child-health-plan-plus
CHP+ Phone: 1-800-359-1991
|FLORIDA - Medicaid||OKLAHOMA - Medicaid & CHIP|
|GEORGIA - Medicaid||OREGON - Medicaid|
Phone: (404) 656-4507
|INDIANA - Medicaid||PENNSYLVANIA - Medicaid|
|Healthy Indiana Plan for low-income adults 19-64|
All other Medicaid
|IOWA - Medicaid||RHODE ISLAND - Medicaid|
|KANSAS - Medicaid||SOUTH CAROLINA - Medicaid|
Phone: (785) 296-3512
|KENTUCKY - Medicaid||SOUTH DAKOTA - Medicaid|
|LOUISIANA - Medicaid||TEXAS - Medicaid|
|MAINE - Medicaid||UTAH - Medicaid & CHIP|
|Medicaid Website: medicaid.utah.gov/
CHIP Website: chip.health.utah.gov/
|MASSACHUSETTS - Medicaid & CHIP||VERMONT - Medicaid|
|MINNESOTA - Medicaid||VIRGINIA - Medicaid & CHIP|
Medicaid Phone: 1-800-432-5924
CHIP Phone: 1-855-242-8282
|MISSOURI - Medicaid||WASHINGTON - Medicaid|
Phone: (573) 751-2005
Phone: 1-800-562-3022 ext 15473
|MONTANA - Medicaid||WEST VIRGINIA - Medicaid|
Toll-free phone: 1-855-MyWVHIPP (1-855-699-8447)
|NEBRASKA - Medicaid||WISCONSIN - Medicaid & CHIP|
Lincoln: (402) 473-7000
Omaha: (402) 595-1178
|NEVADA - Medicaid||WYOMING - Medicaid|
Phone: (307) 777-7531
|NEW HAMPSHIRE - Medicaid|
NH Medicaid Service Center: 1-888-901-4999
To see if any other states have added a premium assistance program since July 31, 2018, or for more information on special enrollment rights, contact either:
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