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Premium Assistance under Medicaid and the Children’s Health Insurance Program (CHIP)
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 Department of Labor at www.askebsa.dol.gov 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, 2021. Contact your State for more information on eligibility.
ALABAMA – Medicaid
1-855-692-5447
ALASKA – Medicaid
The AK Health Insurance Premium Payment Program
1-866-251-4861
Medicaid Eligibility http://dhss.alaska.gov/dpa/Pages/medicaid/default.aspx
ARKANSAS – Medicaid
1-855-MyARHIPP (855-692-7447)
COLORADO – Health First Colorado Medicaid & Child Health Plan Plus (CHP+)
1-800-221-3943/State relay 711
CHP+
http://colorado.gov/hcpf/child-health-plan-plus
1-800-359-1991/ State Relay 711
FLORIDA – Medicaid
http://flmedicaidtplrecovery.com/hipp
1-877-357-3268
GEORGIA – Medicaid
http://dch.georgia.gov/medicaid
Click on Health Insurance Premium Payment (HIPP)
1-404-656-4507
INDIANA – Medicaid
Healthy Indiana Plan - low-income adults 19-64
1-877-438-4479
All other Medicaid
1-800-403-0864
IOWA – Medicaid
1-888-346-9562
KANSAS – Medicaid
1-785-296-3512
KENTUCKY – Medicaid
http://chfs.ky.gov/dms/default.htm
1-800-635-2570
LOUISIANA – Medicaid
http://dhh.louisiana.gov/index.cfm/subhome/1/n/331
1-888-695-2447
MAINE – Medicaid
www.maine.gov/dhhs/ofi/public-assistance/index.html
1-800-442-6003
TTY Maine relay 711
MASSACHUSETTS – Medicaid and CHIP
www.mass.gov/eohhs/gov/departments/masshealth
1-800-862-4840
MINNESOTA – Medicaid
1-800-657-3739
MISSOURI – Medicaid
www.dss.mo.gov/mhd/participants/pages/hipp.htm
1-573-751-2005
MONTANA – Medicaid
http://dphhs.mt.gov/MontanaHealthcarePrograms/HIPP
1-800-694-3084
NEBRASKA – Medicaid
http://www.ACCESSNebraska.ne.gov
1-855-632-7633
NEVADA – Medicaid
1-800-992-0900
NEW HAMPSHIRE – Medicaid
1-603-271-5218
NH Medicaid Service Center
1-888-901-4999
NEW JERSEY – Medicaid and CHIP
Medicaid - www.state.nj.us/humanservices/dmahs/clients/medicaid/
1-609-631-2392
CHIP www.njfamilycare.org/index.html
1-800-701-0710
NEW YORK – Medicaid
www.health.ny.gov/health_care/medicaid/
1-800-541-2831
NORTH CAROLINA – Medicaid
1-919-855-4100
NORTH DAKOTA – Medicaid
www.nd.gov/dhs/services/medicalserv/medicaid/
1-844-854-4825
OKLAHOMA – Medicaid and CHIP
1-888-365-3742
OREGON – Medicaid
http://healthcare.oregon.gov/Pages/index.aspx
www.oregonhealthcare.gov/index-es.html
1-800-699-9075
PENNSYLVANIA – Medicaid
www.dhs.pa.gov/provider/medicalassistance/healthinsurancepremiumpaymenthippprogram/index.htm
1-800-692-7462
RHODE ISLAND – Medicaid
1-855-697-4347
SOUTH CAROLINA – Medicaid
1-888-549-0820
SOUTH DAKOTA - Medicaid
1-888-828-0059
TEXAS – Medicaid
1-800-440-0493
UTAH – Medicaid and CHIP
CHIP http://health.utah.gov/chip
1-877-543-7669
VERMONT– Medicaid
1-800-250-8427
VIRGINIA – Medicaid and CHIP
www.coverva.org/programs_premium_assistance.cfm
1-800-432-5924 CHIP 1-855-242-8282
WASHINGTON – Medicaid
www.hca.wa.gov/free-or-low-cost-health-care/program-administration/premium-payment-program
1-800-562-3022 ext. 15473
WEST VIRGINIA – Medicaid
1-855-699-8447
WISCONSIN – Medicaid and CHIP
www.dhs.wisconsin.gov/publications/p1/p10095.pdf
1-800-362-3002
WYOMING – Medicaid
https://wyequalitycare.acs-inc.com/
1-307-777-7531
To see if any other states have added a premium assistance program since July 31, 2021, or for more information on special enrollment rights, contact either:
U.S. Department of Labor Employee Benefits Security Administration
1-866-444-EBSA (3272)
U.S. Dept. of Health and Human Services Centers for Medicare & Medicaid Services
1-877-267-2323, Menu Option 4, Ext. 61565
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