The Marketplace In Your State

No matter what state you live in, you can enroll in affordable, quality health coverage.

New Jersey: For 2021 coverage, use Get Covered NJ to enroll

Starting November 1, 2020, New Jersey residents will no longer enroll in coverage through HealthCare.gov. Instead, theyll use GetCovered.NJ.gov. Enroll for 2021 as soon as November 1, 2020.

Continue using HealthCare.gov for 2020 coverage information.

Pennsylvania: For 2021 coverage, use Pennie to enroll

Starting November 1, 2020, Pennsylvania residents will no longer enroll in coverage through HealthCare.gov. Instead, theyll use Pennie.com. Enroll for 2021 as soon as November 1, 2020.

Continue using HealthCare.gov for 2020 coverage information.

More Coloradans Can Now Get Health First Colorado

Now, more adults without kids and parents may qualify for free or low cost coverage through Health First Colorado. Health First Colorado covers doctor visits, hospital stays, emergency room and urgent care, prescription drugs, dental services, behavioral and mental health services, x-rays and blood work, well-child visits, maternity care, newborn care and many others. Learn more about what Health First Colorado covers.

How To Apply For Or Renew Apple Health Classic Medicaid Coverage

Apply for Apple Health Classic Medicaid coverage online through Washington Connection if you are:

• An adult age 65 or older.
• Blind or disabled.
• Need long-term services and supports.

You have several options to apply for or renew Classic Medicaid coverage:

• Online: Go to Washington Connection – select “Apply Now.”
• Phone: Request an application by calling 1-877-501-2233.
• In-person: Visit your local Department of Social and Health Services office.

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How To Apply Apply For Masshealth The Health Safety Net Or The Children’s Medical Security Plan

Online

Applying online is the fastest way to find out which programs you may qualify for.

MassHealth and the Massachusetts Health Connector use the same streamlined application to determine if you qualify for MassHealth, the Health Safety Net, Children’s Medical Security Plan, ConnectorCare plans, or Advance Premium Tax Credits.

To apply online, create a secure online account at the Massachusetts Health Connector. It only takes a couple of minutes.

Worcester, MA 01608Hours: Monday – Friday: 8:00 a.m. to 6:00 p.m.

Next Steps For Apply For Masshealth The Health Safety Net Or The Children’s Medical Security Plan

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How To Apply For Family Planning Benefits

• Apply for family planning benefits by completing and submitting the Mississippi Medicaid Family Planning Services Application Form .

For assistance, call the Office of Eligibility toll-free at 800-421-2408. Submit the application as follows:

Mail: MS Division of Medicaid ATTN: Office of Eligibility550 High Street, Suite 1000Jackson, MS 39201-1399

In-Person: at any Medicaid regional office

Big Savings Now At More Income Levels Find A Health Plan Now

New Jersey and the federal government are offering even more help to lower the cost of health insurance. You can enroll through the COVID-19 Special Enrollment Period now. If you are an existing customer, review your account to see if you qualify for extra savings.

Big savings â now at more income levels. Find a health plan now.

New Jersey and the federal government are offering even more help to lower the cost of health insurance. You can enroll through the COVID-19 Special Enrollment Period now. If you are an existing customer, review your account to see if you qualify for extra savings.

New Savings Due to COVID-19 Relief

Learn more about additional financial help available now through Get Covered New Jersey as a result of Federal and State COVID-19 Relief.

New Customers

Learn how you can shop for a health plan through Get Covered New Jersey.

More people now qualify for financial help. If you did not qualify for financial help before based on income, you may qualify now with new state and federal savings.

Compare plans and prices

Before you shop for health coverage, find if you qualify for financial help to lower your costs. Find which plans have your doctors, and compare plans and prices. You can browse health plans now.

Existing Marketplace Customers

Where can I get help?

Get free local help applying for health coverage from a certified assister or agent.

When can I buy insurance?

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Types Of Health Insurance Plans

When purchasing health insurance, your choices typically fall into one of three categories:

• Traditional fee-for-service health insurance plans are usually the most expensive choice. They offer the most flexibility in choosing health care providers.
• Health maintenance organizations offer lower co-payments and cover the costs of more preventive care. Your choice of health care providers is limited to those who are part of the plan.
• Preferred provider organizations offer lower co-payments like HMOs but give you more options when selecting a provider.

Connect For Health Colorado Marketplace

Connect for Health Colorado may also help you meet the insurance requirement. Having health insurance can help protect your health and your financial future.

• If you dont have health insurance but make too much money for Health First Colorado, Connect for Health Colorado can help you learn if you qualify for federal financial assistance to help lower the costs of your insurance.
• If you do have health insurance, you still have the option to shop for a new plan at Connect for Health Colorado.

You may also be able to qualify for financial assistance through Connect for Health Colorado outside of open enrollment if you have experienced a qualifying life event such as losing your job-based coverage, getting married, or having a baby. Visit ConnnectforHealthCO.com for more information.

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How Do I Provide Additional Information When Requested

To serve you better and to make sure you get all the benefits you need, please:

• Provide all the information and proof as soon as possible
• Contact us if you need help getting information, so we can assist you

You can mail or fax copies of the requested information. Please do not turn in original documents.

When you apply online at Health-e-Arizona Plus you can upload requested information or fax it with a cover sheet. in Health-e-Arizona Plus titled ‘How do I fax documents to HEAplus’)

What Is The Affordable Care Act

The Affordable Care Act provides individuals and families greater access to affordable health insurance options including medical, dental, vision, and other types of health insurance that may not otherwise be available. Under the ACA:

• You may be able to purchase health care coverage through a state or federal marketplace that offers a choice of plans.

• Insurers can’t refuse coverage based on gender or a pre-existing condition.

• There are no lifetime or annual limits on coverage.

• Young adults can stay on their familys insurance plan until age 26.

• Seniors who hit the Medicare Prescription Drug Plan coverage gap or “donut hole” can get a discount on medications.

Read the full text of the ACA and learn more about its provisions and relationship to patients, insurers, businesses, and families.

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Choosing A Health Insurance Plan

Reading the fine print is important when choosing health care plans. These questions may help:

• Can I go to any doctor, hospital, clinic, or pharmacy I choose?
• Are specialists, such as eye doctors and dentists covered?
• Does the plan cover special conditions or treatments such as pregnancy, psychiatric care, and physical therapy?
• Does the plan cover home care or nursing home care?
• Will the plan cover all medications my physician may prescribe?
• What are the deductibles? This is the amount you must pay each year before your insurance company will begin paying claims.
• Are there any co-payments? This is the amount of money you pay each time you receive medical services or a prescription.
• If there is a dispute about a bill or service, how is it handled?

Benefits Of Being A Sunflower Health Plan Member

All KanCare members receive the same Kansas Medicaid benefits, plus any that health plan providers offer. Learn more about the Kansas Medicaid benefits offered by Sunflower Health Plan:

• Rewards Program:Earn rewards for completing healthy activities with My Health Pays®!
• Care Coordination Services: Sunflower can help you manage chronic conditions such as asthma, diabetes, high-risk pregnancy and more.
• 24/7 Nurse Advice Line: Get answers to your health questions at any time from our team of registered nurses at our nurse advice line. Call 1-877-644-4623 to be directly connected.
• And more! Learn more about the valuable Kansas Medicaid benefits and services offered by Sunflower Health Plan.

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Health Plans Dental Plans & Financial Help

The Qualified Health Plan Map and Essential Plan Map provide information about health plans offered in each county.

Compare dental plans here.

Learn about financial help for your coveragehere.

NY State of Health seeks input from all interested stakeholders in the planning and implementation of the Marketplace. Learn more about how to become involved in this process.

Where To Apply For Health Coverage

People in most states use HealthCare.gov to apply for and enroll in health coverage.

If your state appears on the list below, you wont use HealthCare.gov. Youll use your states website to enroll in individual/family or small business health coverage, or both.

Covered California is your state’s Marketplace. Visit Californias website.

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Important Information To Successfully Submit Your Application Form

To fill out the Mississippi Medicaid Application, please follow the steps below:

Note: If you open and fill out the application in your browser, the processing of your application may be delayed.Apply online at HealthCare.govDirect application through Mississippi MedicaidApplication for insurance affordability options and Medicaid, if eligibleDirect application for Mississippi MedicaidApplication is routed through Healthcare.gov websiteInitially handled on a local, state levelInitially handled on a national level

• Applications are reviewed by state staff.
• Eligibility assessment and determination is approved or denied.
• If determined applicant is not eligible for Mississippi Medicaid, applications are automatically referred to the FFM.

For HealthCare.gov applications:

• Applications are evaluated through the Healthcare.gov website.
• Applications are assessed for potential Medicaid eligibility. If potentially eligible, then applications are transferred to the state to determine eligibility.
• If not potentially eligible for Medicaid, applicants view other insurance affordability program options on Healthcare.gov.

Fax or Postal Mail

Who Is Eligible For Medicaid

You may qualify for free or low-cost care through Medicaid based on income and family size.

In all states, Medicaid provides health coverage for some low-income people, families and children, pregnant women, the elderly, and people with disabilities. In some states the program covers all low-income adults below a certain income level.

• First, find out if your state is expanding Medicaid and learn what that means for you.
• If your state is expanding Medicaid, use this chart to see what you may qualify for based on your income and family size.

Even if you were told you didn’t qualify for Medicaid in the past, you may qualify under the new rules. You can see if you qualify for Medicaid 2 ways:

• Visit your state’s Medicaid website. Use the drop-down menu at the top of this page to pick your state. You can apply right now and find out if you qualify. If you qualify, coverage can begin immediately.
• Fill out an application in the Health Insurance Marketplace. When you finish the application, we’ll tell you which programs you and your family qualify for. If it looks like anyone is eligible for Medicaid and/or CHIP, we’ll let the state agency know so you can enroll.

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How To Apply For Aged Blind Or Disabled Medicaid Benefits

If you are applying for aged, blind or disabled Mississippi Medicaid benefits and services, an in-person interview may be required. If so, you will be contacted by staff at the regional office that serves your county of residence.

• Apply by filling out the Mississippi Medicaid Aged, Blind and Disabled Application Form and submitting the application to the regional office that serves your county of residence or if the applicant is in a nursing home, the regional office that serves the county where the nursing facility is located. Mail or bring in the application at the time of the in-person interview if one is required. It is advised that you do not email forms or submit online forms with protected health information or personally identifiable information, to protect your confidentiality in accordance with the Health Insurance Portability and Accountability Act of 1996.

Missed The Apple Health Renewal Deadline

If you’ve missed the deadline to renew, but you would like to continue coverage, please contact us as soon as possible. If we find you eligible within 90 days after the date you lost coverage, we will cover you for the period you were without coverage.

The fastest way to renew your lost coverage is to go online. You may also call 1-855-923-4633.

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Health Coverage For People With Disabilities

If you have a disability, you have three options for health coverage through the government.

• Medicaid provides free or low-cost medical benefits to people with disabilities. Learn about eligibility and how to apply.

• Medicare provides medical health insurance to people under 65 with certain disabilities and any age with end-stage renal disease . Learn about eligibility, how to apply and coverage.

• Affordable Care Act Marketplace offers options to people who have a disability, dont qualify for disability benefits, and need health coverage. Learn about the .

How To Apply For Mississippi Medicaid Health Benefits

Online

Mississippis Common Web Portal at Access.ms.gov is a convenient way to apply for children, pregnant women, low-income parents of children under age 18 and anyone else who needs to apply. Documents can be uploaded and sent electronically with your application to the Medicaid Regional Office serving your county of residence. Medicaid Specialists in the Regional Office check available electronic sources to verify as much information as possible and then follow-up if additional information is needed. NOTE: If you want to apply for Medicaid due to age, blindness or disability on Access.ms.gov, be sure to check YES to a limiting or disabling condition when those questions appear in the application flow. This lets us know you are asking for a Medicaid decision that considers age, blindness or disability as a condition of your eligibility.

The Mississippi Division of Medicaid and the federally facilitated marketplace has one single application for all insurance affordability programs. Application for any of the insurance affordability programs may be filed online through Access.ms.gov or the FFM at Healthcare.gov. If you apply through Healthcare.gov, the FFM will assess your potential eligibility for Medicaid or CHIP and then return your application to the Division of Medicaid for the final eligibility decision.

To fill out this application, you will need:

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Information Needed To Apply

Whether you are applying for the first time, or renewing your benefits, you may need one or more of the following pieces of information to complete your application:

• Proof of citizenship and identity for everyone who is applying for benefits.
• Alien Registration Cards, if there are non-U.S. citizens applying for benefits in your household.
• Social Security numbers for everyone, or proof that a Social Security number has been applied for.
• Birth certificates for everyone who is applying for benefits.
• Name, address & daytime phone number of landlord or neighbor.
• A statement verifying your address and the names of everyone living with you. The statement must be made by a non-relative who doesnt live with you. It must be signed, dated and include that person’s address and telephone number.
• Proof of ALL money your household received from any source last month and this month.
• Proof that your employment ended and last date paid.
• Verification of any medical insurance other than AHCCCS.

How To Get Health Coverage

You can get health care coverage through:

• A group coverage plan at your job or your spouse or partner’s job
• Your parents’ insurance plan, if you are under age 26
• A plan you purchase on your own directly from a health insurance company or through the Health Insurance Marketplace
• Government programs such as

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