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For People with Public Health Insurance (Medicaid, Child Health Plus, Family Health Plus)

    Understand Your Insurance and Rights

    Access Medical Services

    Change Your Insurance or Plan

    Keep Your Coverage: Recertification

    Request an Exemption

    Get Help with Medical Bills

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    Understand Your Insurance and Rights

    Health insurance can be a very complex system to navigate. Understanding how your health insurance and plan work can take a great deal of time and knowledge. That’s why CHA is here to answer your questions about your insurance and help you understand your coverage and rights, as well as what protections are in place to make sure you have access to medical care. 

    For more in depth information, please see the CHA Publications.

    For assistance, call Community Health Advocates at 1-888-614-5400.

     

    Access Medical Services

    Once you have health insurance, whether public or commercial, it is very important to know your rights and responsibilities when enrolled in a plan.

    Not understanding how to use health insurance and managed care results in underutilization of medical services.  This can lead to untreated health conditions, medical debt, and gaps in insurance coverage.

    CHA can help you access medical services through your health insurance, such as:

    • Getting Prior Authorization/Referral
    • Selecting/Changing Your PCP Provider
    • Requesting an Out-of-Network Provider
    • Finding help with Transportation
    • Requesting a new Benefits card

    External Resources

    Change Your Insurance or Plan

    All health plans are not created equal. Health plans offer different benefits and should be selected accordingly to best match your health condition and needs. If you would like to enroll, change or disenroll from your insurance or health plan, CHA can help you by providing information on options and/or the process to disenroll.

    For assistance, call Community Health Advocates at 1-888-614-5400.

     

    Keep Your Coverage: Recertification

    People with Medicaid, Family Health Plus, or Child Health Plus must prove periodically that they are still eligible for public health insurance. This process is called Renewal or Recertification, and it is now easier than ever to renew. Many people do not even need to send documents in with their renewal form.

    Each year about 50 percent of New Yorkers who are enrolled in these programs lose their health insurance because they don't complete the renewal form that is sent to them in their ninth month of coverage. If a person does not recertify, their Medicaid, Family Health Plus or Child Health Plus coverage will stop.

    Recertification is simple with a little help, but many people do not know where to go for this help. Community Health Advocates can help people recertify and make sure they keep their coverage.

    For assistance, call Community Health Advocates at 1-888-614-5400.

     

    Request an Exemption

    Most Medicaid beneficiaries are now required to join a Medicaid Managed Care plan and must visit that plan’s in-network providers. However, some people may request an exemption so that they can have regular Medicaid, or fee-for-service, which allows individuals to see any provider that accepts Medicaid. CHA can help you determine if you qualify for an exemption and assist you with your exemption request.

    For assistance, call Community Health Advocates at 1-888-614-5400.

     

    Get Help with Medical Bills

    Do you need help paying for your medical costs, such as hospital bills, premiums or prescriptions? There are programs that provide financial assistance to help eliminate or lower your health care bills. CHA can connect you to such programs and provide information on each program’s level of assistance and eligibility rules.

    If you’d like additional information on help with specifically your hospital bills, please click here.

     

    For assistance, call Community Health Advocates at 1-888-614-5400.