State Government Insurance Programs Offered

New Hampshire Health Plan(NHHP) www.nhhealthplan.org

New Hampshire Health Plan(NHHP) 877-888-6447 NHHP-FED Federal program run by Benefit Management Inc. 877-505-0508 Catastrophic Illness Program (CIP) 603-271-4495 800-852-3345 ext. 4495

Coverage: NHHP: Seven plans each with a different deductible. Offers hospitalization, physician care, diagnostic tests, x-rays, prescription drugs, and some mental health care services. NHHP-FED: Covers broad range of benefits, including primary and specialty care, hospital care, and prescription drugs. CIP: Provides financial assistance to people with cancer, hemophilia, end stage renal disease, cystic fibrosis, spinal cord injuries, and other serious illnesses or injuries. Assistance is limited to $2,500 per individual per year. Eligibility: NHHP: Must be a New Hampshire resident and have a pre-qualifying medical condition. Must have been denied coverage due to a health condition, or offered coverage similar to NHHP’s but with higher premiums. Had your previous coverage terminated for reasons other than non- payment of premium or fraud. Also qualified: Federally eligible or certified as eligible for TAA or PBGC assistance. Must not be eligible for COBRA or government programs. NHHP-FED: Must be a U.S. citizen or lawfully present in the U.S. and have been uninsured for at least 6 months prior to applying. Must have had a problem getting insurance due to a pre- existing condition. CIP: Must be a New Hampshire resident, U.S. citizen, or parent/guardian with primary responsibility for applicant child who is a U.S. citizen. Must be age 21 or over. Must have a qualifying health condition.

Medicaid www.dhhs.nh.gov (Search: Medicaid)

603-271-4344 800-842-3345 ext. 4344

Covered services can include Hospital, Physician, Nursing, Home health, Lab and x-ray, Family planning, Rural health clinics, Prescription drugs, Therapies (speech, physical, occupational), Adult medical day care, Medical transportation, Durable medical equipment, Dental, Chiropractor, Psychotherapy, Podiatry, Interpreter, Midwife, EPSDT (early, periodic, screening and diagnostic testing), Newborn home visits, Maternity, Vision and hearing. Eligibility: Must be a New Hampshire resident and a U.S. citizen or an eligible qualified alien. Income limits: Infants ages 0–1: 185% FPL. Children ages 1–19: 185% FPL. Pregnant women: 185% FPL. Parents/caretakers living with children ages 0–18: 49% FPL. Aged, blind, and disabled: 79% FPL with asset limit of $1,500 for singles; 87% FPL with asset limit of $2,250 for couples. Medically-needy: Singles with monthly income of $591 and asset limit of $2,500; couples with monthly income of $675 and asset limit of $4,000.

Healthy Kids www.nhhealthykids.com or www.dhhs.nh.gov Offers 3 programs: Gold, Silver, and Buy-In

877-464-2447 603-228-2925

Coverage: Healthy Kids: Physician services, Office and specialist visits, Checkups and physical exams, Immunizations, Prescription drugs, Emergency room, Inpatient hospital services, Outpatient services, Lab and x-ray, Home health services, Physical, speech and occupational therapy, Outpatient and inpatient mental health care, Hearing aids, Early intervention services, Regular dental check-ups and cleanings, Fluoride treatments, and more. Eligibility: Healthy Kids: For all programs : Must be New Hampshire resident and a U.S. citizen or a legal permanent resident or qualified alien. Gold program: Must be pregnant women living up to 185% FPL, or children ages 0–1 living up to 300% FPL. Silver program: Must be children ages 1-19 living 185%–300% FPL. Must be uninsured for 6 consecutive months prior to enrolling. Buy-In program: Children ages 1–19 living between 300%–400% FPL. Must be uninsured for 3 consecutive months prior to enrolling. Rule may be waived for certain reasons (e.g. child loses coverage due to parent being laid off).

Let No Woman Be Overlooked Program www.dhhs.nh.gov (Search: BCCP)

800-852-3345 x4931 603-271-4931

Coverage: Women’s health exams, Mammograms, Pap tests, and Pelvic exams. Eligibility: Must be New Hampshire women ages 18–64, with incomes at or less than 250% FPL, and must have no insurance or have insurance that does not pay for breast or cervical cancer screening tests. Women ages 40 and older get mammograms every 1–2 years and annual breast check. Women ages 18–39 get annual breast check and medical assessment to determine mammogram. Women ages 18 and older get Pap tests every 1–2 years.

Medicare www.medicare.gov

800-633-4227

Medicare offers Part A, inpatient care in hospitals and rehabilitative centers; Part B, doctor and some preventive services and outpatient care; Part C allows Medicare benefits through private insurance (Medicare Advantage); Part C includes Parts A, B, and C not covered by Medicare. Part D covers prescription drugs. NH Senior Prescription Discount Program offers discounts on drugs at participating pharmacies. Eligibility: Medicare: Must be U.S. citizen or permanent U.S. resident, and: 1) If 65 years or older, you or your spouse worked for at least 10 years in Medicare-covered employment, or 2) You have a disability or end-stage renal disease (permanent kidney failure requiring dialysis or transplant) at any age. NH Senior Prescription Discount Program: Must be New Hampshire residents ages 65 or older. No income test

VA Medical Benefits Package www.va.gov

877-222-8387

Comprehensive preventive and primary care, outpatient and inpatient services. Eligibility: ”Veteran status” = active duty in the U.S. military, naval, or air service and a discharge or release from active military service under other than dishonorable conditions. Certain veterans must have completed 24 continuous months of service.