What is Facilitated Enrollment?
Facilitated Enrollment is a program to help people in the North Country get health insurance for themselves and/or their children. It offers an easy way for people to learn about the available health insurance programs and help them find out if they or their children are eligible. Enrollers can be found in a local community setting and will work one on one to help individuals complete an application, gather necessary documentation and review eligibility for Family Health Plus, Child Health Plus, and Medicaid.
Children under the age of 19 may be eligible for either:
Child Health Plus “A” (formally Children’s Medicaid)
Or Child Health Plus “B”
Adults between the ages of 19-64 may be eligible for either:
Medicaid
Or Family Health Plus
What is Family Health Plus?
Family Health Plus (FHP) is New York State’s health insurance program for adults who do not have health insurance and have incomes too high to qualify for Medicaid. FHP can sometimes help with the cost of premiums for those with employer sponsored insurance and who are FHP income eligible! FHP is available to single adults, couples without children, and parents with low income.
Further information about Family Health Plus can be obtained on the New York Department of Health website which is listed below.
What is Child Health Plus “A”?
Child Health Plus A, formerly known as Medicaid, is a free health insurance program for children under age 19 that offers complete coverage for all of their health care needs. Eligibility is based on income and family size.
What is Child Health Plus “B”?
After July 20th, applications will be taken for September 1st coverage for expanded CHP coverage. Families with incomes up to 400% of the Federal Poverty Level will now be eligible for subsidized premiums. For example, a family of 3 with one child could make up to $5,867 per month and only pay $40.00 per month for insurance!
Further information about Child Health Plus "B" can be obtained on the New York Department of Health website which is listed below.
What Services will I receive with Family Health Plus, Child Health Plus, or Medicaid?
Inpatient hospitalization, emergency care, primary and preventative care, vision, dental care, well child care, prescriptions and more.
How Do I Know If I am Eligible?
Our Facilitators are trained to screen for eligibility. Based upon the income information you provide, an initial review for eligibility and assistance to complete the necessary application will occur.
Adult Medicaid and Family Health Plus also require that a resource screening be completed. Our facilitators are trained to help you with this process. There is no resource test for children!
click here See the Facilitated Enrollment Guidelines (pdf)
How Can I Apply?
Call today to meet with the Facilitated Enroller closest to you.
In Jefferson County:
North Country Prenatal/Perinatal Council (NCPPC) at 1-800-279-8679.
North Country Childrens Clinic at 782-2490
Facilitators have offices or outreach sites in:
Adams (782-2490)
Alexandria Bay (782-2490)
Carthage (804-0152 or 1-800-279-8679)
Watertown (800-279-8679 or 782-2490)
In St. Lawrence County:
NCPPC at 804-0150
North Country Childrens Clinic at 386-8128
Facilitators have offices or outreach sites in:
Canton and Gouverneur (386-8128)
Ogdensburg and Massena (804-0150)
In Lewis County:
NCPPC at 376-5427 or 804-0152
Facilitators have offices or outreach sites in:
Lowville (376-5427 or 804-0152)
Lyons Falls (376-5427 or 804-0152)
Or Call NCPPC at 1-800-279-8679 to locate a Facilitated Enroller in your county.
Facilitators also travel to other towns in the tri-county area as needed. Contact us to find out more about where we’ll be in your county.
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