Using new Medicaid or CHIP Health Insurance

If you are currently enrolled in Medicaid or Health Insurance Program for Kids in your state, you should know the following information to make the most out of your insurance benefits. CHIP provides low-cost health coverage to children in families that earn too much money to qualify for Medicaid. CHIP in each state is different and people are encouraged to check state specific websites for the most accurate information.

 

Questions about using your new Medicaid or CHIP

Use the following resources for help with your questions Coverage Program Children’s Health Insurance (CHIP), Medicaid, registration materials, benefits and suppliers:

  • For most questions, you should contact your state’s Medicaid or CHIP
  • If you are enrolled in a health plan through Medicaid or CHIP, call the phone number for member services found in his letter of eligibility or on your membership card. This information is also available on the website of your plan or on the website of your state’s Medicaid or CHIP.
  • Talk to your doctor or pharmacist. They may have the answers to your questions about what services are covered.

 

Using new Medicaid or CHIP Health Insurance

The use of emergency services: In the event of an emergency, you should be treated at the nearest hospital that can help. The law requires providers to offer these services, to examine it to determine if your health is at risk, and provide the care you need until your life is not endangered.

 

When to contact your State Medicaid or CHIP agency

Here are some examples of situations in which you should contact your State Medicaid or CHIP agency:

  • You have not received your membership card and do not know if it is covered
  • Can not find a doctor in your area that accept Medicaid or CHIP, or you can not get an appointment
  • Have questions if a service or item is covered
  • Have a change in your circumstances that may affect your eligibility for Medicaid or CHIP (for example, you get a job that will increase your income, a dependent is no longer eligible because of age, or married or divorced)

Filling prescriptions if you have your membership card

Filling prescriptions if you have your membership card : If you need to fill a prescription and have not yet received your registration card, check if your pharmacy accepts Medicaid, CHIP, or your health plan. If they accept your coverage, do your eligibility letter and recipe (to fill or refill) to the pharmacy. They will try to serve them using the information in the letter or communicated with his plan that day.

Most pharmacies will provide drugs to three days if you do not have enough information. You should call your agency Medicaid or CHIP, or your health plan to help you get the rest of medicine.

If your pharmacy does not accept Medicaid, CHIP, or your health plan, call the number listed on your eligibility letter to find a participating pharmacy.You can also find information on the website of your state’s Medicaid or CHIP.

 

Other Information about Medicaid and CHIP

If you received a letter informing you that you are enrolled in Medicaid or CHIP, but has not received a registration card of your state agency or one of its health plans, you can still get the care you need. If you need medical attention, show your provider a copy of his letter of eligibility. Your provider can verify your enrollment when you go to be seen.

Ask your doctor or pharmacist if present accept Medicaid, CHIP, or the health plan you have selected. If you have been receiving care from a provider who does not accept Medicaid, CHIP, or any of their plans, you may be able to keep seeing this provider for a short time until I can find another provider. But will have to ask your state Medicaid or CHIP, or health plan you have selected.

Most Medicaid and CHIP programs and health plans have websites that offer information on the available suppliers. Refer to the website of your Medicaid or CHIP program

 

Call your state Medicaid or CHIP agency

Call your state Medicaid or CHIP agency, or department of your plan services for help.You will find the phone number on the back of his letter of eligibility or registration card. This information is also available on the website of your plan or the website of your state’s Medicaid or CHIP.

Be sure to tell your provider that you are enrolled in Medicaid or CHIP, or give the name of your plan when you make an appointment for medical care. If you are having trouble getting an appointment to see the doctor, call your State Medicaid or CHIP agency, or department of your plan services for help.

 

Medicaid and CHIP

Whether you receive services through fee for service providers involved in your state Medicaid or CHIP, or receive services through private health plan, you can ask them to reconsider paying the bill. This is called an appeal. The website of your state’s Medicaid or CHIP will have information on filing an appeal or you can call your state agency or the number of services your plan. They will help with the appeals process.