If you are eligible for health coverage from your employer, but are unable to afford the premiums, some States have premium assistance programs that can help pay for coverage. These States use funds from their Medicaid or Children’s Health Insurance Program to help people who are eligible for employer-sponsored health coverage, but need assistance in paying their health premiums.

If you or your dependents are already enrolled in Medicaid or CHIP, you can contact your State Medicaid or CHIP office to find out if premium assistance is available.

If you or your dependents are NOT currently enrolled in Medicaid or CHIP, and you think you or any of your dependents might be eligible for either of these programs, you can contact your State Medicaid or CHIP office or dial 877.KIDSNOW or insurekidsnow.gov to find out how to apply. If you qualify, you can ask the State if it has a program that might help you pay the premiums for an employer-sponsored plan.

Once it is determined that you or your dependents are eligible for premium assistance under Medicaid or CHIP, your employer’s health plan is required to permit you and your dependents to enroll in the plan – as long as you and your dependents are eligible, but not already enrolled in the employer’s plan. This is called a “special enrollment” opportunity, and you must request coverage within 60 days of being determined eligible for premium assistance.


If you live in one of the following States, you may be eligible for assistance paying your employer health plan premiums. The following list of states is current as of February 16, 2010. You should contact your state for further information on eligibility.

Medicaid and CHIP Information by State

Alabama – Medicaid
medicaid.alabama.gov
p – 800.362.1504
California – Medicaid
dhcs.ca.gov
p – 866.298.8443
Alaska – Medicaid
health.hss.state.ak.us
p – 888.318.8890 (Outside of Anchorage)
p – 907.269.6529 (Anchorage)
Colorado – Medicaid and CHIP
www.colorado.gov
p – 800.866.3513 (Medicaid)
CHPplus.org
p – 303.866.3243 (CHIP)
Arizona – CHIP
azahcccs.gov
p – 602.417.5422
Florida – Medicaid
fdhc.state.fl.us
p – 866.762.2237
Arkansas – CHIP
arkidsfirst.com
p – 888.474.8275
Montana – Medicaid
medicaidprovider.hhs.mt.gov
p – 800.694.3084
Georgia – Medicaid
dch.georgia.gov/medicaid
p – 800.869.1150
Idaho – Medicaid and CHIP
medicaid.idaho.gov
p – 208.334.5747 (Medicaid)
healthandwelfare.idaho.gov
p – 800.926.2588 (CHIP)
Nebraska – Medicaid
dhhs.ne.gov
p – 877.255.3092
Indiana – Medicaid
www.in.gov
p – 877.438.4479
Nevada – Medicaid and CHIP
dwss.nv.gov
p – 800.992.0900 (Medicaid)
nevadacheckup.nv.org
p – 877.543.7669 (CHIP)
Iowa – Medicaid
dhs.state.ia.us
p – 888.346.9562
Kansas – Medicaid
khpa.ks.gov
p – 785.296.3981
New Hampshire – Medicaid
dhhs.state.nh.us
p – 800.852.3345 x 5254
Kentucky – Medicaid
chfs.ky.gov
p – 800.635.2570
New Jersey – Medicaid and CHIP
state.nj.us
p – 800.356.1561 (Medicaid)
njfamilycare.org
p – 800.701.0710 (CHIP)
Louisiana – Medicaid
dhh.louisiana.gov
p – 888.342.0555
Maine – Medicaid
maine.gov
p – 800.321.5557
Massachusetts – Medicaid and CHIP
mass.gov
p – 800.462.1120
New Mexico – Medicaid and CHIP
hsd.state.nm.us
p – 888.997.2583 (Medicaid)
p – 888.997.2583 (CHIP)
Minnesota – Medicaid
dhs.state.mn.us
p – 800.657.3739
New York – Medicaid
nyhealth.gov
p – 800.541.2831
Missouri – Medicaid
dss.mo.gov
p – 573.751.6944
North Carolina – Medicaid
nc.gov
p – 919.855.4100
North Dakota – Medicaid
nd.gov
p – 800.755.2604
Utah – Medicaid
health.utah.gov
p – 866.435.7414
Oklahoma – Medicaid
insureoklahoma.org
p – 888.365.3742
Vermont – Medicaid
ovha.vermont.gov
p – 800.250.8427
Oregon – Medicaid and CHIP
oregon.gov
p – 800.359.9517 (Medicaid)
p – 800.359.9517 (CHIP)
Virginia – Medicaid and CHIP
famis.org
p – 800.432.5924 (Medicaid)
p – 866.873.2647 (CHIP)
Pennsylvania – Medicaid
healthchoicespa.com
p – 800.644.7730
Washington – Medicaid
hca.wa.gov/medicaid
p – 800.562.6136
Rhode Island – Medicaid
dhs.ri.gov
p – 401.462.5300
West Virginia – Medicaid
wvrecovery.com
p – 304.342.1604
South Carolina – Medicaid
scdhhs.gov
p – 888.549.0820
Wisconsin – Medicaid
wisconsin.gov
p – 800.362.3002
Texas – Medicaid
gethipptexas.com
p – 800.440.0493
Wyoming – Medicaid
health.wyo.gov
p – 307.777.7531

 

To see if more states have added a premium assistance program, or for more information on special enrollment rights, you can contact either:

U.S. Department of Labor
Employee Benefits Security Administration
dol.gov/ebsa
p – 866.444.EBSA (3272)
U.S. Department of Health and Human Services
Centers for Medicare & Medicaid Services
cms.hhs.gov
p – 877.267.2323 x61565
Contact
Phone Number
Location
Levermore Hall, 203
Search Menu