Medicaid and the Children’s Health Insurance Program (CHIP)
If you or your children are eligible for Medicaid or CHIP and you are eligible for health coverage from your employer, your state may have a premium assistance program that can help pay for coverage.
These states use funds from their Medicaid or CHIP programs to help people who are eligible for these programs, but who also have access to health insurance through their employer. If you or your children are not eligible for Medicaid or CHIP, you will not be eligible for these premium assistance programs.
If you or your dependents are already enrolled in Medicaid or CHIP and you live in a state listed below, 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 (listed below) to find out how to apply or call 877-KIDS-NOW (877-543-7669) or visit Insurekidsnow.gov. 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, as well as eligible under your employer plan, your employer must permit you to enroll in your employer plan if you are not already enrolled. This is called a “special enrollment” opportunity and you must request coverage within 60 days of being determined eligible for premium assistance.
If you have questions about enrolling in your employer plan, you can contact the Department of Labor (contact below).
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 August 2016. You should contact your state for further information on eligibility. To see if any more states have added a premium assistance program since August 2016, or for more information on special enrollment rights, you can contact either:
- U.S. Department of Labor, Employee Benefits Security Administration: dol.gov/agencies/ebsa or 866-444-EBSA (866-444-3272)
- U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services: cms.gov or 877-267-2323, Menu Option 4, Ext. 61565
800-770-5650 or 907-644-6800
602-417-4000 or 800-523-0231 (out of state)
800-866-3513 (in state) or 800-221-3943 (out of state)
|Idaho||Medicaid: healthandwelfare.idaho.gov or 800-926-2588
CHIP: medicaid.idaho.gov or 800-926-2588
|Massachusetts||Medicaid & CHIP: mass.gov/MassHealth
|New Hampshire||Medicaid: dhhs.nh.gov/programs-services/medicaid
|New Jersey||Medicaid: state.nj.us/humanservices/dmahs/clients/medicaid or 800-356-1561
CHIP: njfamilycare.org/index.html or 800-701-0710
|New York||Medicaid: health.ny.gov/publications/0548/medicaid
|North Carolina||Medicaid: medicaid.ncdhhs.gov
|North Dakota||Medicaid: https://www.hhs.nd.gov/healthcare/medicaid
|Oklahoma||Medicaid & CHIP: okhca.org
|Oregon||Medicaid & CHIP: oregon.gov/shiba/Pages/index.aspx
|Rhode Island||Medicaid: healthyrhode.ri.gov/
|South Carolina||Medicaid: scdhhs.gov
|South Dakota||Medicaid: dss.sd.gov
|Virginia||Medicaid: dmas.virginia.gov or 800-432-5924
CHIP: chipofvirginia.org/ or 866-873-2647
800-562-3022 ext. 15473
|West Virginia||Medicaid: dhhr.wv.gov/bms