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State-by-State Insurance Information

Welcome to the National Organization for Rare Disorders’ State-by-State Insurance Information webpage. Here you will find resources to answer your questions about your health insurance plan.

Open enrollment is now closed within the state exchanges. The next open enrollment period starts October 1st, 2015.

However, you may still be eligible to sign-up for health insurance through your state’s marketplace. You are eligible if:

  • You are signing up for your state’s Medicaid insurance program. If you are eligible for Medicaid, you may sign up at any time during the year.
  • You are signing your child up for your state’s CHIP program. If your child is eligible for CHIP, you may sign them up at any time during the year.
  • You have experienced a “qualifying life event”. Examples of a “qualifying life event” include marriage, having a baby, change of employment, or change of citizenship.
  • For more information on signing up for insurance within the marketplaces after open enrollment closes, please visit: https://www.healthcare.gov/how-can-i-get-coverage-outside-of-open-enrollment/#part=2

     

    In addition to the resources listed below, the National Health Council makes the following tools available on its website at PuttingPatientsFirst.net:

  • The Estimate My Costs tool helps people estimate their annual costs across health plans available in their state.
  • The Explore My Options tool helps people see how different health conditions, medication use, and other variables impact out-of-pocket cost.
  • For questions regarding:

  • Health insurance or how the Affordable Care Act affects your state or your health insurance plan, contact your state’s Department of Insurance
  • Problems with coverage within your health insurance plan, file a complaint with your Department of Insurance
  • Your personal health insurance coverage, tips on shopping for health insurance, or advice and education materials on how to interact with your insurance company, contact your state’s consumer assistance program or your Department of Insurance
  • Your state’s health care insurance marketplace, contact your state’s marketplace, or read your state’s Essential Health Benefits and State-Specific coverage requirements
  • Your state’s Medicaid program, or to find out if you are eligible, contact your state’s Medicaid Department
  • View other resources that may be helpful.

     

    Medicaid State Appeals Process

    Kaiser Family Foundation Guide to Medicaid Appeals

    Federal Marketplace: Particular states can appeal through the marketplace. These are Alabama, Arkansas, Idaho, Louisiana, Montana, New Jersey, Pennsylvania, Tennessee, West Virginia, and Wyoming. Appeal request forms with instructions found here.

    Additional state appeal contact information for Alabama, Arkansas, Idaho, Louisiana, Montana, New Jersey, Pennsylvania, Tennessee, Texas, West Virginia, Wisconsin, and Wyoming, located here.

     

    Find Information on Your State's Insurance Marketplace


     

     

    Alabama

    Department of Insurance

    Jim L. Ridling, Commissioner

    Alabama Department of Insurance
    PO Box 303351
    Montgomery, Alabama 36130-3351

    334-269-3550

    Patient Assistance

    Online Complaint Submission

    State Health Insurance Consumer Assistance Program

    Myra Frick, Division Manager, Consumer Services

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    Health Reform Information

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    501 Dexter Avenue
    Montgomery, AL 36104

    1-334-242-5000

    Medicaid Website

    Email for Assistance: WebWork@medicaid.alabama.gov

    Eligibility Requirements: Call 1-800-362-1504

    Appeal through Marketplace (listed at top)

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Alaska

    Department of Insurance

    Bret S. Kolb, Director

    State of Alaska
    Dept. of Commerce, Community & Economic Development Division of Insurance
    550 West 7th Avenue, Suite 1560
    Anchorage, Alaska 99501-3567

    907-269-7900

    Patient Assistance

    Online Complaint Submission

    1-800-467-8725 or 1-800-INSURAK

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    Call 1-800-318-2596 (available 24/7), TTY 1-855-889-4325

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    State Health Insurance Website

    Medicaid

    350 Main Street, Room 404
    PO Box 110601
    Juneau, Alaska 99811-0601

    907-465-3347

    Medicaid Website

    Eligibility Requirements

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    American Samoa

    Department of Insurance

    Office of the Governor
    American Samoa Government
    A P Lutali Executive Office Building
    Pago Pago, American Samoa 96799

    684-633-4116

    Medicaid

    Medicaid Office
    P.O. Box 998383
    Pago Pago, AS 96799

    1-684-633-4818 or 1-684-633-4036

    Medicaid Website

    Email for Assistance: andy.puletasi@go.as.gov

     

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    Arizona

    Department of Insurance

    Germaine L. Marks, Director

    Arizona Department of Insurance
    2910 North 44th Street, Suite 210
    Phoenix, Arizona 85018-7269

    602-364-3100

    Patient Assistance

    Complaint Submission- Mail this form to:
    Consumer Affairs Division
    Arizona Department of Insurance
    2910 N. 44th Street, Ste. 210
    Phoenix, AZ 85018-7269

    Email for Assistance: consumers@azinsurance.gov

    602-364-2499 or 800-325-2548 (in Arizona but outside Phoenix)

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    State Health Insurance Website

    Medicaid

    801 E. Jefferson Street, MD 4100
    Phoenix, AZ 85034

    602-417-4000 or 1-800-654-8713

    Medicaid Website

    Eligibility Requirements

    Medicaid Appeal Process

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Arkansas

    Department of Insurance

    Jay Bradford, Commissioner

    Arkansas Insurance Department
    1200 West Third Street
    Little Rock, Arkansas 72201-1904

    501-371-2600

    Patient Assistance

    Online Complaint Submission

    Email for Assistance: insurance.consumers@arkansas.gov

    855-332-2227 or 501-371-2645 (Health insurance calls)

    State Health Insurance Consumer Assistance Program

    Consumer Services Division

    Arkansas Insurance Department
    Consumer Services Division
    1200 West Third St
    Little Rock, AR 72201

    855-332-2227

    Email for Assistance: insurance.consumers@arkansas.gov

    State Health Insurance Marketplace

    Marketplace Structure: Partnership

    1-800-318-2596 TTY: 1-855-889-4325

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    State Health Insurance Information

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    Arkansas Division of Medical Services
    Department of Human Services
    Donaghey Plaza South P. O. Box 1437, Slot S401
    Little Rock, Arkansas 72203-1437

    1-800-482-8988

    Medicaid Website

    Eligibility Requirements

    Medicaid Appeal Process

    Also covered through Marketplace

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    California

    Department of Insurance

    Dave Jones, Commissioner

    California Department of Insurance
    300 Capitol Mall, Suite 1700
    Sacramento, California 95814

    916-492-3500

    Patient Assistance

    Online Complaint Submission

    1-800-927-HELP (4357) or 1-213-897-8921

    State Health Insurance Consumer Assistance Program

    California Department of Insurance
    Office of the Ombudsman
    300 Capital Mall Suite 1600
    Sacramento California, 95814

    916- 492-3545

    State Health Insurance Marketplace

    Marketplace Structure: State

    1-800-300-1506 (TTY: 1-888-889-4500)

    Exchange Email: outreach@covered.ca.gov

    Marketplace Website

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Enrollment Assistance Program

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    1501 Capitol Avenue
    Sacramento, CA 95814

    916-552-9200

    Medicaid Website

    Eligibility Requirements

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Colorado

    Department of Insurance

    Marguerite Salazar, Commissioner

    Colorado Dept. of Regulatory Agencies
    Division of Insurance
    1560 Broadway, Suite 850
    Denver, Colorado 80202

    303-894-7499

    Patient Assistance

    Online Complaint Submission

    Email for Assistance: insurance@dora.state.co.us

    303-894-7490

    State Health Insurance Marketplace

    Marketplace Structure: State

    855-PLANS-4-YOU(855-752-6749)

     

    Marketplace Website

    Marketplace Contact

    Enrollment Options

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    State Health Insurance Website

    Medicaid

    Department of Health Care Policy and Financing
    1570 Grant Street
    Denver, CO 80203-1818

    303-866-3513; toll free 1-800-221-3943

    Medicaid Website

    Eligibility Requirements

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Connecticut

    Department of Insurance

    Thomas B. Leonardi, Commissioner

    Connecticut Insurance Department
    PO Box 816
    Hartford, Connecticut 06142-0816

    860-297-3800

    Patient Assistance

    Online Complaint Submission

    Email for Assistance: cid.ca@ct.gov

    800-203-3447

    State Health Insurance Consumer Assistance Program

    Victoria Veltri, Healthcare Advocate

    Office of the Healthcare Advocate
    P.O.BOX 1543
    Hartford CT,06144

    860-331-2441

    Consumer Assistance Program Email: Healthcare.advocate@ct.gov or Victoria.Veltri@CT.Gov

    State Health Insurance Marketplace

    Marketplace Structure: State

    Access Health CT
    280 Trumbull Street, 15th Floor
    Hartford, CT 06103

    1-800-318-2596 TTY: 1-855-889-4325

    Marketplace Contact: Questions@AccessHealthCT.com

    Marketplace Website

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    25 Sigourney Street
    Hartford, CT 06106-5033

    1-800-842-1508 or 800- 842-4524

    Medicaid Website

    Eligibility Requirements

    Medicaid Fair Hearing Rights

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Delaware

    Department of Insurance

    Karen Weldin Stewart, Commissioner

    Delaware Department of Insurance
    841 Silver Lake Boulevard
    Dover, Delaware 19904

    302-674-7300

    Patient Assistance

    Online Complaint Submission

    Email for Assistance: consumer@state.de.us

    1-800-282-8611 in Delaware or 302-674-7310

    State Health Insurance Consumer Assistance Program

    Michael Gould, Manager of Consumer Services and Investigations

    State Health Insurance Marketplace

    Marketplace Structure: Partnership

    1-800-318-2596, TTY: 1-855-889-4325

    Marketplace Website

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    Lewis Building
    Herman Holloway Sr. Campus
    1901 N. DuPont Highway
    New Castle, Delaware 19720

    800-464-HELP

    Medicaid Website

    Eligibility Requirements

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    District of Columbia

    Department of Insurance

    Chester A. McPherson, Commissioner

    Government of the District of Columbia
    Department of Insurance
    Securities, and Banking
    810 First Street, N. E., Suite 701
    Washington, DC 20002

    202-727-8000

    Patient Assistance

    Online Complaint Submission

    Email for Assistance: disbcomplaints@dc.gov

    State Health Insurance Consumer Assistance Program

    Office of Health Care Ombudsman and Bill of Rights
    Department of Health Care Finance
    825 North Capitol Street, NE, 6th Floor
    Washington, DC 20002

    202-478-1397

    Ombudsman Email: healthreform@dc.gov

    State Health Insurance Marketplace

    Marketplace Structure: State

    Marketplace Contact: healthreform@dc.gov

    (855) 532-5465

    Marketplace Website

    Enrollment Options

    Plan Information

    Estimate My Cost

    Certified Patient Navigators

    Find Local Help

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    (202) 442-5988

    Medicaid Website

    Email: dhcf@dc.gov

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Florida

    Department of Insurance

    Kevin M. McCarty, Commissioner

    Office of Insurance Regulation
    The Larson Building
    200 E. Gaines Street, Rm 101A
    Tallahassee, Florida 32399-0305

    850-413-5914

    Patient Assistance

    Online Complaint Submission

    Email for Assistance: Consumer.Services@myfloridacfo.com

    1-877-MY-FL-CFO (1-877-693-5236) or Out of State Callers: 850-413-3089

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    Enrollment Options

    Plan Information

    Estimate My Cost

    Certified Patient Navigators

    Find Local Help

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    Local Medicaid Offices

    1-866-76ACCESS or 1-866-762-2237

    Medicaid Website

    Eligibility Requirements

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Georgia

    Department of Insurance

    Ralph T. Hudgens, Commissioner

    Office of Insurance and Safety Fire Commissioner
    Two Martin Luther King, Jr. Dr.
    West Tower, Suite 704
    Atlanta, Georgia 30334

    404-656-2070

    Patient Assistance

    Online Complaint Submission

    404-656-2070 or Toll Free: 800-656-2298

    State Health Insurance Consumer Assistance Program

    Consumer Services Division
    Two Martin Luther King, Jr. Drive
    West Tower, Suite 716
    Atlanta, Georgia 30334

    Consumer Assistance Program Website

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    Local Medicaid Offices

    http://dfcs.dhs.georgia.gov/complete-list-all-county-offices

    404-730-1200

    Medicaid Website

    Eligibility Requirements

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Guam

    Department of Insurance

    Artermio B. Ilagan, Banking and Insurance Commissioner

    Department of Revenue & Taxation Regulatory Division
    PO Box 23607
    GMF Barrigada, Guam 96921

    671-635-1817

    Medicaid

    Guam Department of Public Health and Social Services Medicaid/MIP Off-Island Referral Office
    Bureau of Health Care Financing Administration Location: Room 238 123
    Chalan Kareta, Mangilao GU 96913

    671-735-7224/7302

     

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    Hawaii

    Department of Insurance

    Gordon I. Ito, Commissioner

    Department of Commerce and Consumer Affairs (DCCA)
    Insurance Division
    PO Box 3614
    Honolulu, Hawaii 96811-3614

    808-586-2790

    Patient Assistance

    Online Complaint Submission

    Email for Assistance: insurance@dcca.hawaii.gov

    808-586-2804

    State Health Insurance Marketplace

    Marketplace Structure: State

    201 Merchant Street
    Suite 1810
    Honolulu, Hawaiʻi 96813

    877-628-5076

    Marketplace Contact: info@hawaiihealthconnector.com

    Marketplace Website

    Plan Information

    Enrollment Options

    Estimate My Cost

    Certified Patient Navigators

    Find Local Help

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    Local Medicaid Offices

    Medicaid Website

    Eligibility Requirements

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Idaho

    Department of Insurance

    William W. Deal, Director

    Idaho Department of Insurance
    PO Box 83720
    Boise, Idaho 83720-0043

    208-334-4250

    Patient Assistance

    Online Complaint Submission

    Boise Area: 208-334-4250 or Toll Free (in-state only): 1-800-721-3272

    State Health Insurance Marketplace

    Marketplace Structure: State

    Marketplace Website

    Marketplace Contact: customerservice@yourhealthidaho.org

    855-YHIdaho (855-944-3246)

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    Local Medicaid Offices

    1-877-456-1233

    Medicaid Website

    Email for Assistance: SRInqComplaint@dhw.idaho.gov

    Eligibility Requirements

    Appeal through Marketplace (listed at the top)

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Illinois

    Department of Insurance

    Andrew Boron, Director

    Illinois Department of Insurance
    320 W. Washington Street
    Springfield, Illinois 62767-0001

    217-782-4515

    Patient Assistance

    Online Complaint Submission

    866-445-5364

    State Health Insurance Consumer Assistance Program

    877-527-9431

    Ombudsman Website

    State Health Insurance Marketplace

    Marketplace Structure: Partnership

    Health Reform Information

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    217-782-2570

    Medicaid Website

    Email for Assistance: hfs.webmaster@illinois.gov

    Medicaid Appeals and Fair Hearing Process

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Indiana

    Department of Insurance

    Stephen W. Robertson, Commissioner

    Indiana Department of Insurance
    311 W. Washington Street
    Suite 300
    Indianapolis, Indiana 46204-2787

    317-232-2385

    Patient Assistance

    Online Complaint Submission

    Email for Assistance: consumerservices@idoi.in.gov

    1-800-622-4461

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Email for Assistance: Navigator@idoi.in.gov

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    1-317-713-9627 or 1-800-457-4584

    Medicaid Website

    Email for Assistance

    Eligibility Requirements

    Medicaid Appeal Process

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Iowa

    Department of Insurance

    Nick Gerhart, Commissioner

    Iowa Insurance Division<
    Two Ruan Center, 601 Locust, 4th Floor
    Des Moines, IA 50309-3438

    515-281-5705

    Patient Assistance

    Online Complaint Submission

    1-877-955-1212

    State Health Insurance Consumer Assistance Program

    Angel Robinson, Consumer Advocate

    Iowa Insurance Division
    330 Maple Street
    Des Moines, Iowa 50319-0065

    515-281-4038

    Consumer Assistance Program Email: insuranceca@iid.iowa.gov

    State Health Insurance Marketplace

    Marketplace Structure: Partnership

    Health Reform Information

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    Iowa Medicaid Enterprise 100 Army Post Road
    Des Moines, Iowa 50315

    800-338-8366

    Medicaid Website

    Email for Assistance: IMEMemberServices@dhs.state.ia.us

    Eligibility Requirements

    Medicaid Appeal Process

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Kansas

    Department of Insurance

    Sandy Praeger, Commissioner

    Kansas Insurance Department
    420 SW 9th Street
    Topeka, Kansas 66612-1678

    785-296-3071

    Patient Assistance

    Online Complaint Submission

    Email for Assistance: webcomplaints@ksinsurance.org

    785-296-7829 or 800-432-2484

    State Health Insurance Consumer Assistance Program

    Consumer Assistance Division

    800-432-2484 or 785-296-7829

    Consumer Assistance Program Email: CAP@ksinsurance.org

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    Health Reform Information

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    State Health Insurance Website

    Medicaid

    Kansas Medical Assistance Program
    PO Box 3571
    Topeka, KS, 66601

    1-800-766-9012

    Medicaid Website

    Right to Appeal

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Kentucky

    Department of Insurance

    Sharon P. Clark, Commissioner

    Kentucky Department of Insurance
    PO Box 517
    Frankfort, Kentucky 40602-0517

    502-564-3630

    Patient Assistance

    Online Complaint Submission

    Email for Assistance: Angie.Wallingford@ky.gov or Rodney.Hugle@ky.gov

    800-595-6053 (KY only) or 502-564-6034

    State Health Insurance Consumer Assistance Program

    Brian K. Staples, Health Insurance Advocate/Ombudsman
    P.O. Box 517
    Frankfort, KY 40602

    877-587-7222

    Ombudsman Email: DOI.CAPombudsman@ky.gov

    Ombudsman Website

    State Health Insurance Marketplace

    Marketplace Structure: State

    Contact Information

    Marketplace Website

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Search for an Approved Agent

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    Local Medicaid Offices

    1-800-635-2570

    Medicaid Website

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Louisiana

    Department of Insurance

    James J. Donelon, Commissioner

    Louisiana Department of Insurance
    PO Box 94214
    Baton Rouge, Louisiana 70804-9214

    225-342-5900

    Patient Assistance

    Online Complaint Submission

    Email for Assistance: consumeradvocacy@ldi.la.gov

    800-259-5300 or 225-342-5900

    State Health Insurance Consumer Assistance Program

    Ron C. Henderson, Deputy Commissioner of Consumer Advocacy

    225-219-4775

    Consumer Assistance Program Email: rchenderson@ldi.la.gov

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    State Health Insurance Website

    Medicaid

    P.O. Box 91278
    Baton Rouge, LA 70821-9278

    1-888-342-6207

    Medicaid Website

    Email for Assistance: MedWeb@la.gov

    Eligibility Requirements

    Medicaid Appeal Process

    http://new.dhh.louisiana.gov/index.cfm/page/323

    Appeals can also be covered through Marketplace

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Maine

    Department of Insurance

    Eric A. Cioppa, Superintendent

    Department of Professional & Financial Regulation
    Maine Bureau of Insurance
    34 State House Station
    Augusta, Maine 04333-0034

    207-624-8475

    Patient Assistance

    Online Complaint Submission

    Email for Assistance: Insurance.PFR@maine.gov

    800-300-5000 (toll free in Maine) or 207-624-8475

    State Health Insurance Consumer Assistance Program

    Glenn Griswold, Director of the Consumer Healthcare Division

    207-624-8494

    Consumer Assistance Program Email: Glenn.J.Griswold@maine.gov

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    1-877-892-8391 or 1-207-287-9900, TTY 1-207-287-4344

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    11 State House Station
    Augusta, Maine 04333-0011

    207-287-2674, TTY 711

    Medicaid Website

    Email for Assistance: BMS.webmaster@maine.gov

    Eligibility Requirements

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Maryland

    Department of Insurance

    Therese M. Goldsmith, Commissioner

    Maryland Insurance Administration
    200 St. Paul Place
    Suite 2700
    Baltimore, Maryland 21202

    410-468-2090

    Patient Assistance

    Complaint Submission- Mail this form to:
    Maryland Insurance Administration
    200 St. Paul Place, Suite 2700
    Baltimore, Maryland 21202

    1-800-492-6116 or 410-468-2244

    State Health Insurance Consumer Assistance Program

    Joyce Peach, Administrative Assistant, Consumer Education and Advocacy

    Consumer Education & Advocacy
    200 Saint Paul Place
    Suite 2700
    Baltimore, MD 21202-2004

    (410)468-2360

    Consumer Assistance Program Email: joyce.peach@maryland.gov

    State Health Insurance Marketplace

    Marketplace Structure: State

    750 East Pratt Street, 16th Floor
    Baltimore, MD 21202

    855.MHC(642).8572 or 855.MHC(642).8573

    Marketplace Website

    Provider Search

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Certified Navigators and IPAs

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    State Health Insurance Website

    Find your Provider

    Medicaid

    201 West Preston Street
    Baltimore, MD 21201

    1-800-456-8900 or 1-800-284-4510

    Medicaid Website

    Email for Assistance: healthmd@dhmh.state.md.us

    Eligibility Requirements

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Massachusetts

    Department of Insurance

    Joseph G. Murphy, Commissioner

    Office of Consumer Affairs and Business Regulation (OCABR)
    Massachusetts Division of Insurance
    1000 Washington Street, 8th Floor
    Boston, Massachusetts 02118-6200

    617-521-7794

    Patient Assistance

    Complaint Submission- Mail this form to: 1000 Washington Street, Suite 810 Boston, MA 02118

    Email for Assistance: doicss.mailbox@state.ma.us

    617-521-7794 or 877-563-4467

    State Health Insurance Consumer Assistance Program

    Kathryn Bicego, Consumer Assistance Program Manager

    Massachusetts Consumer Assistance Program
    30 Winter Street, 10th Floor
    Boston, MA 02108

    617-350-7279 or 800-272-4232

    Consumer Assistance Program Email: bicego@hcfama.org

    Consumer Assistance Program Website

    State Health Insurance Marketplace

    Marketplace Structure: State

    1-877-623-6765

    Marketplace Contact

    Marketplace Website

    Enrollment Options

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    MassHealth Enrollment Center – Chelsea
    45-47 Spruce Street
    Chelsea, MA 02150

    1-888-665-9993 or 1-888-665-9997

    Medicaid Website

    Email for Assistance: membersupport@mahealth.net

    Eligibility Requirements

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Michigan

    Department of Insurance

    Ann Flood, Director

    Dept. of Insurance & Financial Services
    PO Box 30220
    Lansing, Michigan 48909-7720

    517-373-0220

    Patient Assistance

    Complaint Submission- Mail this form to:
    DIFS Consumer Services
    P.O. Box 30220
    Lansing, MI 48909-7720

    Email for Assistance: ofir-hicap@michigan.gov

    877-999-6442

    State Health Insurance Consumer Assistance Program

    Consumer Assistance Program Email: DIFS-HICAP@Michigan.gov.

    Consumer Assistance Program Website

    State Health Insurance Marketplace

    Marketplace Structure: Partnership

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    State Health Insurance Website

    Medicaid

    Capitol View Building
    201 Townsend Street
    Lansing, Michigan 48913

    517-373-3740

    Medicaid Website

    Eligibility Requirements

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Minnesota

    Department of Insurance

    Mike Rothman, Commissioner

    Minnesota Department of Commerce
    85 7th Place East, Suite 500
    St. Paul, Minnesota 55101

    651-296-6025

    Patient Assistance

    Online Complaint Submission

    Twin cities: 651-296-2488 or statewide toll free at 800-657-3602

    State Health Insurance Consumer Assistance Program

    (For state-run health insurance):

    Ombudsman for State Managed Health Care Programs
    PO Box 64249
    St. Paul, MN 55164-0249

    651-431-2660 or 800-657-3729

    State Health Insurance Marketplace

    Marketplace Structure: State

    MNsure
    Golden Rule Building
    85 -7th Place East, Suite 120
    St. Paul, MN 55101-2198

    651-284-4101

    Marketplace Contact: publicfeedback@mnsure.org

    Marketplace Website

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Certified Navigators and IPAs

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    State Health Insurance Website

    Find your Provider Network

    Medicaid

    651-431-2670 or 800-657-3739

    Medicaid Website

    Email for Assistance: DHS.Info@state.mn.us

    Eligibility Requirements

    Medicaid Appeal Process

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Mississippi

    Department of Insurance

    Mike Chaney, Commissioner

    Mississippi Insurance Department
    PO Box 79
    Jackson, Mississippi 39205-0079

    601-359-3569

    Patient Assistance

    Online Complaint Submission

    Email for Assistance: consumer@mid.ms.gov

    601-359-2453 or 800-562.2957

    State Health Insurance Consumer Assistance Program

    Health Help Mississippi
    800 North President Street
    Jackson, MS 39202

    1-877-314-3843

    Consumer Assistance Program Email: healthhelpms@mhap.org

    State Health Insurance Consumer Assistance Program Website

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    State Health Insurance Website

    Medicaid

    Local Medicaid Offices

    1-800-421-2408

    Medicaid Website

    Eligibility Requirements

    Medicaid Appeal Process

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Missouri

    Department of Insurance

    John M. Huff, Director

    Missouri Department of Insurance
    Financial Institutions and Professional Registration (DIFP)
    PO Box 690
    Jefferson City, Missouri 65102-0690

    573-751-4126

    Patient Assistance

    Online Complaint Submission

    800-726-7390

    State Health Insurance Consumer Assistance Program

    Missouri Department of Insurance
    301 W. High St, Room 830
    Jefferson City, MO 65101

    Consumer Assistance Program Email: consumeraffairs@insurance.mo.gov

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    State Health Insurance Website

    Medicaid

    The State of Missouri
    MO HealthNet Division
    615 Howerton
    P.O. Box 6500
    Jefferson City, MO 65102-6500

    573-751-3425

    Medicaid Website

    Email for Assistance: Ask.MHD@dss.mo.gov

    Eligibility Requirements

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Montana

    Department of Insurance

    Monica J. Lindeen, Commissioner of Securities and Insurance, Montana State Auditor

    Montana Office of the Commissioner of Securities and Insurance
    Montana State Auditor
    840 Helena Avenue
    Helena, Montana 59601

    406-444-2040

    Patient Assistance

    Online Complaint Submission

    1-800-332-6148

    State Health Insurance Consumer Assistance Program

    Monica J. Lindeen, Commissioner of Securities and Insurance, Montana State Auditor

    Montana Office of the Commissioner of Securities and Insurance
    Montana State Auditor
    840 Helena Avenue
    Helena, Montana 59601

    1-800-332-6148

    Consumer Assistance Program Email: csi@mt.gov

    Consumer Assistance Program Website

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    Local Medicaid Offices

    877-543-7669

    Medicaid Website

    Eligibility Requirements

    Appeal through Marketplace (listed at the top)

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Nebraska

    Department of Insurance

    Bruce R. Ramge, Director

    Nebraska Department of Insurance
    PO Box 82089
    Lincoln, NE 68501-2089

    402-471-2201

    Patient Assistance

    Online Complaint Submission

    402-471-2201 or 877-564-7323

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    402-471-9147 or 800- 358-8802

    Medicaid Website

    Eligibility Requirements: Call: 800-642-6092

    Medicaid Appeal Process

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Nevada

    Department of Insurance

    Scott J. Kipper, Commissioner

    Nevada Dept. of Business & Industry Division of Insurance
    1818 East College Pkwy, Suite 103
    Carson City, Nevada 89706

    775-687-0700

    Email for Assistance- cscc@doi.state.nv.us

    Patient Assistance

    Online Complaint Submission

    Email for Assistance: Northern Nevada: cscc@doi.state.nv.us Southern Nevada: edelacy@doi.state.nv.us

    Northern Nevada: 775- 687-0700 or Southern Nevada: 702-486-4009

    State Health Insurance Consumer Assistance Program

    Nevada Governor’s Office for Consumer Health Assistance
    555 East Washington Ave #4800
    Las Vegas, NV 89101

    702-486-3587 or 888-333-1597

    Consumer Assistance Program Email: cha@govcha.state.nv.us

    Consumer Assistance Program Website

    State Health Insurance Marketplace

    Marketplace Structure: State

    Nevada Health Link
    c/o Silver State Health Insurance Exchange
    PO Box 97138
    Las Vegas, NV 89193

    (855) 768 5465

    Marketplace Contact: customersupport@nevadahealthlink.com

    Marketplace Website

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    Division of Health Care Financing and Policy
    1100 E. William Street, Suite 101
    Carson City, Nevada 89701

    775-684-3676, Toll Free (in-state): 1 -877-543-7669 OR Toll Free (out-of-state): 1-800-992-0900

    Medicaid Website

    Contact for Assistance

    Eligibility Requirements

    Enrollment Assistance

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    New Hampshire

    Department of Insurance

    Roger A. Sevigny, Commissioner

    New Hampshire Insurance Department
    21 South Fruit Street, Suite 14
    Concord, New Hampshire 03301

    603-271-2261

    Patient Assistance

    Online Complaint Submission

    Email for Assistance: requests@ins.nh.gov

    1-603-271-2261

    State Health Insurance Marketplace

    Marketplace Structure: Partnership

    Health Reform Information

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    Office of Medicaid Business & Policy
    NH Department of Health & Human Services
    129 Pleasant Street
    Concord, NH 03301

    800-852-3345, ext 4344 or 603-271-4344

    Medicaid Website

    Contact for Assistance

    Eligibility Requirements

    Medicaid Appeal Process

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    New Jersey

    Department of Insurance

    Kenneth E. Kobylowski, Commissioner

    State of New Jersey
    Department of Banking and Insurance
    20 West State Street PO Box 325
    Trenton, New Jersey 08625-0325

    609-292-7272

    Patient Assistance

    Online Complaint Submission

    1-800-446-7467

    State Health Insurance Consumer Assistance Program

    The Office of the Insurance Ombudsman
    NJ Department of Banking and Insurance
    20 West State Street
    PO Box 472
    Trenton NJ 08625-0472

    1-800-446-7467

    Ombudsman Email: ombudsman@dobi.state.nj.us

    Ombudsman Website

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    State Health Insurance Website

    Medicaid

    Local Medicaid Offices

    1-800-356-1561

    Medicaid Website

    Eligibility Requirements

    Appeal through Marketplace (listed at the top)

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    New Mexico

    Department of Insurance

    John G. Franchini, Superindendent

    New Mexico Public Regulation Commission
    Division of Insurance
    PO Box 1689
    Santa Fe, New Mexico 87504-1689

    505-827-4601

    Patient Assistance

    Online Complaint Submission

    Email for Assistance: crd.complaints@state.nm.us

    State Health Insurance Consumer Assistance Program

    New Mexico Public Regulation Commission
    Division of Insurance
    PO Box 1689
    Santa Fe, New Mexico 87504-1689

    888-427-5772

    Consumer Assistance Program Email: mchb.grievance@state.nm.us

    State Health Insurance Marketplace

    Marketplace Structure: State

    506 Agua Fria Street
    Santa Fe, NM 87501

    1-855-99-NMHIX

    Marketplace Contact

    Marketplace Website

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Find a Healthcare Guide

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    NM Human Services Department's Medical Assistance Division
    P.O. Box 2348
    Santa Fe, NM 87504-2348

    505-827-3100 or 1-888-997-2583

    Medicaid Website

    Email for Assistance: MADInfo.HSD@state.nm.us

    Eligibility Requirements

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    New York

    Department of Insurance

    Benjamin M. Lawsky, Superindendent

    New York State Dept. of Financial Services
    One State Street
    New York, New York 10004-1511

    212-709-3500

    Patient Assistance

    Online Complaint Submission

    800-342-3736

    State Health Insurance Consumer Assistance Program

    Community Service Society: Community Health Advocates
    105 East 22nd Street
    New York, NY 10010

    888-614-5400

    Consumer Assistance Program Email: cha@cssny.org

    Consumer Assistance Program Website

    State Health Insurance Marketplace

    Marketplace Structure: State

    Marketplace Contact: exchange@health.state.ny.us

    855.355.5777, TTY: 800.662.1220

    Marketplace Website

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Certified Navigators and IPAs

    Find a Broker

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    State Health Insurance Website

    Find your Provider

    Medicaid

    New York State Department of Health
    Corning Tower
    Empire State Plaza
    Albany, NY 12237

    1-800-541-2831

    Medicaid Website

    Email for Assistance: Medicaid@health.state.ny.us

    Eligibility Requirements

    Medicaid Appeal Process

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    North Carolina

    Department of Insurance

    Wayne Goodwin, Commissioner

    North Carolina Department of Insurance
    1201 Mail Service Center
    Raleigh, North Carolina 27699-1201

    919-733-3058

    Patient Assistance

    Online Complaint Submission

    800-546-5664 (toll free in N.C.) or 919-807-6750

    State Health Insurance Consumer Assistance Program

    North Carolina Department of Insurance
    Health Insurance Smart NC
    1201 Mail Service Center
    Raleigh, NC 27699-1201

    877-885-0231 (toll free) 919-807-6860

    Consumer Assistance Program Contact

    Consumer Assistance Program Website

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    Local Medicaid Offices

    1-800-662-7030

    Medicaid Website

    Eligibility Requirements

    Medicaid Appeal Process

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

    Back to top.

    North Dakota

    Department of Insurance

    Adam Hamm, Commissioner

    North Dakota Insurance Department State Capitol, Fifth Floor
    600 E. Boulevard Avenue
    Bismarck, North Dakota 58505-0320

    701-328-2440

    Patient Assistance

    Email for Assistance: insurance@nd.gov

    1-800-247-0560

    State Health Insurance Consumer Assistance Program

    Consumer Assistance Center
    1701 S. 12th St.
    Bismarck, ND 58504

    701-328-2440 or 800-247-0560

    Consumer Assistance Program Email: insurance@nd.gov

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    State Health Insurance Website

    Medicaid

    Medical Services Division North Dakota Department of Human Services
    600 E Boulevard Ave, Dept 325
    Bismarck, ND 58505-0250

    701-328-2321 or 1-800-755-2604

    Medicaid Website

    Email for Assistance: dhsmed@nd.gov

    Eligibility Requirements

    Medicaid Appeal Forms

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Northern Mariana Islands

    Department of Insurance

    Sixto K. Igisomar, Secretary of Commerce

    Commonwealth of the N Mariana Islands Department of Commerce
    Office of the Insurance Commissioner
    Caller Box 10007 CK
    Saipan, MP 96950

    670-664-3064

    Patient Assistance

    Online Complaint Submission

    Email for Assistance: commerce@pticom.com

    670-664-3064 or 670-664-3000

     

    Back to top.

    Ohio

    Department of Insurance

    Mary Taylor, Lt. Governor/Director

    Ohio Department of Insurance
    50 West Town Street Third Floor, Suite 300
    Columbus, OH 43215

    614-644-2658

    Patient Assistance

    Online Complaint Submission

    1-800-686-1526

    State Health Insurance Consumer Assistance Program

    614-644-2651

    Ombudsman Email: ombudsman@insurance.ohio.gov.

    Ombudsman Website

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    Marketplace Contact: ExchangeComments@insurance.ohio.gov

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    State Health Insurance Website

    Medicaid

    Local Medicaid Offices

    800-324-8680 or 800-292-3572

    Medicaid Website

    Eligibility Requirements

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

    Back to top.

    Oklahoma

    Department of Insurance

    John D. Doak, Commissioner

    Oklahoma Insurance Department
    7645 E. 63rd St., Suite 102
    Tulsa, OK 74133

    918-295-3700

    Patient Assistance

    Online Complaint Submission

    1-800-522-0071 (in state only) or 405-521-2991

    State Health Insurance Consumer Assistance Program

    Oklahoma Insurance Department
    Five Corporate Plaza
    3625 NW 56th, Ste 100
    Oklahoma City, OK 73112

    1-800-522-0071 (in state only) or 405-521-2991

    Ombudsman Email: ombudsman@oid.ok.gov

    Ombudsman Website

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    Local Medicaid Offices

    800-987-7767

    Medicaid Website

    Eligibility Requirements

    Medicaid Appeal Process

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Oregon

    Department of Insurance

    Laura N. Cali, Insurance Commissioner

    Oregon Dept. of Consumer & Bus Srvcs Insurance Division
    PO Box 14480
    Salem, Oregon 97309-0405

    503-947-7980

    Patient Assistance

    Online Complaint Submission

    503-947-7984 (Salem) or 888-877-4894 (toll-free)

    State Health Insurance Consumer Assistance Program

    Oregon Health Connect

    1435 NE 81st Avenue, Suite 500, Portland, Oregon 97213-6759

    855-999-3210

    Consumer Assistance Program Email: healthconnect@211info.org

    Consumer Assistance Program Website

    State Health Insurance Marketplace

    Marketplace Structure: State

    Cover Oregon
    16760 SW Upper Boones Ferry Road
    Suite 200
    Durham, OR 97224

    1-855-268-3767

    Marketplace Contact: info@coveroregon.com

    Marketplace Website

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Find your Provider

    Medicaid

    Division of Medical Assistance Programs Administrative Office
    500 Summer Street NE
    Salem, OR 97301-1079

    1-800-699-9075

    Medicaid Website

    Eligibility Requirements

    Contact Information for Medicaid Appeals

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Pennsylvania

    Department of Insurance

    Michael F. Consedine, Commissioner

    Pennsylvania Insurance Department
    1326 Strawberry Square
    Harrisburg, Pennsylvania 17120

    717-783-0442

    Patient Assistance

    Online Complaint Submission

    1-877-881-6388 or 717-783-3898

    State Health Insurance Consumer Assistance Program

    Pennsylvania Consumer Assistance Program
    1209 Strawberry Square
    Harrisburg, PA 17111

    215-560-2630 or 1-877-881-6388

    Consumer Assistance Program Website

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    Department of Public Welfare
    P.O. Box 2675
    Harrisburg PA 17105-2675

    1-800-692-7462

    Medicaid Website

    Contact for Assistance

    Medicaid Appeal Process

    Can also appeal through Marketplace (listed at the top)

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Puerto Rico

    Department of Insurance

    Angela Weyne, Commissioner

    Office of the Commissioner of Insurance
    B5 Calle Tabonuco
    Suite 216 PMB356
    Guaynabo, Puerto Rico 00968-3029

    787-304-8686

    Medicaid

    Department of Health
    PO Box 70184
    San Juan, PR 00936

    787-641-4224

    Medicaid Website

    Eligibility Requirements

     

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    Rhode Island

    Department of Insurance

    Joseph Torti III, Commissioner

    State of Rhode Island
    Department of Business Regulation Division of Insurance
    1511 Pontiac Avenue, Building 69-2
    Cranston, Rhode Island 02920

    401-462-9520

    Patient Assistance

    Complaint Submission Mail this form to:
    NOHIC 1511 Pontiac Ave
    Building 69 1st Floor

    Email for Assistance: healthinsinquiry@ohic.ri.gov

    State Health Insurance Consumer Assistance Program

    Rhode Island Consumer Assistance Program, Rhode Island Parent Information Network
    1210 Pontiac Avenue
    Cranston, RI 02920

    855-747-3224

    State Health Insurance Consumer Assistance Program Email

    Consumer Assistance Program Website

    State Health Insurance Marketplace

    Marketplace Structure: State

    1-855-840-HSRI

    Marketplace Contact

    Marketplace Website

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    Local Medicaid Offices

    401-784-8100 or 1-800-964-6211

    Medicaid Website

    Eligibility Requirements

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    South Carolina

    Department of Insurance

    Raymond G. Farmer, Director

    South Carolina Department of Insurance
    PO Box 100105
    Columbia, South Carolina 29202-3105

    803-737-6160

    Patient Assistance

    Online Complaint Submission

    Email for Assistance: info@doi.sc.gov

    State Health Insurance Consumer Assistance Program

    803-737-6180 or 800-768-3467 (toll free only in SC)

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    State Health Insurance Website

    Medicaid

    Health and Human Services P.O. Box 8206
    Columbia, SC 29202

    888-549-0820

    Medicaid Website

    Eligibility Requirements

    Medicaid Appeal Process

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    South Dakota

    Department of Insurance

    Merle D. Scheiber, Director

    South Dakota Dept. of Labor & Regulation
    Division of Insurance
    445 East Capitol Avenue
    Pierre, South Dakota 57501-3185

    605-773-3563

    Patient Assistance

    Online Complaint Submission

    Email for Assistance: insurance@state.sd.us

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    1-855-850-2834 (for small-businesses only)

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    Local Medicaid Offices

    Contact: Jolene Brakke, Program Administrator: 605-773-4678

    Medicaid Website

    Email for Assistance: MedElig@state.sd.us

    Eligibility Requirements

    Medicaid Appeal Process

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Tennessee

    Department of Insurance

    Julie Mix McPeak, Commissioner

    Tennessee Department of Commerce & Insurance (TDCI)
    Davy Crockett Tower Twelfth Floor
    500 James Robertson Parkway
    Nashville, Tennessee 37243-0565

    615-741-2176

    Patient Assistance

    Online Complaint Submission

    Email for Assistance: CIS.Complaints@tn.gov

    State Health Insurance Consumer Assistance Program

    Vickie Trice, Director of Consumer Insurance Services

    615-741-2218 or 1-800-342-4029 (inside Tennessee)

    Consumer Assistance Program Email: vickie.trice@tn.gov

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    Marketplace Contact: insurance.exchange@tn.gov

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    TennCare
    310 Great Circle Rd.
    Nashville, TN 37243

    1-866-311-4287

    Medicaid Website

    Email for Assistance: Tenn.Care@tn.gov

    Eligibility Requirements

    Medicaid Appeal Process

    Can also appeal through Marketplace (listed at the top)

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Texas

    Department of Insurance

    Julia Rathgeber, Commissioner

    Texas Department of Insurance
    PO Box 149104
    Austin, Texas 78714

    512-463-6169

    Patient Assistance

    Online Complaint Submission

    Email for Assistance: ConsumerProtection@tdi.texas.gov

    1-800-252-3439 or 463-6515 in Austin

    State Health Insurance Consumer Assistance Program

    1-800-252-3439

    Consumer Assistance Program Email: ConsumerProtection@tdi.texas.gov

    Consumer Assistance Program Website

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    State Health Insurance Website

    Medicaid

    800-252-8263

    Medicaid Website

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Utah

    Department of Insurance

    Todd E. Kiser, Commissioner

    Utah Insurance Department
    3110 State Office Building
    Salt Lake City, Utah 84114

    801-538-3800

    Patient Assistance

    Online Complaint Submission

    Email for Assistance: health.uid@utah.gov

    Salt Lake City area: 801-538-3890 or In-state toll-free: 1-800-439-3805

    State Health Insurance Consumer Assistance Program

    Michelle White, Health Consumer Service Analyst

    (801)538-3826

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    For Small Businesses

    60 E. South Temple, Third Floor
    Salt Lake City, Utah 84111

    1-877-213-1993

    Marketplace Contact: info@avenueh.com

    Marketplace Website

    For Individuals

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    State Health Insurance Website

    Medicaid

    Utah Department of Health Division of Medicaid and Health Financing
    P.O. Box 143106
    Salt Lake City, UT 84114-3106

    801-538-6155 or 1-800-662-9651

    Medicaid Website

    Eligibility Requirements

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Vermont

    Department of Insurance

    Susan Donegan, Commissioner

    Department of Financial Regulation
    89 Main Street
    Montpelier, Vermont 05620

    802-828-3301

    Patient Assistance

    Complaint Submission- Mail this form to:
    Consumer Services
    Department of Banking, Insurance, Securities and Health Care Administration
    89 Main Street
    Montpelier VT 05620-3101

    Email for Assistance: consumercomplaints@state.vt.us

    800-964-1784

    State Health Insurance Consumer Assistance Program

    Insurance Division- Consumer Services
    Department of Financial Regulation
    89 Main Street
    Montpelier Vermont 05620-3101

    1-800-631-7788 or 1-800-964-1784

    Consumer Assistance Program Email: consumercomplaints@state.vt.us

    State Health Insurance Marketplace

    Marketplace Structure: State

    312 Hurricane Lane, Suite 201
    Williston, Vermont 05495

    1-855-899-9600 or 1-855-499-9800

    Marketplace Contact: vthealthconnect@state.vt.us

    Marketplace Website

    Enroll Today

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Find your Provider

    Medicaid

    1-800-250-8427

    Medicaid Website

    Email for Assistance: gmcmemberservices@ahs.state.vt.us

    Medicaid Appeal Process

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Virgin Islands

    Department of Insurance

    Gregory R. Francis, Lt. Governor, Commissioner

    Office of the Liutenant Governor
    Division of Banking and Insurance
    1131 King Street, 3rd Floor, Suite 101
    Christiansted, St. Croix, VI 00820

    340-773-6459

    Patient Assistance

    St. Thomas Complaints: 774-7166, St. Croix Complaints: 773-6459, Select 5 for the Division of Banking and Insurance)

    State Health Insurance Consumer Assistance Program

    Sharon Mack

    340-773-6459 EXT. 3105

    Medicaid

    340-773-1311 (St. Croix) or 340-774-9000 (St. Thomas)

    Medicaid Website

    Contact for Assistance

     

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    Virginia

    Department of Insurance

    Jacqueline K. Cunningham, Commissioner

    Virginia State Corporation
    Commission Bureau of Insurance
    PO Box 1157
    Richmond, Virginia 23218

    804-371-9741

    Patient Assistance

    Online Complaint Submission

    1-877-310-6560 or TDD 804-371-9206

    State Health Insurance Consumer Assistance Program

    Insurance Outreach Coordinator

    804-371-9092 Phone Toll Free: 1-877-310-6560

    Consumer Assistance Program Email: L&HOutreach@scc.virginia.gov

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Certified Navigators and IPAs

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    Department Of Medical Assistance Services
    600 East Broad Street
    Richmond, Virginia 23219

    1-804-786-6145

    Medicaid Website

    Email for Assistance: dmasinfo@dmas.virginia.gov

    Eligibility Requirements

    Medicaid Appeal Process

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Washington

    Department of Insurance

    Mike Kreidler, Commissioner

    Washington State
    Office of the Insurance Commissioner PO Box 40256
    Olympia, Washington, 98504

    360-725-7000

    Patient Assistance

    Online Complaint Submission

    Contact for Assistance

    800-562-6900

    State Health Insurance Consumer Assistance Program

    Insurance Commissioner

    800-562-6900

    Consumer Assistance Program Email: askmike@oic.wa.gov

    Consumer Assistance Program Website

    State Health Insurance Marketplace

    Marketplace Structure: State

    810 Jefferson St. SE
    Olympia, WA 98501

    1-855-WAFINDER (1-855-923-4633) or TTY/TTD 1-855-627-9604

    Marketplace Email- customersupport@wahbexchange.org.

    Marketplace Contact

    Marketplace Website

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Navigator Search

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    1-800-562-3022

    Medicaid Website

    Email for Assistance: ASKMEDICAID@hca.wa.gov

    Eligibility Requirements

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    West Virginia

    Department of Insurance

    Michael D. Riley, Commissioner

    West Virginia
    Offices of the Insurance Commissioner
    PO Box 50540
    Charleston, West Virginia 25305

    304-558-3354

    Patient Assistance

    Email for Assistance: consumer.service@wvinsurance.gov

    1-888-TRY-WVIC or 304-558-3386

    State Health Insurance Consumer Assistance Program

    West Virginia Offices of the Insurance Commissioner
    ATTN: Consumer Advocate Division
    PO Box 11685
    Charleston, West Virginia 25339-1685

    1-888-TRY WVIC (888-879-9842) ext 3864

    Consumer Assistance Program Email: Consumer.Advocate@wvinsurance.gov

    State Health Insurance Marketplace

    Marketplace Structure: Partnership

    304-558-6279 ext. 1124

    Marketplace Contact: Dena.Wildman@wvinsurance.gov

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find a Navigator

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    Medicaid

    WV Bureau for Medical Services
    Room 251
    350 Capitol Street
    Charleston, WV 25301

    888-483-0797 or 304-348-3365

    Medicaid Website

    Contact for Assistance

    Eligibility Requirements

    Appeal through Marketplace (listed at the top)

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

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    Wisconsin

    Department of Insurance

    Ted Nickel, Commissioner

    State of Wisconsin
    Office of the Commissioner of Insurance
    PO Box 7873
    Madison, Wisconsin 53707

    608-266-3585

    Patient Assistance

    Online Complaint Submission

    Email for Assistance: ocicomplaints@wisconsin.gov

    1-800-236-8517 (within Wisconsin) or 1-608-266-0103 (outside of Wisconsin)

    State Health Insurance Consumer Assistance Program

    Consumer Assistance Program Email: ociquestions@wisconsin.gov or ocicomplaints@wisconsin.gov

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    State Health Insurance Website

    Medicaid

    1-800-362-3002

    Medicaid Website

    Email for Assistance: dhswebmaildhcf@wisconsin.gov

    Medicaid Appeal Process

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

    Back to top.

    Wyoming

    Department of Insurance

    Tom C. Hirsig, Commissioner

    Wyoming Insurance Department
    106 East Sixth Avenue
    Cheyenne, Wyoming 82002

    307-777-7401

    Patient Assistance

    Online Complaint Submission

    307-777-7402

    State Health Insurance Consumer Assistance Program

    Ruth Case, Consumer Affairs Specialist

    307-777-7402

    Consumer Assistance Program Contact

    State Health Insurance Marketplace

    Marketplace Structure: Federal

    Enrollment Options

    Plan Information

    Estimate My Cost

    Benefits Offered Under the Marketplace

    Essential Health Benefits

    State-Required Benefits

    Certified Patient Navigators

    Find Local Help

    Additional Resources

    Kaiser State Exchange Profile

    State Reforum State Profile

    State Health Insurance Website

    Medicaid

    6101 Yellowstone Road, Ste 210
    Cheyenne, WY 82009

    307-777-7531

    Medicaid Website

    Contact for Assistance

    Eligibility Requirements

    Appeal through Marketplace (listed at the top)

    Children’s Health Insurance Program (CHIP)

    Children’s Health Coverage Resources

     

    Back to top.

     

    Last Updated: 6/27/2014

     

     

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