|
|
| |
| Information for: |
|
| Health Department: |
|
|
|
|
| 
|  |
|
| 
Page Contents
Important Considerations
Choosing the right health plan for you and your family should be based upon where you want to go for your health care. These are some things to think about before you meet with an enrollment facilitator:- What hospitals or clinics do you want to go to?
- Do you have a doctor or dentist that you want to continue to see?
- What health plans do they accept?
NYC DOHMH ClinicsThe following Department of Health & Mental Hygiene Clinics have Facilitated Enrollers to assist you with your application.Facilitated Enrollment Locations |
|---|
Clinics | Phone Numbers |
|---|
Manhattan |
|---|
Chelsea Health Center 303 Ninth Avenue
First Floor
New York, N.Y. 10001
| 212-244-7462 | Washington Heights Health Center
600 West 168th Street
2nd Floor
New York, N.Y. 10032
| 212-491-4453 | Bronx |
|---|
Tremont Health Center 1826 Arthur Avenue
Basement,
Bronx, New York 10457
| 718-466-8844/8883 | Brooklyn |
|---|
Homecrest Health Center 1601 Avenue S.
1st floor
Brooklyn, New York 11229
| 718-336-2553 Ext: 144/146 | Fort Greene Health Center 295 Flatbush Avenue
Extension
5th floor
Brooklyn, New York 11201
| 718-643-4463
718-643-4467 | Crown Heights Health Center
1218 Prospect Place (Basement)
Brooklyn, New York 11213
| 718-953-8234/8236 | Queens |
|---|
Corona Health Center 34-33 Junction Boulevard,
Basement
Jackson Heights,
New York 11372
| 718-476-7860 | Jamaica Health Center 90-37 Parsons Boulevard,
Basement
Jamaica, New York 11432
| 718-262-5512 | Staten Island |
|---|
Richmond Health Center
51 Stuyvesant Place
Room 203
Staten Island, N.Y. 10301
| 718-420-4714 |
back to top For additional information about available health insurance programs and how to apply call 311.
What do I need to apply for health insurance?
Don't worry if you don't have everything on this list. Our Facilitated Enroller can help you get everything you need. Some additional paperwork may be required, which you will also receive help with.You will need to show one document for each category: - Proof of Identity and Age: birth certificate*, passport*, baptismal/religious record*, valid driver’s license or official photo ID, marriage records, naturalization certificate* school records, adoption records, hospital record* (under 16 years of age) (Note: *Items satisfies citizenship status (if born in the
United States) - Household Income (document all sources, provide most recent proof): last 4 paychecks stubs, employer verification form, tax returns, business records, benefit check stub, public benefit award letter, correspondence from Social Security Administration (SSA)
- Home Address: rent receipt, lease, utility bill, dated letter with your address, official photo ID with address (Proof must be dated within 6 months of application)
- Household Expenses: (Not required for children under 19 and pregnant women) rent receipt/lease, mortgage payment, heating costs (if not included in rent)
- Social Security Number (if available, not needed for pregnant women) Social Security card, tax return, SSA letter, Social Security application (SS-5)
- Child Care and Adult Dependent Costs: if applicable, will be used as a deduction against your income.
- Citizenship/Immigration Status: birth certificate; United States passport; “Green Card”; Native American Tribal Document. Pregnant women do not have to submit proof of citizenship/immigration status. Children who in live in New York State and do not have other health insurance are eligible, regardless of immigration status. The enrollment facilitator will explain type of documentation required.
- Other Health Insurance: enrollment facilitator will explain which programs require this information.
- Medical Bills: if applicable, paid or unpaid - up to 3 months before date of signed enrollment application.
back to top
Last Updated 1/28/13
|  |
|