Health Insurance

See also: "Health Insurance" in the Healthcare & Dental Section

Help with application: If you would like someone to assist you in applying for either Children.s Medicaid or Child Health Plus, there are many enrollers in our community to help, FOR FREE. These healthcare advocates called Facilitated Enrollers will help you fill out the application, collect the necessary documents, and select a health plan. Assistance is available during evenings and weekends. FEs in Wayne County are:
1.) Fidelis Care 315.383.9464
2.) S2AY Network Some enrollers also speak Spanish 800.346.22113
3.) Thompson Health 888.758.7658
4.) Wayne County Department of Social Services 315.946.4881

Where can I meet a facilitated enroller? There are many locations around Wayne County to complete applications for Health Insurance with free Facilitated Enrollers:

Fidelis Care 315.383.9464
Newark: 1st Wednesday: FLCC Technology Parkway,
Lyons: Every Thursday, 2-5pm, Family Education Center, 28 Canal St.
We can meet you in any public library in the county. We also come to your home. Coming soon: Wolcott ARC Office

S2AY Network 800.346.2211
Newark: Newark-Wayne Community Hospital
Macedon: Pal-Mac Medical Center
Palmyra: Palmyra Public Library
Lyons: Wayne County Public Health
Sodus: Sodus Community Health
We also come to your home.

Thompson Health Network: 888.758.7658
Newark: 1st Wednesday, 165 Union Street
Sodus: 2nd Wednesday, Myers Health Center, Suite 2200
Newark: 3rd Wednesday, 165 Union Street
Palmyra: 4th Wednesday, Palmyra Village Hall, Main Street, Palmyra
Williamson: Last Tuesday of the month, Williamson Public Library

Wayne County Department of Social Services 315.946.4881
Lyons: Mon.-Fri. Appointment Specialist, 77 Water Street

Applying without an advocate: This one application can be used to apply for Children's Medicaid, Child Health Plus, Family Health Plus, Medicaid, Prenatal Care Assistance Program (PCAP), and Women, Infants and Children (WIC) nutritional programs. Based upon the information you provide, you will be told which program you and/or your child(ren) are eligible for. You can get a hardcopy of this application by calling 800.698.4543 or by emailing chplus@health.state.ny.us. Please note: starting April 1, 2010, you can mail completed applications for Medicaid directly to: Wayne County Department of Social Services, 77 Water St., Lyons, NY 14489. In-person interviews are not required anymore. All appointments are free.

NYS Health Department/Child Health Plus
800.698.4KIDS
TTY 877.898.5849
www.health.state.ny.us
Children's health insurance explained: New York State has a health insurance plan for kids, called Child Health Plus. Depending on your family's income, your child may be eligible to join either Children's Medicaid or Child Health Plus. Both Children's Medicaid and Child Health Plus are available through dozens of providers throughout the state. To be eligible for either Children's Medicaid or Child Health Plus, children must be under the age of 19 and be residents of New York State. Whether a child qualifies for Children's Medicaid or Child Health Plus depends on gross family income. Children who are not eligible for Medicaid can enroll in Child Health Plus if they don.t already have health insurance and are not eligible for coverage under the public employees' state health benefits plan. Some children who were covered by employer- based health insurance within the past six months may be subject to a waiting period before they can be enrolled in Child Health Plus. Determining whether your child is subject to a waiting period will depend on your household income and the reason your child(ren) lost employer-based coverage.

What is covered: Coverage includes health needs like: physical exams, immunizations, diagnosis and treatment of illness and injury, X-ray and lab tests, outpatient surgery, emergency care, prescription and nonprescription drugs if ordered, inpatient hospital medical or surgical care, short-term therapeutic ou outpatient treatment for alcoholism and substance abuse, and mental health, dental care, vision care, speech and hearing and durable medical equipment, emergency ambulance transportation to a hospital and hospice.