Health Insurance

If you need Health Insurance, then you need to read this!

Facilitated Enroller Program
The Facilitated Enroller (FE) program is free and helps to make sure children and adults have access to comprehensive, affordable health insurance. Learn more about all your program options through FE's at locations outside the Department of Social Services. There are several experienced FE's able to meet with you at community locations like local Wayne County libraries. The FE's will present you with all your health insurance program options, assist you in selecting a program and applying for NYS-sponsored free or low-cost health insurance.

What is a Facilitated Enroller (FE)? A Facilitated Enroller will help you to understand the coverage you qualify for, select the best program to meet your needs, and review the documentation you will need for your application, and then help you to complete the application. There are four organizations in Wayne County providing this service: Fidelis Care, Inc., the S2AY Network; Thompson Health Network; and Wayne County Department of Social Services.
The first step is to call one of the numbers below. Find out which documents to bring; and schedule an appointment to meet. During the appointment, the FE will help you fill out the application, check your documents and make copies, as required. The FE will forward your application to the appropriate agency and encourage you to call again, should you receive any letters from the insuring agency or the Department of Social Services. You do not need to go to DSS to apply for NYS sponsored insurance.
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.

PROVIDERS: (FEs) (all appointments are free.)
1. Fidelis Care 315.383.9464:
2. S2AY Network (Some enrollers speak Spanish) 800.346.2211:
3. Thompson Health 888.758.7658:
4. Wayne County Department of Social Services 315.946.4881:

There are many locations around Wayne County to complete applications for Health Insurance with a Facilitated Enroller:

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

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

Thompson Health Network
888.758.7658
Newark: 1st Wednesday, 165 Union St.
Sodus: 2nd Wednesday, Myers Health Center, Suite 2200
Newark: 3rd Wednesday, 165 Union St.
Palmyra: 4th Wednesday, Palmyra Village Hall, Main St., 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 St.

Child Health Plus
NYS Health Department
800.698.4KIDS
TTY 877.898.5849
www.health.state.ny.us
Childrens 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.

Centers for Medicare & Medicaid Services
7500 Security Blvd., Baltimore MD 21244
800.633.4227
TTY/TDD 877.486.2048
www.medicare.gov
The Centers for Medicare & Medicaid Services (CMS) is a branch of the U.S. Department of Health and Human Services. CMS is the federal agency that administers the Medicare program and monitors the Medicaid programs offered by each state. English and Spanish-speaking Customer Service Representatives (CSRs) at 800.MEDICARE can answer your questions. 800.MEDICARE CSRs can give you information about Medicare coverage and costs, health plan options, and your Medicare claims. For example, 800.MEDICARE CSRs can: answer general Medicare questions, order Medicare publications, help you compare Medicare health plans, Medigap policies, and prescription drug plans, answer questions about your claims and other insurance coverage, check your eligibility for certain preventive services, give referrals to helping agencies and partners such as State Medicaid agencies, help you find a participating Medicare provider, help you find and compare hospitals, home health agencies, nursing homes and dialysis facilities in your area. 800.MEDICARE (800.633.4227) 24/7 days a week, including some federal holidays.

Legal Assistance of Western New York ®
3 Franklin Square, Geneva
315.781.1465
866.781.5235
www.lawny.org
Assistance related to access to health insurance or scope of coverage of health insurance.

Medicaid/Wayne County Dept. of Social Services
77 Water St., Lyons
315.946.7603
www.co.wayne.ny.us
Medical assistance or Medicaid is available to help people who cannot afford to pay for all of their medical care. Contact local DSS office for information and application. Mon.-Fri. 9am-5pm.

NYS Health Insurance Programs
New York State Department of Health
Corning Tower, Empire State Plaza, Albany
www.health.state.ny.us
Depending on your family size, age, and household income New York State offers many insurance options to support your health such as:
Child Health Plus
Medicaid
Medicaid Buy-in Program for Working People with Disabilities
Medicaid Obstetrical & Maternal Services (MOMS) Program
Family Health Plus
Family Health Plus Employer Buy-In
Elderly Pharmaceutical Insurance Coverage (EPIC)
AIDS Drug Assistance Program (ADAP)
HIV Uninsured Care Programs (ADAP)
HIV Special Needs Plans (HIV SNPS)
Managed Care
Prenatal Care Assistance Program (PCAP)
Medicaid Cancer Treatment Program: Breast, Cervical, Colorectal and Prostate Cancer
Child and Adult Care Food Program (CACFP)
Health Insurance Portability and Accountability Act (HIPAA)
Long Term Care
Early Intervention Program
WIC (Special Supplemental Nutrition Program for Women, Infants & Children)
Commodity Supplemental Food Program
Farmers Market Nutrition Program
Healthy New York Program
Medicare
Veterans Health Information Clearing House
Workers' Compensation Preferred Provider Organizations (PPO)
Infertility
To learn about these various programs and eligibility details call a local Facilitated Enroller (FE) (See FE section in this guide for more information), visit www.health.state.ny.us, contact the Wayne County Department of Social Services at 315.946.4881, the Wayne County Department Of Aging & Youth at 315.946.5624 or the Wayne County Rural Health Network at 315.483.3266.

U.S. Department of Health and Human Services
877.Kids.Now
877.543.7669
www.insurekidsnow.gov
Offers health insurance coverage for children through Medicaid and the Children's Health Insurance Program (CHIP). These programs serve families who are not able to afford health insurance coverage in the private market or do not have coverage available to them. Every state's program is unique and has individual income eligibility rules and benefits covered, but in general, children in families with incomes up to $44,100 per year (for a family of four) are likely to be eligible for coverage. Medicaid and CHIP cover doctor visits, dental care, prescription medicines and immunizations, as well as services like hospitalizations and care for children with special health care needs. There may be premiums or other cost sharing associated with this coverage, but the programs are designed to be affordable. Call our Hotline: 877.Kids.Now 877.543.7669 or call your local Facilitated Enroller for more information on healthcare for children.

Wayne County Department of Aging & Youth
1519 Nye Rd., Lyons
315.946.5624
www.co.wayne.ny.us
Provides neutral, unbiased information about Medicare, supplemental insurance, HMOs, Medicaid, Medicare buy-in programs, EPIC, and long term care insurance. We also help with understanding billing questions, filing claims and comparing policy coverage.

WorkPays N.Y.
State of NY
800.342.3009
www.mybenefits.ny.gov
Program for working individuals having difficulty making ends meet, support with child care, insurance, tax preparations, home energy assistance and food benefits.