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www.aptia365.com/atlanticunionbank 28 Copyright 2024 Aptia Insurance Services Group, LLC. All rights reserved.MAINE %u2013 Medicaid MASSACHUSETTS %u2013 Medicaid and CHIPEnrollment Website: https://www.mymaineconnection.gov/benefits/s/?language=en_US Phone: 1-800-442-6003 TTY: Maine relay 711 Private Health Insurance Premium: Webpage: https://www.maine.gov/dhhs/ofi/applications-formsPhone: 1-800-977-6740 TTY: Maine relay 711Website: https://www.mass.gov/masshealth/paPhone: 1-800-862-4840 TTY: 711Email: masspremassistance@accenture.comMINNESOTA %u2013 Medicaid MISSOURI %u2013 MedicaidWebsite: https://mn.gov/dhs/health-care-coverage/Phone: 1-800-657-3672Website: http://www.dss.mo.gov/mhd/participants/pages/hipp.htmPhone: 573-751-2005MONTANA %u2013 Medicaid NEBRASKA %u2013 MedicaidWebsite: http://dphhs.mt.gov/MontanaHealthcarePrograms/HIPPPhone: 1-800-694-3084 Email: HHSHIPPProgram@mt.govWebsite: http://www.ACCESSNebraska.ne.govPhone: 855-632-7633 Lincoln: 402-473-7000 Omaha: 402-595-1178NEVADA %u2013 Medicaid NEW HAMPSHIRE: %u2013 MedicaidMedicaid Website: http://dhcfp.nv.govMedicaid Phone: 1-800-992-0900Website: https://www.dhhs.nh.gov/programs-services/medicaid/healthinsurance-premium-program Phone: 603-271-5218Toll free number for the HIPP program: 1-800-852-3345, ext. 15218Email: DHHS.ThirdPartyLiabi@dhhs.nh.govNEW JERSEY %u2013 Medicaid and CHIP NEW YORK %u2013 MedicaidMedicaid Website: http://www.state.nj.us/humanservices/dmahs/clients/medicaid/ Medicaid Phone: 609-631-2392CHIP Website: http://www.njfamilycare.org/index.htmlCHIP Phone: 1-800-701-0710 (TTY: 711)Website: https://www.health.ny.gov/health_care/medicaidPhone: 1-800-541-2831NORTH CAROLINA %u2013 Medicaid NORTH DAKOTA %u2013 MedicaidWebsite: https://medicaid.ncdhhs.gov/ Phone: 919-855-4100 Website: https://www.hhs.nd.gov/healthcare Phone: 1-844-854-4825OKLAHOMA %u2013 Medicaid and CHIP OREGON %u2013 MedicaidWebsite: http://www.insureoklahoma.org Phone: 1-888-365-3742 Website: http://healthcare.oregon.gov/Pages/index.aspx Phone: 1-800-699-9075PENNSYLVANIA %u2013 Medicaid and CHIP RHODE ISLAND %u2013 Medicaid and CHIP Website: https://www.pa.gov/en/services/dhs/apply-for-medicaid-healthinsurance-premium-payment-program-hipp.htmlPhone: 1-800-692-7462CHIP Website: https://www.pa.gov/en/agencies/dhs/resources/chip.htmlCHIP Phone: 1-800-986-KIDS (5437)Website: http://www.eohhs.ri.gov/Phone: 1-855-697-4347, or 401-462-0311 (Direct RIte Share Line)SOUTH CAROLINA %u2013 Medicaid SOUTH DAKOTA - MedicaidWebsite: https://www.scdhhs.gov Phone: 1-888-549-0820 Website: http://dss.sd.gov Phone: 1-888-828-0059TEXAS %u2013 Medicaid UTAH %u2013 Medicaid and CHIPWebsite: https://www.hhs.texas.gov/services/financial/health-insurancepremium-payment-hipp-program Phone: 1-800-440-0493Utah%u2019s Premium Partnership for Health Insurance (UPP)Website: https://medicaid.utah.gov/upp/Email: upp@utah.gov Phone: 1-888-222-2542Adult Expansion Website: https://medicaid.utah.gov/expansion/Utah Medicaid Buyout Program Site: https://medicaid.utah.gov/buyout-program/ CHIP Website: https://chip.utah.gov/VERMONT - Medicaid VIRGINIA %u2013 Medicaid and CHIPWebsite: https://dvha.vermont.gov/members/medicaid/hipp-programPhone: 1-800-250-8427Website: https://www.coverva.dmas.virginia.gov/learn/premium-assistance/famis-selecthttps://coverva.dmas.virginia.gov/learn/premium-assistance/health-insurancepremium-payment-hipp-programsMedicaid/CHIP Phone: 1-800-432-5924WASHINGTON %u2013 Medicaid WEST VIRGINIA %u2013 MedicaidWebsite: https://www.hca.wa.gov/Phone: 1-800-562-3022Website: https://dhhr.wv.gov/bms/ http://mywvhipp.com/Medicaid Phone: 304-558-1700CHIP Toll-free phone: 1-855-MyWVHIPP (1-855-699-8447)WISCONSIN %u2013 Medicaid and CHIP WYOMING%u2013 MedicaidWebsite: https://www.dhs.wisconsin.gov/badgercareplus/p-10095.htm Phone: 1-800-362-3002Website: https://health.wyo.gov/healthcarefin/medicaid/programs-and-eligibility/ Phone: 1-800-251-1269To see if any other states have added a premium assistance program since January 31, 2023, or for more information on special enrollment rights, contact either:U.S. Department of Labor U.S. Department of Health and Human ServicesEmployee Benefits Security Administration Centers for Medicare & Medicaid Serviceswww.dol.gov/agencies/ebsa 1-866-444-EBSA (3272) www.cms.hhs.gov 1-877-267-2323, Menu Option 4, Ext. 61565 OMB Control Number 1210-0137 (expires 1/31/2026)
