The Patient Benefits Coordinator is the advocate for the patient in the search of and utilization for alternate resources such as AHCCCS, Medicare, Medicaid, Department of Veterans Affairs (VA), Private Insurance Billing, etc. and helping with their enrollment. Our Patient Benefits Coordinator meets patients daily and knows firsthand that educating the individual about their health care choices is key to building healthy families and healthy communities. Our goal is to ensure that all patients who are eligible for alternate resources are identified, contacted and encouraged to apply for and maintain eligibility for available benefits.
Just a Reminder.....
If you have any medical bill or referral pending; patients are required to either apply for AHCCS or complete an AHCCS Screening every 6 months before Purchase Referred Care (PRC), formerly known as Contract Health, payment can be authorized or appointment can be scheduled.
Medicare cost sharing program
Can provide help with Medicare premiums and/or medical coverage for people who are age 65 or older, blind or disabled. You be eligible for one of the three programs:
social security benefits
We can apply for early retirement benefits at age 62 or until full retirement age. We can help you apply online or we can make an appointment for you to visit the local Social Security Office.
Social security disability
For adults/children with chronic illness or disease, you maybe eligible for Disability. If you are approved you can receive monthly benefits and you may qualify for other health care programs such as Medicare or Medicaid. We can assist you to apply for benefits online or schedule an appointment for you to visit the local Social Security Office.
Arizona Health Care Cost Containment System (AHCCCS) for adults and children with limited income.
AHCCCS Eligibility Income Guidelines Effective 02/01/2018 for Adults:
If the child's income is too high for AHCCS Health Insurance, the child may qualify for KidsCare at a low monthly premium. Per federal law, Native American enrolled with a federally recognized tribe, do not have to pay a PREMIUM. If you have questions, please see a PBC representative.
WHO IS ELIGIBLE:
health insurance marketplace
Health Insurance Market place helps uninsured people find health coverage. If you are a member of a federal recognized tribe, you can apply for Insurance through the Marketplace ANYTIME. You may qualify for premium tax credit which may be taken as advance payments to lower monthly premium costs, or as a refundable credit on tax return.
Arizona breast & cervical cancer treatment program (BCCTP)
If you are uninsured and have been diagnosed with breast or cervical cancer or pre-cancerous cervical lesion, you may be able to received treatment through the BCCTP. To qualify for the BCCTP; come see a PBC representative to check on eligibility requirements.
Are you a Veteran?
You may be eligible for medical benefits. Bring your the following so we may apply for benefits online:
Arizona long term care system (altcs)
ALTCS program is for individuals who are 65 or older, blind, or disabled and need ongoing services at a nursing facility level care. However, program participants do not have to reside in a nursing home. Many ALTCS participants live in their own home or an assisted living facility and receive needed in-home services.
Come see a PRC representative to start an application.
Are you Pregnant?
AHCCCS can help pregnant women begin the important prenatal care.
Come see a PBC representative to start an application.
Some Important Links Below:
New Medicare cards protect your health and your identity - Navajo