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PBC
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Patient Benefits Coordinator
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.
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.
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:
- Qualified Medicare Beneficiary (QMB): Individual $1,005.00; Couples $1,354.
- Specified Low-Income Beneficiary (SLMB): Individual $1,005.00 - $1,206.00; Couple $1,354.01 - $1624.00
- Qualified Individual (QI-1): Individual $1,206.01 - $1,357.00; Couple $1,624.01 - $1,827.00
medicare enrollment
- Part B: Starts January 1 to March 31 of each year.
- Part D: Starts October to December 7 of each year.
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.
ahcccs
Arizona Health Care Cost Containment System (AHCCCS) for adults and children with limited income.
AHCCCS Eligibility Income Guidelines Effective 02/01/2018 for Adults:
AHCCCS Eligibility Income Guidelines Effective 02/01/2018 for Adults:
- Household 1: $1,346.00
- Household 2: $1,825.00
- Household 3: $2,304.00
- Household 4: $2,782.00 (add $479 per additional person).
kidscare
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:
- Is an Arizona resident.
- Is 18 years old or younger.
- Is a United States citizen or a qualified immigrant.
- Has a Social Security number or applies for one: 1. To apply for a Social Security number visit U.S. Social Security Administration. 2. Make a copy of the form submitted as confirmation of applying for a Social Security Number.
- Is under the income limit.
- Is not currently covered by other health insurance.
- Does not qualify for coverage through a state agency employee.
- Is not eligible to receive AHCCS (Medicaid) coverage.
- Is a member of a household that is willing to pay a premium.
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.
VETERANS
Are you a Veteran?
You may be eligible for medical benefits. Bring your the following so we may apply for benefits online:
You may be eligible for medical benefits. Bring your the following so we may apply for benefits online:
- Personal Information
- Spouse/Dependent Information
- Insurance Information
- Military Service Information (DD 214)
- Financial Information
Click on the VA button for more information.
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.
Come see a PRC representative to start an application.
pregnant ?
Are you Pregnant?
AHCCCS can help pregnant women begin the important prenatal care.
Come see a PBC representative to start an application.
AHCCCS can help pregnant women begin the important prenatal care.
Come see a PBC representative to start an application.
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New Medicare cards, protect your health and your identity. (Navajo translation)
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To Contact a Patient Benefits Coordinator:
Winslow Indian Health Care PBC Office
PHONE NUMBERS:
PHONE NUMBERS:
- (928) 289 - 6183 (North MOB)
- (928) 289 - 8032 (South MOB)
- (928) 289 - 8025 (1st Floor - Old Main Building).
- (928) 289 - 8023 (1st Floor - Old Main Building).
- (928) 289 - 8022 (1st Floor - Old Main Building).
- (929) 289 - 8021 (1st Floor - Old Main Building).
- (928) 298 - 8070 (1st Floor - Old Main Building).
- (928) 289 - 8041 (1st Floor - Old Main Building).
- (928) 289 - 8093
Dilkon Clinic PBC Office
PHONE NUMBER:
PHONE NUMBER:
- (928) 289 - 3826
- (928) 657 - 3802
Leupp Clinic PBC Office
PHONE NUMBER:
PHONE NUMBER:
- (928) 686 - 6556
- (928) 686 6569
PATIENT BENEFITS SPECIALIST
Alutha Yellowhair
Office Phone Number: (928) 289 - 6298
Office Phone Number: (928) 289 - 6298
pbc support assistant
Chelsea Singer
Office Phone Number: (928) 289 - 8041
Office Phone Number: (928) 289 - 8041
Some Important Links Below:
More Links:
** ARIZONA MEDICAID PROGRAM: Arizona Long Term Care System (ALTCS) program is for individuals who are
65 or older, blind, or disabled and need ongoing services at a nursing facility level of 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. Click on the link to file an application for the
Arizona Long Term Care System (ALTCS).
65 or older, blind, or disabled and need ongoing services at a nursing facility level of 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. Click on the link to file an application for the
Arizona Long Term Care System (ALTCS).
** Social Security Administration: This is the website where you may apply for your disability benefits.
** Health-e-ArizonaPlus: To apply for Nutrition Assistance (Food Stamps), AHCCCS, and other information.