The Patient Protection & Affordable Care Act (PPACA), or Affordable Care Act (ACA) for short, is the health care reform law that was created in 2010. This law makes it possible for more families to have access preventive, affordable health care.
Open Enrollment has ended for the 2018 calendar year. The only way to be eligible for a Marketplace Plan now is to see if you qualify for a Special Enrollment. See Enrollment help below to determine if you qualify.
The Health Insurance Marketplace can be accessed by CLICKING HERE.
If you have any questions or need assistance enrolling in the Health Insurance Marketplace, please contact us using the form below. We will have a Certified Application Counselor contact you.
Disclaimer: To protect your privacy, please refrain from providing personal health information or any other sensitive information via contact form. A patient service rep will contact you and request the needed information.
Note: A red asterisk (*) indicates that the field is required.
Get your required information prepared and find answers to your coverage questions and figure out what options you need. It’s good to be prepared, and now is the time to get started.
Gather information regarding your household income. To help determine health savings you’re eligible for, the Marketplace will need income information from your W-2, current pay stubs or your tax return.
Start by setting a budget to spend on your premiums each month. You will need to determine which health plan meets your families health needs, but also meets your budget requirements.
Find out if your employer plans to offer health insurance. You will be able to stay on your employer’s plan, but will enjoy some of the benefits such as no denials of pre-existing conditions or coverage dropping when you’re sick.
Begin the application process at the Marketplace.
The Affordable Care Act brings along a Marketplace accessible through HealthCare.gov that gives you the ability to compare coverage options, benefits, quality and determine which features are important to you. The Marketplace lets you determine the correct combination of benefits and price that fits your budget and meets your needs.
Low Cost of Coverage – The Marketplace application process will determine if there are any additional ways to get lower monthly premiums with your current plan. You’ll also learn if you’re eligible for free or low-cost coverage through Medicaid or Children’s Health Insurance Program.
Essential Health Benefits – Doctor visits, preventive care, hospitalization, prescriptions and more essential health benefits are covered under all plans.
Pre-Existing Conditions Covered – No longer worry about being denied coverage because of an existing condition. All pre-existing health conditions will be covered including pregnancy or disability.
You can still enroll in a Marketplace health plan as long as you qualify for a Special Enrollment Period. You can apply for Medicaid and CHIP any time during the year. Individuals who qualify for a Special Enrollment Period are those who:
• Are no longer eligible for employer-sponsored coverage.
• Lost eligibility for Medicaid or WV CHIP.
• Recently got married or divorced.
• Have adopted a child or given birth to a child.
• Recently moved to WV.
• Turned 26 and lost coverage under a parent’s plan.
• Changed immigration status and now lawfully present.
• Recently gotten out of jail.
To Be connected to the On-Call Provider, Press 7. Please leave a detailed message with your name, a phone number where you can be reached, the patients name and date of birth and the on- call provider will return your call.
Para conectarse con el médico en guardia presione el número 7. Deja un mensaje detallado con su nombre y número de teléfono donde se le pueda llamar y el nombre completo y la fecha de nacimiento del paciente y el médico en guardia le devolverá la llamada.
Pendleton Community Care
82 Pine Street
North Fork Primary Care
16921 Mountaineer Drive
Harman Health Center
15 Mott Street
Franklin Pill Box Pharmacy
203 N. Main Street
Harman Pill Box Pharmacy
15 Mott Street