Offers assistance with finding health insurance including Marketplace/ACA, AHCCCS/Medicaid, and the state Children's Health Insurance Program/CHIP. Also helps with scheduling appointments for KidsCare and Nutrition Assistance (food stamps/SNAP).

Cover Arizona - Insurance Navigator Program | Cover Arizona - Insurance Navigator Program

Programs that offer information and guidance for people who may qualify for Medicaid with the objective of empowering them to make informed choices. Included may be information about the eligibility requirements for Medicaid and how to apply; Medicaid Managed Care options, benefits covered (and not covered) by the program including long-term care and home and community-based services; the payment process for co-payments; Medicaid "spend-down" (the process of reducing income and/or assets an individual possesses in order to qualify for Medicaid); and information about Medicare and the linkages between the two programs. The program may also answer questions about Medicaid services available to individuals with disabilities; and some programs may help people who qualify with enrollment and provide referrals to providers who accept State Medicaid health insurance.

Medicaid Information/Counseling

Divisions of businesses or nonprofit agencies that are responsible for developing products or delivering designated services to the public. Departments of NGOs are generally led by a manager, supervisor, director or vice president.

Nongovernmental Agency Departments

Programs that offer information and guidance for people who do not qualify for Medicaid, do not have access to insurance provided by an employer or cannot afford privately purchased health insurance regarding their state and/or local government health insurance options (including insurance programs administered by the state or at the local level and public/private partnerships between state and/or local government entities and health insurance companies or other private organizations) with the objective of empowering them to make informed choices. Some programs may also help people who qualify with enrollment.

State/Local Health Insurance Information/Counseling

County or state offices that accept Food Stamp applications, determine eligibility for the Food Stamp program and allotments, and issue Food Stamp EBT cards which are presented at the grocery checkout counter when purchasing food. Certified households receive their EBT card and instructions for setting up a PIN number within 30 days of the date their application was filed. Expedited food stamps are available within seven days for people who are in an emergency situation and whose income and spendable resources for that month are within specified limits. Also included are other programs that help people prepare and file Food Stamp/SNAP applications and/or are authorized to do eligibility determinations for the program.

Food Stamps/SNAP Applications

Programs that help people obtain, complete and/or file official forms, certificates, documents, applications or other paperwork that is required to apply for benefits or services, initiate or respond to legal action or to officially handle or document the occurrence of a transaction; that help people acquire copies of official documents on file elsewhere; or that review legal documentation an individual has received to help explain its meaning.

Certificates/Forms Assistance

Programs mandated by the Affordable Care Act (ACA) that help individuals who want to purchase insurance, and small businesses that need to provide health insurance for their employees, understand the qualified private health plans that are available within the marketplace and guide them through the enrollment process. The navigator conducts public education activities to raise awareness about the marketplace; distributes fair, accurate and impartial information concerning enrollment including information that acknowledges other health programs such as Medicaid and the Children’s Health Insurance Program (CHIP), and the availability of premium tax credits and cost-sharing reductions; provides referrals for consumers with a grievance, question or complaint; and offers information that is culturally and linguistically appropriate to meet the needs of the population served by the marketplace. Navigators are trained to offer expertise on each health insurance plan with the objective of empowering individuals to make informed choices and to facilitate selection of a qualified health plan; and either have or can easily establish relationships with the target population.

Navigator Programs

County or state offices that accept applications and determine eligibility for the Medicaid program; and reinstate individuals who have lost their Medicaid benefits due to incarceration, institutionalization, noncompliance or other reasons. Also included are other programs that help people prepare and file Medicaid applications and/or are authorized to do eligibility determinations for the program.

Medicaid Applications

County or state offices that accept applications and determine eligibility for the TANF program. Also included are other programs that help people prepare and file TANF applications and/or are authorized to do eligibility determinations for the program.