Medical Help for Uninsured Individuals
Resources are available for Arizonans who do not currently have insurance coverage. If you have lost your AHCCCS coverage or are otherwise uninsured, here are some options to consider.
The following list of resources includes information released by the office of Arizona Representative Steve Farley in August 2011, and is targeted to Arizona residents who may have recently lost coverage through AHCCCS. However, these organizations may prove helpful to any individuals without current coverage.
Resources for Individuals Without Insurance Coverage:
- Health Insurance Marketplace -- shop for and sign up for a plan in this online marketplace formed to comply with the Affordable Care Act-- https://www.healthcare.gov/ Starting October 1, 2013.
- Pima Community Access Program -- http://www.mypcap.org/ -- offers highly discounted pay-as-you-go medical care. Members don't pay a monthly premium but pay an annual enrollment fee and then a low fee at the time of service. Qualification is based on region, income requirements, and ineligibility for state or federal healthcare. Any potential member is screened for eligibility for state or federal programs prior to enrollment.
- Arizona Association of Community Health Centers -- This is the umbrella association for Community Health Centers throughout the state. Community Health Centers (also known as Federally Qualified Health Centers) are non-profit clinics located in medically underserved areas and provide primary care for individuals regardless of ability to pay. They provide family and internal medicine, pediatrics, OB/GYN, lab, prenatal and parinatal, pharmaceutical, and case management services. Their website -- http://www.aachc.org/aachc-members -- provides a list of Centers throughout the state.
- Veteran's Care -- Veterans of the Armed Services can be referred to the Department of Veteran's Services Administration. This is a link to a summary of VA programs and services offered throughout Arizona: http://www1.va.gov/opa/publications/factsheets/ss_arizona.pdf
- Federal Preexisting Condition Insurance Program -- https://www.pcip.gov/ -- was designed to provide health insurance coverage to people who are uninsured because of pre-existing conditions. In order to receive insurance through the program, individuals must be citizens or lawful permanent residents, not have been covered for the previous six (6) months before applying, and have a pre-existing condition.
- Prescription Drug Assistance -- Families who cannot afford their prescription drugs can be referred to one of these low/no cost resources
- Copper Rx: The Copper Card -- http://azgovernor.gov/coppercard -- is a free prescription drug discount card available to any Arizona.
- Partnership for Prescription Drug Assistance -- http://www.pparx.org/ -- is a free program for uninsured and financially struggling patients who lack prescription coverage to get access to prescription assistance programs that offer medicines for free or nearly free. This program offers a single point of access to information on 475 public and private patient assistance programs, including nearly 200 programs offered by pharmaceutical companies. The program also provides information on health care clinics and helps patients contact government programs.
- DES Programs -- https://www.azdes.gov/default.aspx -- including child care, financial and food support, health insurance, unemployment, disability support, and senior services.
- Department of Health Services: Sliding Fee Scale Providers -- http://www.azdhs.gov/hsd/sliding-fees/documents/SlidingFeeClinics.pdf -- this is a statewide listing of clinics which may charge reduced fees to customers without insurance. The Department of Health Services website notes that “a sliding fee schedule (SFS) is used by providers offering discounted fees for services to persons without health insurance. The SFS determines, based on gross family income, the percentage or portion of billed charges that the uninsured client will be responsible for.”
Tips for Arizonans Losing AHCCCS Coverage:
- Keep denial letters for AHCCCS coverage because other programs will want to see proof that they are not eligible.
- Appeals must be filed within ten (10) days. Appeals may be filed via the AHCCCS appeals form or in any other format the individual chooses (e.g., a letter). AHCCCS just needs adequate notice in any format within the specified timeframe that the denial or termination is being appealed.
"Resources for People Who Have Lost Their AHCCCS Coverage", Representative Steve Farley, e-mail message to constituents, August 2011.
"What to do if you lose your health insurance." StarNet. http://azstarnet.com/news/blogs/health/article_19d7d8da-caae-11e0-b90b-001cc4c002e0.html (accessed September 17, 2011).