Loading
Form preview picture

Get ME PHIP Benefit 2020-2024

The PHIP benefit is only for people who have MaineCare. Directions for filling out the PHIP application Employer and Insurance Information Form Please fill in all requested information on the form. Be sure you list the amount you pay for your policy and if it is an employer plan how often money is deducted from your paycheck. Send this along with your application. Fill out the W-9 form. We need this information in order to send you checks. Send all of the information in the enclosed self-addressed envelope. If you have questions feel free to contact our office. Sincerely Benefits Administrator 1-800-977-6740 Fax 287-7643 MaineCare Private Health Insurance Premium Benefit What is the MaineCare PHIP Benefit The PHIP Benefit pays private health insurance premiums for MaineCare members who qualify. Department of Health and Human Services MaineCare Services Third Party Liability 11 State House Station Augusta Maine 04333-0011 Toll-Free 1-800-977-6740 Fax 207-287-7643 TTY 711 Private Health Insurance Premium Benefit August 17 2013 Thank you for your interest in MaineCare s Private Health Insurance Premium PHIP Benefit. The PHIP Benefit pays insurance premiums for MaineCare members who qualify. Having the PHIP Benefit pay your private health insurance premium will not make you lose MaineCare. How do I find out if the PHIP Benefit can pay my insurance premium Fill out as much information as you can on the Employer and Insurance Information form enclosed. Your employer may be able to help with this. If your insurance is not through an employer please just fill out the insurance information section* Send proof of the cost of the premium* A pay stub or an insurance premium bill will be proof* Ask your employer or your insurance company for a Statement of Insurance Benefits. This statement shows the coverage you have at what percent it is provided and your deductibles and copays. Send this along with your application* Fill out the W-9 form* We need this information in order to send you checks. Send all of the information in the enclosed self-addressed envelope. If you have questions feel free to contact our office. Sincerely Benefits Administrator 1-800-977-6740 Fax 287-7643 MaineCare Private Health Insurance Premium Benefit What is the MaineCare PHIP Benefit The PHIP Benefit pays private health insurance premiums for MaineCare members who qualify. You must already have health insurance or you must be able to get it. You may have health insurance through your job or you may have an individual policy through an insurance company. MaineCare will not find health insurance for you. How will the PHIP Benefit help me MaineCare will pay part or all of the monthly cost of your health insurance plan* How does the premium get paid Can I have MaineCare and private health insurance at the same time Yes even if you have private health insurance you can qualify for MaineCare. Please also note when open enrollment is so we know when to expect your costs to change. We do not pay dental premiums but still need to know if you have dental coverage.

How It Works

phip pay uslegal rating
4.8Satisfied
23 votes

Tips on how to fill out, edit and sign Mainecare holder pdf online

How to fill out and sign Mainecare phip uslegal online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Are you still seeking a fast and convenient tool to fill in ME PHIP Benefit at a reasonable cost? Our service provides you with an extensive variety of forms available for filling out on the internet. It takes only a few minutes.

Stick to these simple instructions to get ME PHIP Benefit ready for submitting:

  1. Find the sample you want in our collection of legal forms.
  2. Open the template in our online editing tool.
  3. Look through the guidelines to learn which details you have to provide.
  4. Click the fillable fields and add the required details.
  5. Put the date and place your electronic signature when you complete all other boxes.
  6. Check the completed form for misprints and other errors. If there?s a necessity to change some information, the online editor and its wide range of tools are available for you.
  7. Download the new document to your device by hitting Done.
  8. Send the e-document to the parties involved.

Completing ME PHIP Benefit doesn?t have to be stressful anymore. From now on simply cope with it from your apartment or at your place of work straight from your smartphone or personal computer.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Video instructions and help with filling out and completing mainecare policy private

Make use of our swift video guideline for finishing Form online. Going paperless is the best way to save your time for more important duties in the digitised age.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to phip application

  • mainecare premium pay
  • mainecare premium uslegal
  • mainecare health private
  • phip program maine
  • mainecare premium
  • human phip program
  • mainecare phip application
  • maine phip uslegal
  • mainecare holder member
  • mainecare holder information
  • maine phip insurance
  • me phip
  • policy phip blank
  • mainecare employer search
  • mainecare health phip
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.