Page 42 - NYMets_2018_Benefits_Guide
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legal disclosures












         VIRGINIA – Medicaid and CHIP                            WASHINGTON – Medicaid
         Medicaid Website: http://www.coverva.org/programs_premium_assistance.cfm  Website: http://www.hca.wa.gov/free-or-low-cost-health-care/program-adminis-
         Medicaid Phone:  1-800-432-5924                         tration/premium-payment-program
         CHIP Website: http://www.coverva.org/programs_premium_assistance.cfm  Phone:  1-800-562-3022 ext.  15473
         CHIP Phone: 1-855-242-8282
         WEST VIRGINIA – Medicaid                                WISCONSIN – Medicaid and CHIP
         Website:  http://mywvhipp.com/                          Website: https://www.dhs.wisconsin.gov/publications/p1/p10095.pdf
         Toll-free phone: 1-855-MyWVHIPP (1-855-699-8447)        Phone: 1-800-362-3002
         WYOMING – Medicaid
         Website: https://wyequalitycare.acs-inc.com
         Phone: 307-777-7531

        To see if any more states have added a premium assistance program since August 10, 2017, or for more information on special
        enrollment rights, you can contact either:
        U.S. Department of Labor                           U.S. Department of Health and Human Services
        Employee Benefits Security Administration          Centers for Medicare & Medicaid Services
        www.dol.gov/ebsa                                   www.cms.hhs.gov
        1.866.444.EBSA (3272)                              1.877.267.2323, Menu Option 4, Ext. 61565











































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