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This application allows Medicaid recipients in New Hampshire to apply for the HIPP program, which reimburses qualifying recipients or their employers for health insurance premiums when it is cost-effective.
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How to fill out application for new hampshires

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How to fill out Application for New Hampshire’s Medicaid Health Insurance Premium Payment (HIPP) Program

01
Download the Application for New Hampshire’s Medicaid Health Insurance Premium Payment (HIPP) Program from the official website.
02
Read the instructions carefully before starting to fill out the application.
03
Provide your personal information such as your name, address, phone number, and date of birth in the designated sections.
04
Fill out information regarding your household members, including their names, relationships, and ages.
05
Include details about your current health insurance plan, including the policy number and insurance provider's information.
06
Report your income and any other financial resources, making sure to include supporting documentation where required.
07
Review your application for completeness and accuracy to avoid delays.
08
Sign and date the application form.
09
Submit the completed application via mail or any specified method outlined in the instructions.

Who needs Application for New Hampshire’s Medicaid Health Insurance Premium Payment (HIPP) Program?

01
Individuals and families who are enrolled in New Hampshire's Medicaid program and have private health insurance.
02
Those seeking assistance in covering the cost of their health insurance premiums.
03
Residents who meet specific income and eligibility criteria set by the state for participation in the HIPP program.
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People Also Ask about

How to Enroll Apply for NH Medicaid. Visit NH Department of Health and Human Services (DHHS) website . Click the "Apply Now" link as a new client who is applying for Medical Coverage. Choose a plan. - Call: 1-844-ASK-DHHS (1-844-275-3447) Receive a welcome packet from your plan. Enjoy your new benefits!
NH Medicaid (Medical Assistance) is a federal and state funded health care program that serves a wide range of individuals and families who meet certain eligibility requirements.
How to Enroll Apply for NH Medicaid. Visit NH Department of Health and Human Services (DHHS) website . Click the "Apply Now" link as a new client who is applying for Medical Coverage. Choose a plan. - Call: 1-844-ASK-DHHS (1-844-275-3447) Receive a welcome packet from your plan. Enjoy your new benefits!
Average cost of health insurance by family size in New Hampshire. Health insurance in New Hampshire costs an average of $1,192 per month for a family of four. Health insurance costs more when the plan covers more people. For example, a 40-year-old couple pays an average of $745 per month for health insurance in NH.
Eligibility: Adults with household incomes up to 133% of poverty, and pregnant women with incomes up to 196% of poverty. Children are eligible for CHIP with household incomes up to 323% of poverty.
Income & Asset Limits for Eligibility 2025 New Hampshire Medicaid Long-Term Care Eligibility for Seniors Type of MedicaidSingle Income Limit Asset Limit Institutional / Nursing Home Medicaid $2,901 / month* $2,500† Medicaid Waivers / Home and Community Based Services $2,901 / month‡ $2,500†1 more row • Jan 20, 2025
BEDFORD, N.H. (9/29/22) – NH Healthy Families , a New Hampshire-based health plan serving members and beneficiaries in the state Medicaid program, is pleased to announce that it was awarded a rating of 4.0 out of a possible 5 stars from the National Committee for Quality Assurance (NCQA) for its Health Insurance Plan

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The Application for New Hampshire’s Medicaid Health Insurance Premium Payment (HIPP) Program is a process through which eligible individuals can apply for assistance in paying for private health insurance premiums, ensuring they have access to necessary health care services.
Individuals who are enrolled in New Hampshire’s Medicaid program and have access to employer-sponsored health insurance are required to file the Application for the HIPP Program to receive premium payment assistance.
To fill out the Application for New Hampshire’s HIPP Program, individuals must complete the required forms with accurate personal information, provide details regarding their health insurance coverage, and submit any necessary documentation supporting their eligibility.
The purpose of the HIPP Program is to promote access to necessary health care by assisting eligible individuals in paying their health insurance premiums, thereby encouraging the use of existing employer-sponsored health plans.
The application must include personal details such as the applicant's name, Medicaid ID, insurance policy information, premium amounts, and any other relevant data that supports the eligibility for premium payment assistance.
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