Health Care Access & Meds

Everyone deserves quality health care!

List of Resources

Click on the   icon next to the section title listed below to view the detail. Then navigate to a subject matter tab on the top bar for further listed information.

NYC Health Insurance ACCESS Link.

Helps citizens and small businesses in search of health insurance.

 

NYS Health Insurance Marketplace.

Compare health insurance plans available through the NYS Marketplace and enroll online in one that’s right for you.

 

Community Health Advocates.

NY Statewide program to help people of all ages find insurance and resolve insurance issues with help available in multiple languages from community partners (888) 614-5400.

 

Health Information Tool for Empowerment (HITE).

Online health insurance access resource.

 

Health Insurance Information Counseling and Assistance Program

(HIICAP) (800) 701-0501.

 

Public Benefits Resources Center.

Tools for accessing all public benefits.

 

Benefits Checkup

New York Counsel on Aging.

 

Medicare Rights Center

National, nonprofit consumer service organization that works to ensure access to affordable health care for older adults and people with disabilities through counseling and advocacy, educational programs and public policy initiatives.

 

Healthcare.gov

Getting Coverage Outside the Marketplace Plan Finder.

Medicaid Buy in Program for Working People with Disabilities

Single person can make up to approximately 56,000 a year and still maintain Medicaid.

Medicaid Excess Income (“Spenddown” or “Surplus Income”) Program

Emergency Medicaid for undocumented immigrants.

Community Health Advocates

NY Statewide program to help people of all ages find insurance and resolve insurance issues with help available in multiple languages from community partners (888) 614-5400.

 

NYC Managed Care Consumer Assistance Program

Provides trainings and patient assistance.

 

NYS Department of Financial Services Insurance Department – Consumer Assistance Unit

Toll free: 1-800-342-3736 (NY)
consumers@ins.state.ny.us
www.dfs.ny.gov
www.ins.state.ny.us

The following programs offer HepCap, which covers the cost of Hep C medical care for eligible patients. Funded by the NYS Department of Health.

Mount Sinai Primary Care Hep C Program (Manhattan)

Contact: Jocelyn Camacho, (212) 824-7729

 

Montefiore Medical Center (Bronx)

Contact: Sheila Reynoso, 1-844-287-3428

 

Acacia Network (Bronx)

Contact: Haizel Fernandez, (718) 960-7532

 

Brightpoint Health (Bronx & Brooklyn)

Contact: Amyir Holland or Medesa Garrett at hepc@brightpointhealth.org, (855) 681-8700 ext. 3474 or 3476

 

Washington Heights Corner Project (Manhattan)

Contact: Billy Garcia, (212) 923-7600 Ext. 118

 

NY Presbyterian Hospital Comprehensive Health Program (Manhattan & Bronx)

Contact: Anna Andel, (917) 923-9558

 

SUNY Downstate Medical Center (Brooklyn)

Contact: Tracey Griffith, (718) 270-1715
This site treats patients co-infected with HIV and Hep C

 

Mount Sinai St. Luke’s and Mount Sinai West (Manhattan)

Contact: Cherry Jones, (212) 523-2925
This site treats patients co-infected with HIV and Hep C

Public Hospitals (HHC) and Federally Qualified Health Centers (FQHC)

provide care regardless of ability to pay. To find hepatitis clinics in these systems, see the online Site Locator.

 

HHC Options

Through HHC Options, low and moderate-income NYC Public Hospital (HHC) patients can get affordable healthcare. HHC helps patients apply for public health insurance programs for which they may qualify. If a patient is not eligible for public insurance, we reduce the patient’s fee to an affordable amount, based on family size and income. For example, a child in a family of four whose annual income is between $57,626 and $69,150 can be seen at an HHC hospital or clinic for a fee of $15 per visit.

Clinical Trials.gov

Some trials are open to people without health insurance.

Medicaid Buy in Program for Working People with Disabilities

Single person can make up to approximately 56,000 a year and still maintain Medicaid.

Medicaid Excess Income (“Spenddown” or “Surplus Income”) Program

Emergency Medicaid for undocumented immigrants.

Community Health Advocates

NY Statewide program to help people of all ages find insurance and resolve insurance issues with help available in multiple languages from community partners (888) 614-5400.

 

NYC Managed Care Consumer Assistance Program

Provides trainings and patient assistance.

 

NYS Department of Financial Services Insurance Department – Consumer Assistance Unit

Toll free: 1-800-342-3736 (NY)
consumers@ins.state.ny.us
www.dfs.ny.gov
www.ins.state.ny.us

NY Insurance Marketplace

Find health insurance through the NY Marketplace here.

 

NYS Medicaid Pharmacy Benefit Information Website

Provides easy access for members and providers looking for information on the drugs and supplies covered by different Medicaid and Family Health Plus health care plans.

 

Specialty Pharmacies

Help patients and medical providers with ordering  medications, prior authorization, counseling patients about use, and providing treatment adherence support.

 

CoverMyMeds

A free web based service that helps physicians and pharmacists complete Prior Authorization and other insurance coverage determination forms for any drug and almost all drug plans.

Community Health Advocates offers resources to assist providers and patients in filing appeals, fair hearings and grievance or complaints.

Give them a call to get started: 800-614-5400.

  1. Appeal: A treatment denial can be appealed. Medical providers and patients can contact the health insurance company using the phone number on the back of the membership card to file an appeal.
  2. Fair Hearing: If the treatment is still not approved after the appeal,  a Fair Hearing can be requested. A Fair Hearing is a chance for you to tell an administrative law judge why you think your health insurance should cover your treatment.
  3. grievance or complaint should  be filed if a recommended medication is denied. Filing a grievance or complaint is the only way health insurance regulators will know there is a problem with patient care.
  4. Report it to the Health Care Bureau. The NYS Attorney General’s office requests that all patients, their doctors, or their representatives make a call to Health Care Bureau’s toll-free Helpline or fill out a complaint form if they feel they have been wrongly denied coverage for their Hep C treatment medications.

Other helpful resources

Prescription Assistance 360

 

Partnership for Prescription Assistance Programs

Brings together America’s pharmaceutical companies, doctors, other health care providers, patient advocacy organizations and community groups to help qualifying patients without prescription drug coverage get free or low-cost medicines through the public or private program that’s right for them.

 

Patient Access Network (PAN)

Independent non-profit organization that provides assistance to under-insured patients for their out-of-pocket expenses for life-saving medications. Has Hep B & Hep C assistance! You can view and distribute this brochure about PAN services for Hep B & C patients.

 

NeedyMeds

Non-profit information resource devoted to helping people in need find assistance programs to help them afford their medications and costs related to health care.

 

NYCRx

Non-profit organization working to increase access to affordable medications for medically underserved communities. Free Discount Prescription Card and list of partnering health centers with drug discount programs for their patients.

 

Chronic Disease Fund

Non-profit charitable organization that helps people with chronic disease, cancer and other life-altering conditions obtain the life-savings medications they need. Disease states may open and close throughout the year as funds are diminished or become available.

 

RxAssist

Comprehensive database of patient assistance programs, as well as news and practical tools.

 

Patient Advocate Foundation

Case Managers can assist patients and providers with  medication assistance program applications. Program is able to cover hepatitis B medication co-pays up to $4,000 per year and $24,000 per year for hepatitis C medications.

 

Harbor Path

Provides a single site for all patient assistance program applications for both HIV and HCV medications.

 

Healthwell Foundation

Their newly formed hepatitis C co-pay assistance program can provide up to $15,000 to eligible patients who are insured and have an annual household income of up to 500% of the federal poverty level.(800) 675-8416

 

More Patient Support

*Group leaders: Please contact us with any changes to the information below.

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