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 Do not forget to recertify your health coverage!
You hear this over and over, but… here are some
QUESTIONS and ANSWERS
• What is Recertification?
• ANSWER: Recertification or Renewal is a process where you are re-screened for health coverage in one of the insurance programs. Through this screening you might be deemed eligible for the same or a different program depending on several factors.
• Who needs to recertify?
• ANSWER: Anyone that currently has coverage with one of our programs listed below will need to recertify on a yearly basis.
Medicaid Managed Care
Child Health Plus (CHP) A
Child Health Plus (CHP) B
Family Health Plus(FHP)
• Why should I recertify?
• ANSWER: If you fail to recertify on time you might lose your health coverage and will have to go through the complete process of applying like the first time if you want to be re-instated. This also might mean paying out of pocket for any medical need you might incur during the period you do not have health insurance.
• When should I recertify?
• ANSWER: Everyone has their own recertification date but as a rule of thumb it should fall before the month you originally got coverage. Prior to your recertification date you should receive a Renewal packet by mail from NYC Human Resourse Administration(HRA) and several phone calls and other reminders from us. You can also call NHP’s Member Services department at 1-800-826-6240 to find out.
• What is a Renewal packet and what should I do once I receive one?
• ANSWER: A Renewal packet contain forms similar to those you filled out with a Facilitated Enroller the first time you applied for coverage. For those of you that have Medicaid Managed Care, CHP A or FHP the packets are pre-printed with most of your information and sent out directly to you by the Human Resources Administration department. If you have CHP B then you will receive the renewal packet from us, Neighborhood Health Providers. Our packet does not include any pre-printed information on it.
Once you receive your Renewal packet you should follow the instructions, complete the forms, attach any required documentation and send everything back in the provided envelope before the due date.
• What if I do not receive a Renewal Packet?
• ANSWER: If you have not received a packet and are a Medicaid Managed Care member you should contact the Human Resources Administration (HRA) department or your Case Worker and inquire about your status. If you need to recertify they will send you the form or advise you on the course of action you must take.
For all recertification you can contact us by calling NHP’s Retention department at 1-800-299-3750. You can also contact your NHP Marketing Representative.
I received the Renewal Packet but I need help. . .
• ANSWER: That is why we are here! We can help you through the whole process. We will assist you in filling out the application and collecting the documents you need to complete the Renewal packet. Just contact us by calling NHP’s Retention department at 1-800-299-3750.
Neighborhood Health Providers has also launched a monthly recertification event to provide you, our member, with the convenience of one stop renewal. Every month we send out invitations to those of you that are up for recertification. Please come out and recertify!
NHP has local offices and Marketing sites in the community.
Click the map below to reach our Locations page
and see where you can stop by for assistance!
For more locations or answers to your questions regarding recertification contact:
- Your NHP Marketing Representative
- NHP’s Retention Department, toll free, at 1-800-299-3750.
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