Kentucky Health Insurance Premium Payment Program

•You may be eligible for a program called KHIPP.  •KHIPP will pay premiums for your health insurance if you have access to insurance through your employer or COBRA. •Someone in your household will have to be eligible for Medicaid, if so, you should contact the following people.

Types of Insurance Covered • Employer-Sponsored Insurance (ESI)- insurance

offered by your employer.

• The Consolidated Omnibus Budget Reconciliation Act (COBRA)-insurance you can apply for and receive for 18 months after termination.

To qualify a person in the household must:

1. Be Medicaid eligible

2. Have access to ESI or COBRA

3. Constitute as cost-effective*Medicaid eligible does not have to be policyholder.

*Medicaid eligible does not have to be policyholder.

KHIPP Application ProcessThe application process is Simple

Fill out the application online, over the phone, or use the brochure provided and fax it.

Potential candidates need . . .1.Medicaid eligibility (someone in household-spouse, child, children or both)

2.Access to ESI or COBRA

3.Be Cost-effective

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KHIPP ResourcesEducational resources available to

applicants:1. www.MyKHIPP.com

Online application available on website

2. Brochure/application is attached

What will I need to apply?1. Health insurance card – copy back and

front

2. Employer rate Sheet

3. Summary of Benefits

4. Recent Pay Stub

What will I need to apply?1. Health insurance card – copy back and

front

2. Employer rate Sheet

3. Summary of Benefits

4. Recent Pay Stub

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KHIPP members receive– Reimbursements for cost of ESI or COBRA – Medicaid benefits continue/may cover non-

Medicaid family members– Re-evaluation at open enrollment each year

– Freedom to see non-Medicaid providers

KHIPP members must submit paystubs for reimbursement. The sooner you submit the sooner you will receive your reimbursement. As soon as KHIPP receives your pay stub it is processed in the next check run.

KHIPP Member Resources

• Apply online at www.MyKHIPP.com

• Return Brochure Application to:– Fax: 1-855-888-2222

– Address: 838 East High Street #255 Lexington, KY 40502

• Contact KHIPP Eligibility Advisors at:– Toll Free Phone:

1-855-MyKHIPP (1-855-695-4477)

– Email: CustomerService@MyKHIPP.com

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