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Idaho Health Insurance Consumer Help

Idaho does not operate a Consumer Assistance Program under the Affordable Care Act. The new consumer protections and benefits of the law still apply to you.

The agencies listed below can help you take advantage of some of these new protections and benefits. They can answer your questions about different types of coverage.

If you need health insurance, be sure to check out HealthCare.gov’s Plan Finder.  It will help you find and compare health care coverage options in your area.

If you have questions about insurance you bought for yourself and/or your family or you have insurance provided by an employer who does business only in Idaho, contact:

Idaho Department of Insurance
P.O. Box 83720
Boise, ID 83720-0043
(800) 721-3272
(208) 334-4319
http://www.doi.idaho.gov

If you have a hard time affording health coverage and you have questions about eligibility or current Medicaid benefits, go to:  

Idaho Medicaid Program
Health Coverage for Idaho Families
Idaho Department of Health and Welfare
PO Box 83720
Boise, ID 83720-0036
(877) 456-1233
http://www.healthandwelfare.idaho.gov
DPHInquiries@dhw.idaho.gov

If you are not eligible for Medicaid, your child may still be eligible for the Children’s Health Insurance Program. For questions about eligibility or benefits, go to: 

Idaho Health Plan for Children (Idaho Children’s Health Insurance Program)
Idaho Department of Health and Welfare
PO Box 83720
Boise, ID 83720-0036
(208) 456-1233
http://www.healthandwelfare.idaho.gov
DPHInquiries@dhw.idaho.gov

If you have a question, complaint, or dispute regarding insurance you get through a “self-insured” employer (typically a large company or one with locations in multiple states or countries), go to: 

U.S. Department of Labor
Employee Benefits Security Administration
200 Constitution Ave., NW
Washington, DC 20210
(866) 4-USA-DOL ((866) 487-2365)
http://www.dol.gov/ebsa/consumer_info_health.html

If you are on Medicare and have a question, or if you have a disability or end stage renal disease and want to enroll or find out if you are eligible for Medicare, contact: 

Senior Health Insurance Benefits Advisors (SHIBA)
Toll Free: (800) 247-4422
http://www.doi.idaho.gov/shiba/shibahealth.aspx

If you have been denied health insurance by private insurance companies because of a pre-existing condition, you may be eligible for a Pre-Existing Condition Insurance Plan (PCIP). Go to:

If you are a veteran and have a question or concern about veterans’ health care benefits, go to:

US Department of Veterans Affairs
(877) 222-VETS (8387)
http://www1.va.gov/health/

If you have questions about your health insurance that are not covered by the above resources, call the Health Insurance Assistance Team of the U.S. Center for Consumer Information and Insurance Oversight at (888) 393-2789.

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