Countywide Healthcare Planning
HomeA small amount of money was received from the State's Medicaid program ($500,000) to help approximately 400 low- to moderate-income Miami-Dade County residents cover a portion of their monthly health insurance premiums.
Miami-Dade Blue is a product of Blue Cross Blue Shield of Florida for both individuals and small groups (businesses) with less than 50 employees -- designed in collaboration with Miami-Dade County under the leadership of Commissioner Joe Martinez. The plan began coverage on July 1, 2009 and targets the 600,000 residents countywide under the age of 65 who are unable to afford private health insurance and do not qualify for public programs, such as Medicaid and KidCare. The program includes primary and specialty care, inpatient services, diagnostic services, and pharmacy benefits. It incorporates chronic disease management and emergency room alternatives to increase healthcare efficiencies, lower the cost of charity care, and ultimately improve health outcomes.
Miami-Dade Health Insurance Assistance Program
- What is the Miami-Dade Health Insurance Assistance Program
- How do I qualify for the program?
- What is the first step?
- What’s next, if I initially qualify for the program?
- How much will I have to pay?
- What happens when all slots are filled at the FQHCs?
- When will I know when program enrollment and wait list closes?
- Will it be offered next year?
What is the Miami-Dade Health Insurance Assistance Program
The Miami-Dade Health Insurance Assistance Program will cover a portion of the monthly insurance premium for low- to moderate-income individuals enrolled in Miami-Dade Blue. The amount received is based on household income, family size and total amount of monthly premium. For more information call OCHP at 305-375-5444 or e-mail requests to HIUP@miamidade.gov
How do I qualify for the program?
You must:- Be an individual 19 - 64 years
- Be a Miami-Dade County resident
- Be a US Citizen or Qualifying Non-Citizen
- Be Insured by Miami-Dade Blue individual health insurance (as licensed by the State of Florida and operated by Blue Cross and Blue Shield of South Florida)
- Not be eligible for Medicaid, Medicare, or any other public funding
- Must receive medical care at participating Federally Qualified Health Center
- Have an annual household income between 100%-300% of FPL (federal poverty level):
|
Annual Household Income (% FPL) |
|||||||||
|
Family Size |
100% FPL |
125% FPL |
150% FPL |
175% FPL |
200% FPL |
225% FPL |
250% FPL |
275% FPL |
300% FPL |
|
1 |
$10,890 - $12,251 |
$12,252 - $14,973 |
$14,974 - $17,696 |
$17,697 - $20,419 |
$20,420 - $23,141 |
$23,142 - $25,863 |
$25,864 - $28,586 |
$28,587 - $31,309 |
$31,310 - $32,670 |
|
2 |
$14,710 - $16,549 |
$16,550 - $20,226 |
$20,227 - $23,904 |
$23,905 - $27,581 |
$27,582 - $31,258 |
$31,259 - $34,936 |
$34,937 - $38,614 |
$38,615- $42,291 |
$42,292 - $44,130 |
|
3 |
$18,530 - $20,846 |
$20,847 -$25,479 |
$25,480 - $30,111 |
$30,112 - $34,744 |
$34,745 - $39,376 |
$39,377 - $44,009 |
$44,010- $48,641 |
$48,642- $53,274 |
$53,275 - $55,590 |
|
4 |
$22,350 - $25,144 |
$25,145 - $30,731 |
$30,732 - $36,319 |
$36,320 - $41,906 |
$41,907 - $47,494 |
$47,495 - $53,081 |
$53,082 - $58,668 |
$58,669 - $64,256 |
$64,257 - $67,050 |
|
5 |
$26,170 - $29,441 |
$29,442 - $35,984 |
$35,985 - $42,526 |
$42,527 - $49,069 |
$49,070 - $55,611 |
$55,612 - $62,153 |
$62,154 - $68,695 |
$68,696 - $75,238 |
$75,239 - $78,510 |
|
6 |
$29,990 - $33,739 |
$33,740 - $41,236 |
$41,237 - $48,734 |
$48,735 - $56,231 |
$56,232 - $63,729 |
$63,730 - $71,226 |
$ 71,227 -$78,722 |
$78,723 - $86,221 |
$86,222- $89,970 |
|
7 |
$33,810 - $38,036 |
$38,037 - $46,489 |
$46,490 - $54,941 |
$54,942 - $63,394 |
$63,395 - $71,846 |
$71,847 - $80,299 |
$80,300 - $88,751 |
$88,751 - $97,204 |
$97,205 - $101,430 |
|
8 |
$37,630 - $42,334 |
$42,335 - $51,370 |
$51,371 - $61,149 |
$61,150 - $70,556 |
$70,557 - $79,963 |
$79,964 - $89,371 |
$89,372 - $98,778 |
$98,779 - $108,186 |
$108,187-$112,890 |
What is the first step?
Please contact one of the one of the participating community health centers also known as federally qualified health centers (FQHC) shown below for more information and bring the following materials with you:- Photo ID
- Proof of income
- Proof of Miami-Dade residency
- $30 Premium Deposit (check)
| FQHC | FQHC NUMBER | FQHC MAIN ADDRESS | FINANCIAL ASSESSMENT CONTACT NAME |
| Borinquen Health Care Center - Main | 305-576-6611 | 3601 SW Federal Hwy. Miami, FL. 33137 | Elizabeth Mercado and Joanna Leiva and Antia Ashe |
| Citrus Health Network - Main | 305-825-0300 | 4125 W. 20th Ave., Miami, FL. 33012 | Maria Dominguez and Mario Quintana |
| CHI - Doris Ison Center - Main | 305-253-5100 | 10300 SW 216 Str., Miami, FL. 33190 | Romanita Ford |
| Helen Bentley Family Health Center - Main | 305-447-4950 | 3090 S. Douglas Rd., Miami, FL. 33133 | Elsy St. Albin |
| Jessie Trice Community Hlth. Center - Main | 305-835-1569 | 5361 NW. 22nd Avenue Miami, FL. 33142 | Masie Hamilton, and Ellen Williams |
| Miami Beach Community Hlth - North Miami Center | 305-538-8835 | 11645 Biscayne Blv. #104 Miami Beach FL. 33181 | Loida Perez, and Maria Elena Tondo |
What’s next, if I initially qualify for the program?
You will be directed to a Blue Cross and Blue Shield of South Florida licensed agent who will help you complete an application for Miami-Dade Blue health insurance. If you qualify for this insurance, the Health Insurance Assistance Program dollars will be used to decrease the amount you pay towards your monthly premium.How much will I have to pay?
In addition to a one-time $30 premium deposit that is refundable if you do not qualify for Miami-Dade Blue (a BCBSF agent will offer other low cost options that may be of interest), you will be responsible for a portion of your monthly premium. To determine how much you pay, subtract the total monthly premium from the amount that you qualified. This balance will be your monthly payment responsibility. Program participants will be given coupon books with directions about these monthly payments.Have a monthly household income between 133% - 250% of Federal Poverty Level
- Income ranges for a single (1) individual is between $10,890 - $32,670
- Income ranges for a family of four (4) is between $22,350 - $67,050
- Higher incomes may apply
| Example | |
|
How much will I have to pay? |
|
|
Annual Income |
$18,952 |
|
Household Size |
1 |
|
Monthly Premium |
$155 |
|
MD-HIAP |
$75 |
|
You Pay |
$80 |
What happens when all slots are filled at the FQHCs?
Individuals at FQHCs will be told that enrollment capacity has been reached and they will go on a waiting list and be notified if a slot becomes available. The waiting list will be kept for persons who meet the financial qualifications. A limited number of persons will be kept on the waiting list due to fund availability.
When will I know when program enrollment and wait list closes?
All callers will receive an updated message from 3-1-1, on OCHP voice mail and on OCHP web page thanking them for their participation and interest but reflecting that the program has closed enrollment as of the closing date.
Will it be offered next year?
Currently, we do not know. However, it is our hope that Florida State's Medicaid program will continue to offer the program to Miami-Dade residents if success of the pilot can be shown and there are sufficient funds available. OCHP will be monitoring the program throughout. Please check the OCHP website next year in late spring for updates.
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Premium Assistance Program
County Connection finds out how Miami-Dade's Health Insurance Assistance Program makes health care more affordable. Check it out On-Demand.
Program Update
Thank you for your interest in the Miami-Dade Health Insurance Assistance Program. Now it's even easier to see if you may qualify for premium assistance! Just fill out the Online Pre-Screening Premium Assistance Tool
Even though we can only accept a limited number of participants, we continue to encourage all our residents to contact the Federal Qualified Health Centers (FQHC) of their choice as listed on our website to make arrangements to schedule a time to sign up for the Health Insurance Assistance Program. We will continue to accept applications as long as there are spots. For more information please contact 3-1-1.
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