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Access Plan

Why should I become a CHAP member?

CHAP’s Access Plan is designed to help uninsured adults obtain a primary care provider or medical home and refer them to a specialty care provider without completing additional paperwork at each provider. As a CHAP member, you can count on:

  • Less paperwork – You will only have to complete one eligibility interview every 3-6 months to remain eligible for free or discounted care with any of our partners. Uninsured adults usually have to fill out income forms each time they go to a new health care organization. CHAP gets rid of that. Your doctor can refer you to any CHAP partner for care without more paper work. Your CHAP ID number shows you are eligible for free or discounted care. You will still need to fill out income forms at your primary care organization from time to time.
  • Convenience – You can apply to become a CHAP member where you receive your primary care.
  • Peace of mind – You will have access to health care services in Cuyahoga County. If you need specialty services, your doctor will be able to refer you to a specialist who participates in CHAP.

How do I know if I qualify? 

Potential CHAP members are 19-64 year old residents of Cuyahoga County that do not qualify for government-sponsored insurance or have insurance through their employer. CHAP members must be at or below 200% of Federal Poverty Level, which is $46,100 for a family of four in 2012.

How much will it cost to become a CHAP member?

There is no cost to be a CHAP member. However, the medical care you receive may be discounted, but not free. When you see a CHAP provider, you will be told ahead of time what you will have to pay.

How do I apply?

Step 1 – Choose where you would like to receive your primary care from our Provider Directory. If you would like assistance in selecting a primary care location or determining your eligibility, you can contact CHAP at 1-888-929-CHAP(2427). If you qualify, we can begin the enrollment process over the telephone to save you time when you visit your primary care location.

Step 2 – Schedule an eligibility/financial counseling appointment at your preferred primary care location. If you are already a patient at a participating organization, simply let them know you want to become a CHAP member. Trained staff at that site will help you schedule an appointment to come in, meet with enrollment staff, and apply to become a member.

Step 3 – For your appointment, you will be asked to bring the following materials to your primary care site:

  • Photo ID (if you have one)
  • Proof of Residency in Cuyahoga County (This can include any bills or printed mail addressed to you within the past 60 days.)
  • Proof of Family Size (Birth certificates for your children under the age of 18, and marriage or divorce documents.)
  • Proof of Income (This can include a most recent U.S. Income Tax Return, e.g.: IRS Form 1040, 1040A, 1040EZ, 1099, or pay stubs for the last three months, or benefit letters from pensions, social security or workman’s compensation.)

CHAP will not turn down applicants based on immigration status.

How can I access specialty care?

If your primary care doctor decides that you need to see a specialist, the enrollment staff will contact a specialty provider in the CHAP system to make an appointment for you. Once your appointment is set, you’ll be able to present your CHAP enrollment letter and member card to the staff at your specialist’s office instead of completing another financial interview.

What if I need emergency services?

Emergency services are for health care problems that are so serious that they must be treated right away. Go to the nearest hospital emergency room or other appropriate setting. Call your primary care provider as soon as you can after the emergency to set up a follow-up visit.