HELP Act

Montana’s New Healthcare Option

Montana has a new health care coverage option for low-income state residents. Governor Steve Bullock signed into law Senate Bill 405, the Health and Economic Livelihood Partnership Act, which makes health care benefits available to Montana residents beginning as soon as January 1, 2016.

Coverage is offered through a private insurance company just like health plans available to other Montanans. The bill also offers new Medicaid members help finding work and getting new job skills.

Montanans are able to apply several ways:

Over the phone at the Federal Marketplace at 1–800–318–2596
24 hours a day / 7 days a week
online at healthcare.gov or apply.mt.gov
by mail
in person at community health centers like the Flathead Community Health Center (please call 758-2165) or at local Offices of Public Assistance.

Who is eligible?

Individuals who make up to 138 percent of the federal poverty level. That works out to roughly $16,000 a year for one person or $33,000 for a family of four. Additionally, to be eligible, individuals must be:

Ages 19 to 64
Montana residents
Not enrolled in or qualified for Medicare
Not pregnant when applying for coverage

What is covered?

The plan covers the essential health benefits required by federal law and Montana Medicaid, including:

Doctor, hospital, and emergency services
Prescription drugs
Dental care
Vision care
Laboratory and x-ray services
Maternity and newborn care
Mental health and substance abuse treatment
Rehabilitative services and supplies
Transportation to appointments

Because the Health and Economic Livelihood Partnership Act is designed to help improve Montanan’s economic prospects, the plan also covers dental, vision care and transportation.

The health plan will cover other medically necessary services as appropriate.

Health Insurance Assistance Contact Info

1035 1st Ave West
Kalispell, MT 59901 – 3rd Floor

406-758-2165 main line
406-751-8148 fax

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