6800 E 10 Mile Rd, Center Line, MI 48015

MyCare Health Center

Chae Williams (586) 787-0060

Abby Lindell (586) 689-2122

Mycarehealthcenter.org

My Username: ______My Password: ______

Application Tracking #: ______

To log-in to your Marketplace account or apply visit:

Your EligibilityNotice tells you what type of financial assistance you qualify for. Tax credits lower the cost you pay monthly for your premium, and cost sharing reductions lower the other costs such as deductibles and copays.

If your income changes, report the change in your Healthcare.gov account or contact the Marketplace Call Center. A change in income can affect the amount of financial assistance you are eligible to receive. If your income increases and you don’t report the change, you may owe money at tax time.

My tax credit amount is: ______

If you qualify for cost sharing reductions, you will only receive them if you choose a Silver plan.

The insurance plan I chose is: My coverage start date is:

______

My health plan ID is:My health plan phone number:

______

Premium: ______Deductible:______Out-of-pocket maximum: ______

Primary Care Co-Pay:______Specialist Visit Co-Pay:______Emergency Room Co-Pay: ______

Inpatient Hospital Co-Pay: ______Generic Drugs Co-Pay: ______Brand Name Drugs Co-Pay:______

Coinsurance:______%

Premiums must be paid on time in order to keep your coverage.

Your insurance cardwill have the phone number to call with questions about your benefits.

If there are any changes throughout the year to your contact information, household members, or income, contact your insurance company and the Marketplace.

You will receive a letter with instructions on how to renew or change your plan before the Open Enrollment Period begins.

CONTACT INFORMATION

This list of contacts will help you when you have any questions regarding your insurance plan information, how to use your insurance, your selection of in-network providers, or where to go for care.

Your insurance company’s phone number/help line (also called “beneficiary line”)– This is the number you can call if you ever have a question about your insurance (you should be able to find this number on your insurance card):

______

If you got insurance through the Marketplace and have questions about your plan or a comparable plan, you can contact a Marketplace Call Center customer service representative at:
1-800-318-2596 or (TTY: 1-855-889-4325)

If you need to schedule an exam, are unsure when you need to visit the doctor next, or have questions about your health, call your doctor at:

______

Remember: Your local Health Center is there to serve you. Health Centers provide education, translation, and transportation services in addition to primary care services. Contact your local Health Center if you’re looking for a quality doctor.

Call 2-1-1 to find application assistance near you or if you want more information about Health Centers near you.

For help understanding what to do after you apply and how to use your new coverage visit