CHAP Access Plan

Why 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:

(1) Less paperwork – Members complete one eligibility interview every 3-6 months to remain eligible for free or discounted care with any of our partners. A doctor can refer CHAP members to any CHAP partner for care without more paper work. A CHAP ID number shows you are eligible for free or discounted care. Income forms at the member’s primary care organization may still be required from time to time.

(2) Convenience – Apply to become a CHAP member where you receive primary care

(3) Peace of mind – Members have access to health care services in Cuyahoga County. If specialty services are needed, a doctor can refer patients 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 who do not qualify for government-sponsored insurance and do not have insurance through their employer. CHAP members must be at or below 200% of Federal Poverty Level.

How much does it cost to become a CHAP member?
There is no cost to be a CHAP member. The medical care you receive may be free or may be discounted. 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. If you would like assistance in selecting a primary care location or determining your eligibility, contact CHAP at 216.231.5350 or chap@medworksusa.org. If you qualify, the enrollment process can be started over the telephone to save 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, 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:  You will be asked to bring the following to your appointment at your primary care site:

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

Applicants will not be turned down based on immigration status.

How can I access specialty care?
If your primary care doctor determines that you need to see a specialist, the enrollment staff can help coordinate specialty provider at a provider of your choice in the CHAP network.