Countdown to Open Enrollment! Nov. 1st, 2024
Foundation Communities’ Prosper Health Coverage Program
Resources for Clients and Community Partners
«Jump to a topic with the links below or press “Ctrl + F” to search the page »
◉ Schedule an appointment with the Health Coverage Team ◉ Health Coverage Updates ◉
Marketplace Application & Plan Resources: ◉ General Information ◉ How-To… ◉ Application Tools ◉ Insurance Network Guides ◉ Coverage to Care (C2C) ◉ Contact Your Health Insurance Company ◉ Public Charge Questions? ◉ Not Marketplace Eligible? ◉ Tax Info ◉
Schedule an appointment with the Health Coverage Team
We have IN-PERSON and PHONE appointments available for Marketplace, Medicaid, or CHIP, health insurance help!
Click here to visit our website or make an appointment in Travis County
To make an appointment at a Community Resource Center outside Travis County, click on the following scheduling links / Para programar una cita en un Centro de Recursos Comunitarios fuera del condado de Travis, haga clic en los siguientes enlaces para programar por ubicación:
• Marble Falls: Burnet County Community Resource Center: Schedule here/Programe aquí
• Johnson City: Blanco County Community Resource Center: Schedule here/Programe aquí
• Liberty Hill: Williamson County Community Resource Center: Schedule here/Programe aquí
• Llano: Llano County Community Resource Center: Schedule here/Programe aquí
• Jarrell: (Williamson County) Jarrell Library and Community Resource Center: Schedule here/Programe aquí
• Georgetown: (Williamson County) Carver Center for Families: Schedule here/Programe aquí
2024 Marketplace Plans: Doctor and Hospital Networks
2024 Austin-Area Primary Care and Specialty Overview
2024 Austin-Area Oncology Overview
2024 Austin-Area Urgent Care, Imaging and Labs
Health Coverage Updates
- Important Update on Marketplace Fraud (Updated August 2024)
Actualización importante sobre el fraude en el mercado (actualizado en agosto de 2024) - DACA Eligibility for Marketplace Health Insurance (Updated May 2024)
- Syphilis Rates Increasing at Alarming Rates: Where to Get Tested (Updated May 2024)
- Announcement: Consumer Data Mishandling by Health Insurance Agents and Brokers (Updated April 2024)
- 2024 Enrollment Window Extension for Loss of Medicaid (Updated April 2024)
- 2024 Postpartum Medicaid Expansion (Updated January 2024)
- 2023 Open Enrollment Impact Report (Updated October 2023)
- Medicaid Renewal Announcement (Updated March 2023)
- Período de Renovación de Medicaid 2023 (Updated March 2023)
- Prosper Health Coverage Patient/Client Referral Form (Updated February 2022)
- Refugee Medical Assistance Expansion (Updated May 2022)
- Low-Income Special Enrollment Periods (Updated May 2022)
General Health Coverage Information
- Help enrolling or renewing benefits on YourTexasBenefits.com (including Medicaid, CHIP, SNAP, WIC, TANF, Healthy Texas Women)?
- Contact Foundation Communities’ Benefits Assistance team. Call 737-249-6394 or email benefitsassistance@foundcom.org
- How-To: Follow up with Health and Human Services (HHS) about a Medicaid or CHIP application
- Cómo hacer un seguimiento con Salud y Servicios Humanos (HHS) de Texas sobre una solicitud de Medicaid o CHIP
- How-To Check YourTexasBenefits.com for Messages from HHS
- Cómo consultar YourTexasBenefits.com para ver mensajes del HHS
- How to Appeal a Health Insurance Payment Denial
- How to Contest Billing Errors from Doctors’ Offices or Hospitals
- COBRA vs. Marketplace Plans / Spanish
- Insurance Terms / Spanish
- Medical Programs for Refugees and Asylees
- Using Your Plan: Health Insurance Payments Tracking Tool
- Using Your Plan: Finding a Mental Healthcare Therapist or Counselor
- Utilizando su plan: Encontrar un terapeuta o consejero de salud mental
- Types of Insurance Networks
- Health Savings Account (HSA)
- Advice on Dental Insurance
- Be Careful When Enrolling: Short-Term Plans Explanation / Spanish
- South Austin Social Security Administration (SSA) office: 1-855-221-3523
Marketplace How-Tos
- Get MP Username & Password: English / Spanish
- Preview Plans/Prices: See Plans and Prices
- Two-Factor Authentication on HealthCare.Gov: How To: Set Up or Remove
- Child Sent to HHSC (Medicaid/ CHIP)? Next Steps for Parents / Spanish
- Need to Complete Your Enrollment? Enroll from Home
- How To Upload MP Documents: English / Spanish
- Proof of Income Attestations
- How to Download your 1095-A / Spanish
- Blank Form 1095-A with instructions: 2022 Tax Year
- Dealing with an Out-of-Network Emergency? English / Spanish
Marketplace Application Tools
- Health Insurance And Your Taxes
- 2023 & 2024 Repayment Caps / Spanish
- Need to know if a job offers health coverage or HRA? Submit this letter & coverage tool to your employer/ HR department
- Need proof you were denied Medicaid? : How-To
If you are NOT Marketplace Eligible
- Eligible for Medicare?: Get Help
- Uninsured?: Local Care Options
- Sin Seguro?: Opciones para persones sin seguro médico
- Travis County Residents:
Public Charge
- Does Public Charge Apply to Me? / Spanish / Arabic
- Keep my Kids in Health/Nutrition? / Spanish / Arabic
Now that you have Health Insurance: GET CARE
- The Free Preventative Services provided by the Affordable Care Act
Some possible locations for treatment (always make sure a doctor/ clinic is in network with your insurance plan before scheduling an appointment).
Contact Your Health Insurance Company
Make Your first payment before the first of the month your plan begins!
Haz tu primer pago antes del primero del mes que comienza tu plan!
- Aetna: 1-844-365-7373 Member Login
- Ambetter: 1-877-687-1196 http://ambetter.superiorhealthplan.com/
- Blue Cross Blue Shield: 1-888-697-0683 http://www.bcbstx.com/contact-us
- Imperial Health: 1-(800)-595-0619 https://exchange.imperialhealthplan.com/texas/
- Moda: 1-844-931-1779 https://www.modahealth.com/texas/member
- Oscar: 1-855-672-2755 https://www.hioscar.com/
- Scott and White Health Plan: 1-844-633-5325 https://www.swhp.org
- Sendero: 1-844-800-4693 https://senderohealth.com/idealcareeng/
- United: 1-800-806-0451 https://www.uhc.com/member-resources
- US Health & Life (Ascension): 1-833-600-1311 https://www.ascensionpersonalizedcare.com/
Foundation Communities Prosper Centers
- Prosper Centers Website
- Schedule an appointment with Financial Wellness
- Schedule an appointment with College Hub
- Schedule an appointment with Tax Help
- Foundation Communities’ Free Healthy Living Programs Calendar (Food Pantries, Fitness Classes, and more)
2024 Tax Season
- Health Insurance and Your Taxes: How to Avoid Repaying IRS Financial Help
- Blank 2023 1095-A
- VITA Program Advice for Clients with Multiple 1095-As
- For Prosper Tax Help tax preparers, to find a Navigator who can help locate a 1095-A for Tax Help clients: Please check in with a Prosper Health Coverage Site Manager (Scott at Prosper North , Aileen at Prosper South)
- If you’re at another Tax Help site, please check in with Janet, Leti, or Bryan to connect with a Health Coverage Site Manager.
- 2024 1095-A Request Form