Navigator Manual - 08.29.16

EXCERPT FROM Guide to Immigrant Eligibility for Federal Programs IMMIGRANT ELIGIBILITY FOR FEDERAL PROGRAMS© 2002 National Immigration Law Center – 4th ed. Reprinted with permission.To order copies: NILC Publications (213) 639-3900, or visit www.nilc.org. TABLE 1 Overview of Immigrant Eligibility for Federal ProgramsThis table provides an overview of immigrant eligibility for the major federal public assistance programs. Somestates provide assistance to immigrants who are not eligible for federally funded services. (TABLE UPDATED OCT. ’11) PROGRAM “QUALIFIED” IMMIGRANTS “QUALIFIED” IMMIGRANTS “NOT QUALIFIED” WHO ENTERED THE U.S. WHO ENTERED THE U.S. IMMIGRANTSSupplemental BEFORE AUG. 22, 1996 ON OR AFTER AUG. 22, 1996Security Eligible only if:Income Eligible only if: Eligible only if: • Receiving SSI (or application(SSI) • Receiving SSI (or application • Lawful permanent resident with pending) on Aug. 22, 1996Supplemental pending) on Aug. 22, 1996 credit for 40 quarters of work2 • Certain American IndiansNutrition (but must wait until 5 yearsAssistance • Qualify as disabled and were after entry before applying) born abroadProgram lawfully residing in the U.S. on • Victims of trafficking and their(SNAP) Aug. 22, 19961 • Were granted asylum or refugee status or withholding derivative beneficiaries during(rev. 10/11) • Lawful permanent resident with of deportation/removal, the first seven years after status credit for 40 quarters of work1,2 Cuban/Haitian entrant, was granted Amerasian, victim of trafficking, • Were granted refugee or or Iraqi or Afghan special Eligible only if: asylum status or withholding immigrant status, but • Member of Hmong or Laotian of deportation/removal, only during first 7 years after Cuban/Haitian entrant, or status was granted tribe during the Vietnam era, Amerasian immigrant, but when the tribe militarily only during first 7 years after • Veteran, active duty military; assisted the U.S., spouse, status was granted spouse, unremarried surviving surviving spouse or child of spouse, or child1 tribe member, who is lawfully • Veteran, active duty military; present in the U.S. spouse, unremarried surviving • Certain American Indians born • Certain American Indians spouse, or child1 abroad born abroad • Victims of trafficking and their • Certain American Indians Eligible only if: derivative beneficiaries born abroad • Are under age 183 table continued next page Eligible only if: • Were granted asylum or • Are under age 183 refugee status or withholding of deportation/removal, • Were granted refugee or Cuban/Haitian entrant, asylum status or withholding Amerasian, victim of trafficking, of deportation/removal, or Iraqi or Afghan special Cuban/Haitian entrant, or immigrant status Amerasian immigrant • Have been in “qualified” • Have been in “qualified” immigrant status for 5 years1 immigrant status for 5 years1 • Are receiving disability-related • Are receiving disability-related assistance1,4 assistance1,4 • Lawful permanent resident with • Lawful permanent resident with credit for 40 quarters of work credit for 40 quarters of work • Veteran, active duty military; • Were 65 years or older and spouse, unremarried surviving were lawfully residing in the spouse, or child1 U.S. on Aug. 22, 19961 • Member of Hmong or Laotian • Veteran, active duty military; tribe during the Vietnam era, spouse, unremarried surviving when the tribe militarily spouse, or child1 assisted the U.S.; spouse, surviving spouse, or child of • Member of Hmong or Laotian tribe member1 tribe during the Vietnam era, when the tribe militarily • Certain American Indians assisted the U.S.; spouse, born abroad surviving spouse, or child of tribe member 1 • Certain American Indians born abroad National Immigration Law Center

TABLE 1 (CONTINUED, p. 2 of 4) Overview of Immigrant Eligibility for Federal Programs PROGRAM “QUALIFIED” IMMIGRANTS “QUALIFIED” IMMIGRANTS “NOT QUALIFIED” WHO ENTERED THE U.S. WHO ENTERED THE U.S. IMMIGRANTSTemporary BEFORE AUG. 22, 1996 ON OR AFTER AUG. 22, 1996Assistance Eligible only if:for Needy Eligible1 Eligible only if: • Victims of trafficking and theirFamilies(TANF) • Were granted asylum or derivative beneficiaries refugee status or withholdingEmergency Eligible of deportation/removal, EligibleMedicaid Eligible6 Cuban/Haitian entrant,(includes labor Amerasian, victim of trafficking,and delivery) or Iraqi or Afghan special immigrant status 5Full-ScopeMedicaid • Veteran, active duty military; spouse, unremarried surviving spouse, or child 1 • Have been in “qualified” immigrant status for 5 years or more 1,5 EligibleChildren’s Eligible Eligible only if: Eligible only if: • Were receiving SSI onHealth • Were granted asylum orInsurance refugee status or withholding Aug. 22, 1996 (in states thatProgram of deportation/removal, link Medicaid to SSI eligibility)(CHIP) Cuban/Haitian entrant, • Certain American Indians Amerasian, victim of trafficking, born abroadMedicare Eligible or Iraqi or Afghan special • Victims of trafficking and their“Premium immigrant status 7 derivative beneficiariesFree” Part A • Lawfully residing children under(hospitalization) • Veteran, active duty military; 21 (state option)10 spouse, unremarried surviving • Lawfully residing pregnant(eligibility based spouse, or child 1 women (state option)10on work history) • Receiving federal Foster Care Eligible only if: • Victims of trafficking and their • Have been in “qualified” immigrant status for 5 years or derivative beneficiaries more 1, 7 • Lawfully residing children under • Children under 21 (state option)10 21 (state option)10 • Pregnant women (state option)10 • Lawfully residing pregnant Eligible only if: women (state option) 8, 10 • Were granted asylum or Eligible only if: refugee status or withholding • Lawfully present, and eligibility of deportation/removal, Cuban/Haitian entrant, for assistance is based on Amerasian, victim of trafficking, authorized employment or Iraqi or Afghan special immigrant status • Veteran, active duty military; spouse, unremarried surviving spouse, or child 1 • Have been in “qualified” immigrant status for 5 years or more 1 • Children under 21 (state option)10 • Pregnant women (state option)10 Eligible(rev. 10/11) table continued next page National Immigration Law Center

TABLE 1 (CONTINUED, p. 3 of 4)Overview of Immigrant Eligibility for Federal Programs PROGRAM “QUALIFIED” IMMIGRANTS “QUALIFIED” IMMIGRANTS “NOT QUALIFIED” WHO ENTERED THE U.S. WHO ENTERED THE U.S. IMMIGRANTSPremium BEFORE AUG. 22, 1996 ON OR AFTER AUG. 22, 1996“Buy-in” Not EligibleMedicare Eligible only if: Eligible only if:HUD Public • Lawful permanent resident who • Lawful permanent resident who Eligible only if:Housing and • Temporary resident under IRCASection 8 has resided continuously in the has resided continuously in thePrograms U.S. for at least 5 years U.S. for at least 5 years general amnesty, or paroled into Eligible except: Eligible except: the U.S. for less than 1 yearTitle XX • Certain Cuban/Haitian entrants • Certain Cuban/Haitian entrants • Victims of trafficking and theirBlock Grants and “qualified” abused spouses and “qualified” abused spouses derivative beneficiaries and children and children • Citizens of Micronesia, theSocial Note: If at least one member of Note: If at least one member of Marshall Islands, and PalauSecurity the household is eligible based the household is eligible based Note: For other immigrants, on immigration status, the on immigration status, the eligibility may depend on theOther family may reside in the family may reside in the date the family began receivingFederal Public housing, but the subsidy will housing, but the subsidy will housing assistance, theBenefits be pro-rated. be pro-rated. immigration status of otherSubject to household members, and theWelfare Law’s Eligible Eligible household composition.Restrictions Also note: If at least one memberBenefits Eligible9 Eligible9 of the household is eligibleExempt from based on immigration status,Welfare Law’s Eligible Eligible the family may reside in theRestrictions housing, but the subsidy will be pro-rated.(rev. 10/11) Eligible only if: • Victims of trafficking and their derivative beneficiaries • Program or service funded by the block grant is exempt from the welfare law’s restrictions Eligible only if: • Lawfully present9 • Were receiving assistance based on an application filed before Dec. 1, 1996 • Eligibility required by certain international agreements Eligible only if: • Victims of trafficking and their derivative beneficiaries Eligible Eligible Eligible Notes appear on next page National Immigration Law Center

KEY TERMS USED IN TABLE (Immigrant Eligibility for Federal Programs)“Qualified” immigrants are: (1) lawful permanent also “qualified”); and (5) victims of trafficking andresidents (LPRs); (2) refugees, asylees, persons granted their derivative beneficiaries who have obtained a Twithholding of deportation/removal, conditional entry visa or whose application for a T visa sets forth a(in effect prior to Apr. 1, 1980), or paroled into the prima facie case. (A broader group of trafficking vic-U.S. for at least one year; (3) Cuban/Haitian entrants; tims who are certified by or receive an eligibility letter(4) battered spouses and children with a pending or from the Office of Refugee Resettlement are eligibleapproved (a) self-petition for an immigrant visa, or for benefits funded or administered by federal agen-(b) immigrant visa filed for a spouse or child by a U.S. cies, without regard to their immigration status.)citizen or LPR, or (c) application for cancellation ofremoval/suspension of deportation, whose need for “Not qualified” immigrants include all noncitizensbenefits has a substantial connection to the battery or who do not fall under the “qualified” immigrant cate-cruelty (parent/child of such battered child/spouse are gories.NOTES (Notes 6 and 10 were revised in Feb. 2014; note 7 was last updated in Apr. 2014.)1 Eligibility may be affected by deeming: a sponsor’s in- married surviving spouse, or child); or (3) refugees, asylees, come/resources may be added to the immigrant’s in deter- persons granted withholding of deportation/removal, Cu- mining eligibility. Exemptions from deeming may apply. ban/Haitian entrants, and Amerasian immigrants during the seven years after obtaining this status. Wyoming provides2 LPRs are eligible if they have worked 40 qualifying quar- full-scope Medicaid to lawfully residing pregnant women, ters in the U.S. Immigrants also get credit toward their 40 “qualified” abused immigrants, and persons paroled into the quarters for work performed (1) by parents when the immi- U.S., regardless of their date of entry, and provides Medi- grant was under 18; and (2) by spouse during the marriage caid to the \"refugees\" listed in (3) without a time limit. Ala- (unless the marriage ended in divorce or annulment). No bama provides Medicaid to LPRs who have completed the credit is given for a quarter worked after Dec. 31, 1996, if a five-year bar, regardless of whether they have 40 quarters federal means-tested public benefit (SSI, food stamps, of work history. In Texas and Alabama, Amerasian immi- TANF, Medicaid, or CHIP) was received in that quarter. grants are eligible only during the five years after obtaining this status. North Dakota provides Medicaid to the “refu-3 Children are not subject to sponsor deeming in the SNAP gees” listed in (3) without a time limit. Virginia and Texas program. provide Medicaid to lawfully residing children regardless of their date of entry into the U.S.4 Disability-related benefits include SSI, Social Security disa- bility, state disability or retirement pension, railroad retire- 8 In states that opt to cover fetuses, SCHIP provides prenatal ment disability, veteran’s disability, disability-based Medi- care regardless of the mother’s immigration status. The caid, and disability-related General Assistance if the disa- scope of coverage depends in part on how the option is im- bility determination uses criteria as stringent as those used plemented. by federal SSI. 9 For applications based on Social Security numbers issued5 In Indiana, Mississippi, Ohio, South Carolina, and Texas, on or after Jan. 1, 2004: Must have been assigned a Social TANF is available only to immigrants who entered the U.S. Security number that was, at the time assigned or at any on or after Aug. 22, 1996, who are: (1) LPRs credited with later time, valid for work purposes. Alternatively, must 40 quarters of work; (2) veterans, active duty military (and have been admitted to the U.S. temporarily for business or their spouse, unremarried surviving spouse, or child); or as a crewman when the relevant work quarters were earned. (3) refugees, asylees, persons granted withholding of de- portation/removal, Cuban/ Haitian entrants, victims of traf- 10 For a list of states providing medical assistance to addi- ficking, and Amerasian immigrants during the five years tional categories of immigrants, either with state funds or after obtaining this status. Indiana provides TANF to “refu- under the option (a) to provide federal Medicaid and CHIP gees” listed in (3) regardless of the date they obtained that to lawfully residing children and pregnant women, regard- status and does not provide benefits to post–Aug. 22, 1996 less of their date of entry into the U.S. or (b) to provide pre- entrants listed in (1). Mississippi does not address eligibility natal care, regardless of the mother’s status, under the CHIP for Cuban/Haitian entrants or Amerasian immigrants. program’s “fetus” option, see the table “Medical Assistance Programs for Immigrants in Various States” at6 In Wyoming, lawfully residing pregnant women are eligible www.nilc.org/document.html?id=159. For a definition of for Medicaid regardless of their date of entry into the U.S. “lawfully residing” for the purpose of Medicaid and CHIP Otherwise, only LPRs with 40 quarters of work credit, coverage of children and pregnant women, see a letter from abused immigrants, parolees, veterans, active duty military Cindy Mann, Centers for Medicaid and Medicare Services (and their spouse, unremarried surviving spouse, or child), (CMS), to state health officials, Re: Medicaid and CHIP refugees, asylees, persons granted withholding of deporta- Coverage of “Lawfully Residing” Children and Pregnant tion/removal, Cuban/Haitian entrants, and Amerasian im- Women (July 1, 2010), at migrants who entered the U.S. prior to Aug. 22, 1996, are www.cms.gov/smdl/downloads/SHO10006.pdf. See also eligible for full-scope Medicaid. CMS letter to state health officials, Re: Individuals with Deferred Action for Childhood Arrivals (Aug. 28, 2012), at7 In Alabama, Mississippi, North Dakota, Texas, Virginia, www.medicaid.gov/Federal-Policy- and Wyoming, full-scope Medicaid is available only to im- Guidance/downloads/SHO-12-002.pdf. migrants who entered the U.S. on or after Aug. 22, 1996, who are: (1) LPRs credited with 40 quarters of work; (2) veterans, active duty military (and their spouse, unre-

NATIONAL IMMIGRATION LAW CENTER | WWW.NILC.ORG FEDERAL GUIDANCE ON PUBLIC CHARGE When Is it Safe to Use Public Benefits? Last updated OCTOBER 2013The U.S. government has published guidance on the “public charge” rules — when receivingpublic benefits may affect your immigration status or your ability to travel outside of the U.S.The guidance explains when it is and is not safe to use public benefits.1 Highlights of the Public Charge Guidance• Use of Medicaid, the Children’s Health Insurance Program (CHIP), or other health programs by you or your family members will NOT affect the public charge decision unless you use Medicaid or other government funds to pay for long-term care (nursing home or other institutionalized care).• Use of the Supplemental Nutritional Assistance Program (food stamps), WIC (the supplemental food program for women, infants, and children), public housing, or other noncash programs by you or your family members will NOT affect the public charge decision.• Use of cash welfare by your children or other family members will NOT affect the public charge decision unless these benefits are your family’s only income.• Your own use of cash welfare, such as Supplemental Security Income (SSI), Temporary Assistance for Needy Families (TANF), or General Assistance, MIGHT affect the public charge decision, depending on your situation. This is because the U.S. Department of Homeland Security (DHS) or U.S. State Department can count your use of these benefits in deciding whether you are likely to become a “public charge.” Overview of Public Charge What is “public charge”?“Public charge” is a term used in immigration law. The term describes persons who cannotsupport themselves and who depend on benefits that provide cash — such as TANF or SSI – fortheir income. Depending on your immigration status, the Department of Homeland Security orU.S. State Department consular officers abroad can refuse to let you enter the U.S., reenter theU.S., or become a lawful permanent resident if they think you will not be able to support yourselfwithout these benefits in the future. Public charge is not an issue for immigrants who are applying1 Immigration and Naturalization Service, “Field Guidance on Deportability and Inadmissibility on PublicCharge Grounds,” 64 Fed. Reg. 28689–93 (March 26, 1999), available at http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=1999_register&docid=99-13202-filed.pdf.LOS ANGELES (Headquarters) WASHINGTON, DC3435 Wilshire Boulevard 1444 Eye Street, NWSuite 2850 Suite 1110Los Angeles, CA 90010 Washington, DC 20005213 639-3900 202 216-0261213 639-3911 fax 202 216-0266 fax

NATIONAL IMMIGRATION LAW CENTER | WWW.NILC.ORGto become a U.S. citizen. Public charge is not an issue for refugees, persons granted asylum, orpersons certified as trafficking victims. How does the government decide whether a person is likely to become a public charge?When you seek to enter the U.S. or apply for a green card, the government may ask you questionsto see if you are likely to become a public charge in the future. The DHS or State Departmentshould look at many factors to decide if you are likely to become a public charge in the future.Although the government can look at whether you use or have used cash welfare, it cannot makeits decision based only on what happened in the past. The government must look at all of thefollowing factors together to decide whether you might become a public charge in the future: • Age (Are you elderly or very young, and likely to need support?) • Health (Do you have an illness that requires costly treatment?) • Income (Are you low-income or poor with no assets?) • Family size (Do you have a large family to support?) • Education and skills (Are you working now or can you easily find a job?)When you are applying for your green card, it is important to give the government informationthat shows you will not need benefits to support yourself. For example, if you are elderly, buthave family in the U.S. with enough money to support you, or if you have a special skill that willget you a good job in the U.S., you should give this information to the government. What kinds of benefits might cause a public charge problem?In deciding whether you are likely to become a public charge, DHS can look at whether you haveused cash welfare, such as SSI, TANF, or General Assistance, or if you need long-terminstitutional care. But even if you used cash welfare in the past, you can still show that you willnot need it in the future (for example, because you have a job now). DHS is supposed to look atyour whole situation when it decides if you are likely to become a public charge in the future. What if I used Medicaid, CHIP, WIC, food stamps or other noncash programs?Using CHIP, WIC, or food stamps will not affect your immigration status. Using Medicaid canonly be a problem if you are in a nursing home or other long-term care. All other noncashprograms, such as housing, school lunch, job training, child care, shelters, disaster relief, andhealth clinics, will not cause a public charge problem. What about the health insurance and related federal subsidies that will be available through the new health insurance marketplaces (also called “exchanges”)?Buying health coverage through the new health insurance marketplaces and obtaining premiumtax credits or cost-sharing reductions that make this coverage more affordable will not beconsidered in the public charge decision. What if my children or other family members use benefits?DHS will not look at whether your children or other family members used health care or othernoncash benefits such as those listed above. If your children or other family members use cashwelfare (such as TANF or SSI), it will not count against you in a public charge decision unless itis your family’s only income.Federal Guidance on Public Charge: When Is it Safe to Use Public Benefits? | PAGE 2 of 6

NATIONAL IMMIGRATION LAW CENTER | WWW.NILC.ORG Applying for a Green Card I am applying for a green card through a family member. Can DHS refuse to give me a green card because they think I am likely to use cash welfare one day?Yes. If DHS thinks you cannot support yourself and that you will rely on cash welfare in thefuture, they can refuse to give you a green card — even if you are not using cash benefits now.(See the earlier question for some hints about how you might prove that you will not rely on cashwelfare in the future.) Other than cash programs and long-term institutional care, your use ofbenefits for which you are eligible will not cause a problem when you are applying for a greencard. I used cash welfare several years ago but do not receive cash benefits today. Will I have trouble getting a green card?You should not be denied a green card just because you used cash welfare in the past. But, youwill need to show that you are not likely to need cash welfare in the future. It will be easier toshow this if it was a long time ago that you used welfare, or if you used it only briefly to getthrough a hard time. I am not receiving cash welfare, but I am very sick and live in a nursing home. Could I have trouble getting my green card?Yes. If you are in a nursing home or have a serious long-term illness, you will have troublegetting your green card unless you can show that you will be able to get the care you need in thefuture without relying on Medicaid or other publicly funded programs to pay for yourinstitutional care. If my relative sponsors me to live in the United States, will this help me prove that I will not need cash welfare in the future?Yes. Most people who are applying for a green card based on family relationships must have a“sponsor” who can show that he or she has enough money to support you (at 125% of the povertylevel — currently $34,463 for a household of five). If your relative does not have enough moneyto do this, she will have to find a “joint sponsor” who is also willing to help support you. Yoursponsor and, if necessary, the joint sponsor, will each have to sign a legal agreement (“affidavit ofsupport”), promising to support you until you have credit for 40 quarters (10 years) of work in theU.S., or until you become a U.S. citizen. Your sponsor and joint sponsor must also agree to repaythe government if you use certain benefits during that time. This agreement will help convince thegovernment that you will not need welfare. Refugees and Others Not Subject to Public Charge I am a refugee. Will I have problems if I use public benefits?No. The public charge law does not apply to: • Refugees or persons granted asylum in the U.S. • Victims of traffickingFederal Guidance on Public Charge: When Is it Safe to Use Public Benefits? | PAGE 3 of 6

NATIONAL IMMIGRATION LAW CENTER | WWW.NILC.ORG • Survivors of domestic violence who have filed a self-petition for an immigrant visa under the Violence Against Women Act • “Qualified” battered spouses or children2 • Survivors of serious crimes who have applied for or obtained U non-immigrant status • Cubans or Nicaraguans applying for adjustment of status under the Nicaraguan Adjustment and Central American Relief Act of 1997 (NACARA) • Applicants for adjustment of status under the Haitian Refugee Immigration Fairness Act of 1998 • Cubans applying for adjustment under the Cuban Adjustment Act who were paroled as refugees before April 1, 1980 • Amerasian immigrants when they are first admitted to the U.S. • “Lautenberg” parolees (certain Soviet and Indochinese parolees applying for adjustment of status) • Certain Indochinese, Polish, and Hungarian parolees applying for adjustment of status • Registry applicants (persons in the U.S. since before January 1,1972) • Special immigrant juvenilesUsing benefits, including cash welfare, will not cause a problem for these immigrants. Persons with Green Cards I have my green card. Will my use of cash assistance affect my status?In general, using cash welfare for which you are eligible is not a problem once you have yourgreen card. It will not affect your ability to become a citizen. However, using cash welfare couldbe a problem if you travel outside of the U.S. for more than six months (see the question on travelbelow). Using noncash benefits for which you are eligible will not cause a problem for you. I have my green card and I get cash welfare. Can I travel outside of the United States?If you are a lawful permanent resident who gets SSI, TANF, or other cash welfare right now, youshould not travel outside of the U.S. for more than 180 days (about 6 months). Any time you aregone for more than 180 days, the DHS can ask you questions about whether you are likely tobecome a public charge and may not let you reenter the country. If you are returning to the U.S. after being outside of the country for 180 days or less, in mostcases DHS will not ask you questions about public charge when you return. DHS will ask youthese questions only if they suspect that you intended to live permanently in another country,committed certain crimes, or had a pending deportation or removal case when you left thecountry.2 “Qualified” battered spouses and children must have a pending or approved (a) self-petition for an immigrantvisa, or (b) immigrant visa filed for a spouse or child by a U.S. citizen or lawful permanent resident, or(c) application for cancellation of removal/suspension of deportation (parent/child of such battered child/spouseis also “qualified”).Federal Guidance on Public Charge: When Is it Safe to Use Public Benefits? | PAGE 4 of 6

NATIONAL IMMIGRATION LAW CENTER | WWW.NILC.ORG I have my green card and get public benefits. Can I still receive my benefits while I am out of the country?If you plan to be outside of the country for more than 30 days, you should check with the agencyproviding the benefit. It may be against the rules to continue receiving public benefits while youare outside the U.S. It could hurt your chances of reentering the U.S. or becoming a U.S. citizen ifyou received benefits that you were not supposed to receive. When I return from a trip, can the government make me pay back benefits that I used before I left?No. The government is not supposed to ask you to pay back these benefits unless you receivedthem improperly (for example, if you were not really living in this state but claimed to be aresident, or if you did not tell your welfare worker about all of your income). If you are at theairport or the border and DHS or another agency asks you to pay back benefits, you should getlegal help immediately. This is true no matter what your immigration status is. I have my green card. Can DHS deport or “remove” me because I use benefits?No. DHS cannot deport/remove you just for using public benefits that you qualify to receive. Thegovernment has said that deportations due to public charge are “rare” and can happen only whenan unusual set of conditions are met: • You received cash welfare or long-term institutional care for reasons that existed before you entered the U.S., and • You got the cash welfare or long-term care less than 5 years after you entered the U.S., and • You or your sponsor have a legal debt to the government agency that gave you the cash or long-term care, and you or your sponsor got a notice from the government that you owed the debt within 5 years of entering the U.S., and • You or your sponsor have refused to repay the benefits after the government filed a lawsuit and won in court.Most programs, such as SSI and TANF, do not create a debt for you. In some states, GeneralAssistance may create a debt for you. Some programs may create a debt for your sponsor. Evenwhere a debt is created, however, states generally have not filed lawsuits seeking repayment fromimmigrants or their sponsors. Citizens and Applying for Citizenship I have my green card and I am receiving SSI or other cash benefits. Will this stop me from becoming a U.S. citizen?No. If you are properly receiving public benefits, you cannot be denied citizenship for receivingbenefits. But if you received public benefits improperly (for example, after providing falseinformation about your income or where you live), or misled DHS when you got your green card,the DHS may decide that you do not have “good moral character,” and you could have troublebecoming a U.S. citizen. If you have any questions about this, you should talk to an immigrationlawyer or community agency before you apply for citizenship.Federal Guidance on Public Charge: When Is it Safe to Use Public Benefits? | PAGE 5 of 6

NATIONAL IMMIGRATION LAW CENTER | WWW.NILC.ORG I am a U.S. citizen. Will I lose my citizenship if I get benefits?No, you cannot lose your citizenship based on receiving benefits. Once you become a U.S.citizen, DHS cannot deport you, and they must always let you reenter the U.S. after a trip toanother country. Sponsoring Your Relatives Will I have trouble sponsoring my relatives if I have used benefits?Using benefits should not affect your ability to sponsor your relative. You will need to show thatyou or the joint sponsor earns enough income to support your relative. To meet this requirement,you cannot count as income the benefits that you receive.IF YOU ARE NOT SURE whether you could be considered a public charge, talk to an immigra-tion lawyer or community agency before you apply for a green card or travel outside the U.S.Federal Guidance on Public Charge: When Is it Safe to Use Public Benefits? | PAGE 6 of 6

Outreach Materials



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Affordable Health Insurance OptionsInformation for Refugees and Other Lawfully Present Immigrants• Refugees who are admitted to the United States meet the immigration status eligibility requirements for immediate access to the health coverage options under the Affordable Care Act (ACA).• Asylees, Cuban and Haitian entrants, special immigrant visa holders from Iraq or Afghanistan, Temporary Protected Status, certified victims of human trafficking and other status immigrants can also qualify even if they do not currently have any income.• Immigrants without health insurance from a job or whose job’s insurance is very expensive may receive financial assistance. FREE, In-person help is available in Central Florida by calling 1-877-564-5031 or emailing [email protected] .Primary Care Access Network (PCAN) is a non-profit organization based in Orlando, Florida. Our certified navigators provide free, in-person, confidential, help with health insurance enrollment. CoveringCFL.net



What is a Medical Home? Why are Medical Homes important?Having a Medical Home means you have a doctor, or Nearly 200,000 people in Orange County do not havebelong to a health center in Orange County. Most health health insurance—but they do need regular health care.centers see people who don’t have health insurance. A Medical Home is the best and most convenient place toey charge lower fees for people with limited incomes. get the care.ey also accept Medicaid and insurance. e centersare open weekdays, while some are open in the evening When people have Medical Homes …and on weekends. • Children with asthma, ear infections, etc., feel betterWhat should you do if it is early morning or late at and miss less school.night, and you are sick or your baby has a fever or yourolder child has some sort of insect bite? Is the hospital • Conditions like diabetes and high blood pressure areEmergency Room the only place you can go? regulated for better health.People who have a Medical Home do not have to • ey don’t have to go to the Emergency Room whenwait for hours in the Emergency Room. ey can see they are sick—and wait for hours. Medical Homesa doctor when they are sick, even if they do not have take appointments.health insurance. • ey are charged far less than at the hospital. PCAN is the Primary Care Access How to find a Medical Home Network. is partnership is workingto bring health care to the underinsured To enroll in a Medical Home, take these simple steps (before you get sick): residents in Orange County. 1. Check the zip code list on the back of this brochure. 2. Find the health center nearest to you. PCAN’s goal: a Medical Home for 3. Call and make an appointment. everyone in Orange County. 4. Gather your paperwork (the staff will tell you what to bring). 5. Go to your appointment. 6. Rest easy—you now have a Medical Home!

When should you call your A Medical Home is a placeMedical Home? where you can receiveCall your doctor or Medical Home if you have one of the regular health care.following minor injuries or illnesses: • Itchy eyes • Minor cuts (without serious bleeding) • Minor ear aches • Nasal congestion • Reoccurring cough • Sore throat • Stomach acheWhen should you go to the hospital?If you have one or the following serious emergencies,call 911 or go to the nearest Emergency Room right away: • Deep cuts that are bleeding excessively • Intense pain • Loss of consciousness • Major broken bones (legs, hips, arms, etc.) • Seizures • Serious burns • Severe breathing problems • Severe chest pain • Sudden extreme headache

List of Area Medical Homes Zip Nearest Ages Services FinancialA medical home is a place where you can receive regular Code Medical Home Served Informationhealth care. Please refer to the zip code list to find themedical home nearest to you. 32806 Community Health Adults Dental Care Most insurance 32809 Centers: Children accepted 32812 • Medicaid acceptedZip Nearest Ages Services Financial 32819 Lake Ellenor Pediatric • Medicare acceptedCode Medical Home Served Information 32839 Dental & Adult • Sliding discount Emergency Dental Care program for patients32703 Community Health Adults Family Doctor • Most insurance 6101 Lake Ellenor Dr, Ste.106 without insurance32712 Centers: Pregnant Pediatrics • accepted Orlando, FL 3280932714 Women Dental Care 407-905-882732757 Apopka Family Children Eye Clinic • Medicaid accepted32779 & OB Care Babies Behavioral 32806 Central Florida Family Adults Family Doctor • Most insurance32798 225 E. 7th St Health • Medicare accepted Health Centers: accepted32810 Apopka, FL 32703 Pharmacy 32809 Children Pediatrics • Medicaid accepted32818 407-905-8827 Laboratory • Sliding discount 32812 Southside Family Health Pharmacy • Medicare accepted34715 program for patients 32819 Center Laboratory • Sliding discount34761 Apopka Pediatric Care without insurance 32836 6101 Lake Ellenor Dr Behavioral 618 Forest Ave 32837 Orlando, FL 32809 program for patients Apopka, FL 32703 32839 407-322-8645 Health without insurance 407-905-8827 Orange County Prenatal Care Apopka Dental Care Health Department 210 E. 7th St Apopka, FL 32703 Prenatal / 407-858-1424 407-905-8827 32817 Central Florida Family Adults Family Doctor • Most insurance 32820 Health Centers: Children Pediatrics accepted 32826 Alafaya Family Dental Care 32828 Health Center Laboratory • Medicaid accepted32709 Community Health Adults Family Doctor • Most insurance 11881-A E. Colonial Drive Behavioral • Medicare accepted Children Pediatrics accepted Orlando, FL 32826-4723 Health • Sliding discount32766 Centers: Babies Laboratory 32833 407-322-8645 • Medicaid accepted 32838 program for patients32820 Bithlo Family Care without insurance 19108 E. Colonial Dr • Medicare accepted32826 Orlando, FL 32820 • Sliding discount32828 407-905-8827 program for patients 32809 Central Florida Family Adults Family Doctor • Most insurance without insurance 32812 Health Centers: Children Pediatrics accepted32833 32821 Podiatry 32822 Hoffner Family Behavioral • Medicaid accepted32751 Community Health Adults Family Doctor • Most insurance 32824 Health Center Health • Medicare accepted Children Pediatrics accepted 32827 5449 S. Semoran Blvd Pharmacy • Sliding discount32789 Centers: Babies Laboratory 32829 Suite #14 Laboratory Dental Care • Medicaid accepted 32832 Orlando, FL 32822-1778 program for patients32804 Eatonville Family & 32833 407-322-8645 without insurance • Medicare accepted 3283732810 Dental Care 32839 Orange County Pediatric 434 W. Kennedy Blvd • Sliding discount Health Department Dental program for patients Dental / Suite #19B Suite D&E without insurance 407-207-7290 Orlando, FL 32810 407-905-882732809 Community Health Children Pediatrics • Most insurance 32806 Central Florida Family Adults Family Doctor Most insurance Babies Pediatric accepted 32807 Health Centers: Children Pediatrics accepted32824 Centers: Dental 32813 Dental Laboratory • Medicaid accepted 32817 Lake Underhill Pharmacy • Medicaid accepted32827 Meadow Woods 32825 Family Health Center Laboratory • Medicare accepted Pediatric Medical & • Medicare accepted 5730 Lake Underhill Road Behavioral • Sliding discount32837 Dental Care Orlando, FL 32807 Health • Sliding discount 407-322-8645 program for patients 849 Greenway program for patients without insurance without insurance Orange County Professional Ct Health Department Prenatal / 407-207-7590 Orlando, FL 32824 407-905-8827 Prenatal Care32804 Community Health Adults Family Doctor • Most insurance32805 Centers: Pregnant OB/GYN accepted 32804 Central Florida Family Adults Family Doctor • Most insurance Children Pediatrics accepted32808 Pine Hills Family, Women Prenatal Care • Medicaid accepted 32805 Health Centers: Dental Care32810 Pediatric, OB & Pediatric Children Pediatrics 32808 Evans Wellness Cottage Behavioral • Medicaid accepted32811 Dental Care Babies Pediatric • Medicare accepted 4949 Silver Star Road Health • Medicare accepted32818 1800 Mercy Dr Dental 32810 Orlando, Fl 32808 Laboratory • Sliding discount32835 2nd Floor Pharmacy • Sliding discount 32811 Orlando, FL 32808 X-Ray program for patients 32818 407-322-8645 program for patients 407-905-8827 Laboratory without insurance without insurance34787 Community Health Adults Family Doctor • Most insurance 32792 Central Florida Family Adults Family Doctor • Most insurance Children Internal accepted 32803 Health Centers: Children Pediatrics accepted32703 Centers: Babies Medicine Cheney Wellness Dental Care Pediatrics • Medicaid accepted 32807 Cottage Behavioral • Medicaid accepted34715 Winter Garden Family, Laboratory 32812 2000 North Forsyth Rd Health • Medicare accepted Pediatric & Dental Care • Medicare accepted Laboratory • Sliding discount34760 13275 W. Colonial Drive Dental Care 32817 Orlando, Fl 32807 • Sliding discount program for patients34761 Winter Garden, FL 34787 program for patients 32822 407-322-8645 without insurance without insurance34734 407-905-8827 3282534786

Zip Nearest Ages Services Financial Shepherd’s Hope and Location Hours Community After-HoursCode Medical Home Served Information Centro Internacial de Monday 6 p.m.-9 p.m. Dr. Diebel Jr. Memorial la Familia Tuesday 6 p.m.-9 p.m.32801 Orange Blossom Family Adults Family Doctor Most insurance Shepherd’s Hope 2008 N. Goldenrod Rd., Wednesday 6 p.m.-9 p.m. Children Pediatrics accepted Health Center Orlando 32807 Thursday 6 p.m.-9 p.m32802 Health Center Dental Care 232 N. Orange Blossom Tr. Eye Clinic • Medicaid accepted32803 Orlando, FL 32805 Behavioral Health • Medicare accepted32805 407-428-5751 Pharmacy Laboratory • Sliding discount32806 program for patients without insurance No walk-ins on the 3rd Thursday of each monthAll Zip Grace Medical Home Adults Family Doctor • $20 Annual Downtown Orlando Orange County Monday 6 p.m.-9 p.m.Codes 51 Pennsylvania Street Children Pediatrics enrollment fee Shepherd’s Hope Medical Clinic Tuesday 6 p.m.-9 p.m. Babies Laboratory Health Center 101 S. Westmoreland Dr. Wednesday 6 p.m.-9 p.m. Orlando, FL 32806 X-Ray • $20 facility fee Orlando, FL 32805 407-936-2785 (includes rechecks) • Only uninsured patients below 200% Federal Poverty GuidelinesTo be eligible you must be currently employed or employed in the last 6 Florida Hospital 2501 N. Orange Avenue Tuesday 5 p.m.-9 p.m.months or a full-time student or a single parent. For eligibility info visit: After-Hours Clinic Suite 411 Thursday 5 p.m.-9 p.m.www.gracemedicalhome.org Orlando, FL 32804 Saturday 8 a.m.-12 Noon 407-303-7298Orange County Health Department Longwood Sharing Center Monday 6 p.m.-9 p.m. Shepherd’s Hope 600 N. US 17-92, Tuesday 6 p.m.-9 p.m.e health department offers a variety of services to Orange Health Center Ste 124 Wednesday 6 p.m.-9 p.m.County residents. These include: immunizations; dental care Longwood, FL 32750 Thursday 6 p.m.-9 p.m.for children; family planning; prenatal care; and HIV/AIDS,Sexually Transmitted Disease (STD) and tuberculosis testing and Tazkiah Shepherd’s Hope Tazkiah Foundation Saturday 9 a.m.-12 noontreatment. For information on services provided by the Orange Health Center of LightCounty Health Department and a location near you, please call 120 Floral St.407-836-2600. Ocoee, FL 34761e Community After-Hours Ocoee Shepherd’s Hope Vista Clinical Tuesday 5 p.m.-9 p.m.Medical Clinic at Florida Hospital Health Center Diagnostics Wednesday 5 p.m.-9 10101 W. Colonial Dr. p.m.e hospital emergency room isn’t the only place you can go if Ocoee, FL 34761 Thursday 6 p.m.-9 p.m.you are uninsured. To be eligible for the After-Hours MedicalClinic, patients must be uninsured and not covered by Medicare www.pcanorangecounty.comor Medicaid. No appointment is necessary. e clinic is openon Tuesday and ursday evenings from 5:00-9:00 p.m. and is booklet was made possible by a 2009 Innovations in GovernmentSaturdays from 8:00 a.m.-Noon. Please call 407-303-7298 for award from the Ash Institute of the John F. Kennedy School ofmore information. Government at Harvard University.Shepherd’s HopeIf you do not have a Medical Home yet, you can go to a Shepherd’sHope Clinic. Most clinics are open several evenings during theweek from 6 p.m. - 9 p.m., with exception of the Tazkiah clinicwhich operates on Saturdays from 9 a.m. until noon. All patientsare seen on a walk-in basis, no appointments necessary.Shepherd’s Hope offers non-emergency care for children andadults. Prenatal care or immunizations are not available. e staffwill treat your illness and refer you to a permanent Medical Home.Please call 407-876-6699 for more information.Outlined to the right is a list of Shepherd’s Hope clinics and theCommunity After-Hours Medical Clinic at Florida Hospital.

¿Qué es un Hogar Médico? ¿Por qué son tan importantes los Hogares Médicos?Tener un “Hogar Médico” significa tener un doctor, opertenecer a un centro médico en el Condado de Orange. Casi 200,000 personas en el Condado de Orange carecen de seguroLa mayoría de los centros médicos atienden a personas sin médico—pero necesitan tratamiento médico regularmente. Unseguro médico, cargan precios accesibles para personas que Hogar Médico es el mejor y más conveniente lugar donde puedetienen un ingreso limitado, y también aceptan Medicaid y obtener tratamiento. ¿Por qué?otros seguros médicos. Los centros están abiertos durantela semana. Algunos están abiertos en la noche y los fines de Cuando una persona tiene un Hogar Médico …semana. • Niños con asma, infecciones de oído, etc., se sienten mejor y¿Qué haría si es temprano en la mañana o tarde en la faltan menos a la escuela.noche, y está enfermo o el bebé tiene fiebre, o su hijo mayortiene una picadura de insecto? ¿Sería la sala de emergencia • Condiciones como la diabetes o presión alta pueden serde un hospital su único recurso? Personas que tienen un controladas y reguladas para una mejor salud.“hogar Médico” no tienen que esperar horas en una sala deemergencia—si están enfermos pueden ser tratados por un • No tienen que esperar por horas en la sala de emergenciadoctor, aunque no tengan seguro médico. cuando estén enfermos, ya que los Hogares Médicos toman citas. • Los pacientes pagan menos de lo que pagarían en el hospital. “PCAN” es el Primary Care Access Network ¿Cómo se puede encontrar un Hogar (Red de Acceso a Cuidados Primarios). Esta Médico?colaboración trabaja para proveer tratamiento Para matricularse en un Hogar Médico, tome estas medidas sencillas de salud a los residentes del Condado de (antes de que usted se enferme): Orange que tienen seguro médico limitado. 1. Busque su codigo postal en la lista al dorso de este folleto. La meta de PCAN: Un Hogar Médico para todos en el Condado de Orange. 2. Encuentre el centro médico más cercano a usted Para más información, contacte el Hogar 3. Llame y haga una cita Médico cercano a usted o visite www. PCANOrangeCounty.com 4. Aliste sus documentos (el personal le indicará lo que debe llevar) 5. Vaya a su cita 6. ¡Duerma tranquilo - ahora usted tiene un hogar médico!

¿Cuándo debería llamar a su A Un Hogar Médico es dondeHogar Médico? puede recibir su cuidado médico regularmente.Si tiene una de las siguientes condiciones, llame a su doctoru Hogar Médico: • Ojos que pican o arden • Cortadas menores (sin hemorragia seria) • Dolores de oído menores • Congestión nasal • Tos repetida • Dolor de garganta • Dolor de estómago¿Cuándo debería ir a un Hospital?Si tiene una de las siguientes emergencias médicas, llame al 911o vaya a la sala de emergencia más cercana: • Cortadas profundas y hemorragia excesiva • Dolor intenso • Pérdida de conocimiento • Fractura de huesos mayores (piernas, cadera, brazos, etc.) • Ataques • Quemaduras serias • Problemas severos de respiración • Dolores severos de pecho • Dolores repentinos y severos de cabeza

Lista de Hogares Médicos en el área Código Hogar Médico Más Edades Servicios Información ServidoUn hogar médico es un lugar donde usted puede recibir atención Postal Cercano Adultos Financiermédica regular. Por favor refiérase a la lista de código postal para 32806 Central Florida Family Niños Medicina Familiar • Se aceptan Medicaid, 32809 Health Centers: Pediátrica Medicare y la mayoría deencontrar el hogar médico más cercano a usted. 32812 Southside Family Farmacia los planes de seguro,Código Hogar Médico Más Edades Servicios Información 32819 Health Center Laboratorio • Hay un programa de 6101 Lake Ellenor Dr Salud de comporta- Escala de Descuento paraPostal Cercano Servido Financier 32836 Orlando, FL 32809 miento pacientes sin seguro.32703 Community Health Adultos Medicina Familiar • SeaceptanMedicaid, 32837 407-322-864532712 Centers: Embaraz- Medicina Interna Medicareylamayoría Atención Prenatal adas delosplanesde seguro, 32839 Orange County32714 Apopka Family & OB Pediatría Care Niños Gineco-obstetricia • Hayunprogramade Health Department32757 225 E. 7th St Bebés EscaladeDescuento Prenatal / 407-858-1424 Atención Prenatal parapacientessinseguro.32779 Apopka, FL 32703 Odontología 32817 Central Florida Family Adultos Medicina Familiar • Se aceptan Medicaid,32798 407-905-8827 Niños Pediátrica Medicare y la mayoría de 32820 Health Centers: Odontología los planes de seguro,32810 Apopka Pediatric Care Farmacia Laboratorio Salud de • Hay un programa de32818 618 Forest Ave Radiografía 32826 Alafaya Family Escala de Descuento para comportamiento pacientes sin seguro.34715 Apopka, FL 32703 Laboratorio 32828 Health Center 407-905-8827 11881-A East Colonial Dr34761 Apopka Dental Care 32833 Orlando, FL 32826-4723 210 E. 7th St 32838 407-322-8645 Apopka, FL 32703 407-905-882732709 Community Health Adultos Medicina Familiar • SeaceptanMedicaid, 32809 Central Florida Family Adultos Medicina Familiar • Se aceptan Medicaid, Niños Niños Pediátrica Medicare y la mayoría de32766 Centers: Bebés Pediatría Medicareylamayoría 32812 Health Centers: Podología los planes de seguro, Laboratorio delosplanesde seguro, Salud de32820 Bithlo Family Care 32821 Hoffner Family • Hay un programa de 19108 E. Colonial Dr • Hayunprogramade Health Center comportamiento Escala de Descuento para32826 Orlando, FL 32820 32822 5449 S. Semoran Blvd Farmacia pacientes sin seguro. EscaladeDescuento Laboratorio32828 407-905-8827 32824 Suite #14 parapacientessinseguro.32833 32827 Orlando, FL 32822-177832751 Community Health Adultos Medicina Familiar • SeaceptanMedicaid, 32829 407-322-8645 Odontología Niños Pediátrica32789 Centers: Bebés Pediatría Medicareylamayoría 32832 Orange County Odontología delosplanesde seguro,32804 Eatonville Family & Laboratorio 32833 Health Department Dental Care • Hayunprogramade Dental / Suite #19B32810 434 W. Kennedy Blvd EscaladeDescuento 32837 407-207-7290 Suite D&E parapacientessinseguro. 32839 Orlando, FL 32810 407-905-882732809 Community Health Niños Pediatría SeaceptanMedicaid, 32806 Central Florida Family Adultos Medicina Familiar • Se aceptan Medicaid, Bebés Medicareylamayoría Niños Pediátrica Medicare y la mayoría de32824 Centers: Odontología delosplanesde seguro, 32807 Health Centers: Odontología los planes de seguro, Pediátrica Farmacia32827 Meadow Woods • Hayunprogramade 32813 Lake Underhill Laboratorio • Hay un programa de Pediatric Medical & Laboratorio EscaladeDescuento Family Health Center Salud de Escala de Descuento para32837 Dental Care parapacientessin 32817 5730 Lake Underhill Road pacientes sin seguro. seguro. comportamiento 849 Greenway Professional Ct 32825 Orlando, FL 32807 Orlando, FL 32824 407-322-8645 407-905-8827 Orange County32804 Community Health Adultos Medicina Familiar • SeaceptanMedicaid, Health Department Gineco-Obstetricia Medicareylamayoría32805 Centers: Embaraz- Atención Prenatal delosplanesde seguro, Prenatal / 407-207-7590 Atención Prenatal adas32808 Pine Hills Family, Pediatría • Hayunprogramade Pediatric, OB & Niños Odontología EscaladeDescuento32810 Pediatric Dental Care Pediátrica parapacientessinseguro. 32804 Central Florida Family Adultos Medicina Familiar • Se aceptan Medicaid, Bebés Niños Pediátrica Medicare y la mayoría de32811 1800 Mercy Dr Farmacia 32805 Health Centers: Odontología los planes de seguro, Laboratorio32818 2nd Floor Radiografía 32808 Evans Wellness Cottage Salud Mental • Hay un programa de 4949 Silver Star Road Escala de Descuento para32835 Orlando, FL 32808 Laboratorio 32810 Orlando, Fl 32808 pacientes sin seguro. 407-905-882734787 Community Health Adultos Family Doctor • SeaceptanMedicaid, 32811 407-322-8645 Niños Internal Medicareylamayoría32703 Centers: Bebés Medicine delosplanesde seguro, 32818 Pediatrics34715 Winter Garden Family, Laboratory • Hayunprogramade34760 Pediatric & Dental Care EscaladeDescuento 13275 W. Colonial Drive Dental Care parapacientessinseguro.34761 Winter Garden, FL 34787 32792 Central Florida Family Adultos Medicina Familiar • Se aceptan Medicaid,34734 407-905-8827 Niños Pediátrica Medicare y la mayoría de 32803 Health Centers: Odontología los planes de seguro,34786 Cheney Wellness Laboratorio Cottage Salud Mental • Hay un programa de32806 Community Health Adultos Odontología • Se aceptan Medicaid, 32807 Escala de Descuento para Pediátrica Medicare y la mayoría pacientes sin seguro.32809 Centers: Niños de los planes de seguro, 32812 2000 North Forsyth Rd Lake Ellenor Pediatric32812 Dental & Adult • Hay un programa de 32817 Orlando, Fl 3280732819 Emergency Dental Care Escala de Descuento para pacientes sin 32822 407-322-8645 seguro.32839 6101 Lake Ellenor Dr, Ste.106 32825 Orlando, FL 32809 407-905-8827

Código Hogar Médico Más Edades Servicios Información Shepherd’s Hope and Localización Horario Servido Financier Community After-HoursPostal Cercano Medicina Familiar Adultos Pediátrica • Se aceptan Medicaid,32801 Orange Blossom Family Odontología Medicare y la mayoría Niños Farmacia de los planes de seguro,32802 Health Center Laboratorio Dr. Diebel Jr. Memorial Centro Internacial de Lunes 6 p.m.-9 p.m. 232 N. Orange Blossom Tr. Salud de • Hay un programa de Shepherd’s Hope la Familia Martes 6 p.m.-9 p.m.32803 Orlando, FL 32805 Escala de Descuento Health Center 2008 N. Goldenrod Rd., Miercoles 6 p.m.-9 p.m. comportamiento para pacientes sin Orlando 32807 Jueves 6 p.m.-9 p.m32805 407-428-5751 Atención Prenatal seguro.32806 Solo personas con cita el tercer jueves de el mes Todos Grace Medical Home Adultos Medicina Familiar • $20 Anuales de Downtown Orlando Orange County Lunes 6 p.m.-9 p.m. los 51 Pennsylvania Street Niños Pediátrica inscripción Shepherd’s Hopecódigos Orlando, FL 32806 Bebés Laboratorio Health Center Medical Clinic Martes 6 p.m.-9 p.m.postales 407-936-2785 Radiografía • $20 Por cita del (incluye segunda 101 S. Westmoreland Dr. Miércoles 6 p.m.- 9 p.m. con- visita para leer dado Orlando, FL 32805 deOrange resultados) Para ser elegible usted debe: Estar trabajando actualmente o haber • Solo personas sin estado trabajando en los últimos 6 meses, ser estudiante tiempo seguro médico completo o ser madre / padre soltero. • Pacientes deben Ocoee Vista Clinical Martes 6 p.m.- 9 p.m. Shepherd’s Hope Diagnostics Miércoles 6 p.m.- 9 p.m. Para elegibilidad visite la página de internet www.gracemedical.org estar bajo la escala Health Center 10101 W. Colonial Dr. Jueves 6 p.m.- 9 p.m. del 200% de nivel Ocoee, FL 34761 pobrezaDepartamento de Salud del Longwood Sharing Center Lunes 6 p.m.-9 p.m.Condado de Orange Shepherd’s Hope 600 N. US 17-92, Martes 6 p.m.-9 p.m. Health Center Ste 124 Miércoles 6 p.m.- 9 p.m.El Departamento de Salud del Condado de Orange ofrece una Longwood, FL 32750 Jueves 6 p.m.-9 p.m.variedad de servicios para sus residentes. Estos servicios incluyen:vacunas, cuidado dental para niños, planificación de familia, cuidado Tazkiah Shepherd’s Hope Tazkiah Foundation Sábado 9:00 a.m.prenatal, exámenes y tratamiento de VIH/SIDA,enfermedades de Health Center of Light - Noontransmisión sexual, y tuberculosis. Para más información sobre los 120 Floral St.servicios facilitados por el Departamento de Orange, y para una Ocoee, FL 34761localización más cercana a usted, por favor llame al 407-836-2600. Florida Hospital 2501 N. Orange Ave Martes 5 p.m. - 9p.m. After-Hours Clinic Suite 411 Jueves 5 p.m. - 9 p.m.Clinica Comunitaria Fuera de Orlando, FL 32804 Sábado 8 a.m.- NoonHorario Laboral del Florida Hospital 407-303-7298(Community After-Hours Medical Clinic at www.pcanorangecounty.comFlorida Hospital) Este folleto fue posible gracias a un premio de Innovaciones enSi usted no tiene seguro médico puede visitar la Clínica Comunitaria el Gobierno en 2009 desde el Instituto Ash de la escuela John F.Fuera de Horario Laboral del Florida Hospital. La clínica trata a Kennedy de Gobierno en la Universidad de Harvard.pacientes que necesitan cuidado básico, no tienen segura medico, y nocalifican para Medicare o Medicaid. Pagos en efectivo son requeridos ala hora de la consulta. La clínica esta abierta martes y jueves en la tarde(5-9 p.m.) y sábado en la mañana (8:00 a.m.-mediodia). Por favor,llame al 407-303-7298 para más información.Shepherd’s HopeSi aún no tiene un Hogar Médico, puede visitar la clínica Shepherd’sHope. La mayoría de clínicas están abiertas en la tarde entre 6 p.m.- 9p.m. durante la semana, excepto la clínica Tazkiah que esta abierta losSábados entre 9 a.m. - 12 p.m.Shepherd’s Hope ofrece cuidado médico que no sea de urgencia paraniños y adultos. El cuidado prenatal o vacunas no estan disponiblesen estas clínicas. El personal tratará su condición y le referirá a unHogar Médico permanente. Por favor llame al 407-876-6699 para másinformación.A continuación le proveemos una lista de las clínicas de Shepherd’sHope y la Clínica Comunitaria Fuera de Horario Laboral del FloridaHospital.

Health Insurance Requirement Serving the Florida c Most people must have health coverage or pay a penalty. If you don’t have coverage in Lake 2016, you may have to pay a fee of either Orange $695 per adult plus $347.50 per child or 2.5% of your income, whichever is higher. Call fo You'll pay the fee with your 2016 income in-pe taxes. The penalty will increase in 2017. Assist 1-877-56 Some people may qualify for an exemption from the fee, based on income or other Em factors. cflnavigator@ You are considered covered if you have Mar- Visit us on ketplace coverage, most job-based coverage, https://Cove Medicare Part A, COBRA, retiree coverage, Medicaid, CHIP, VA health coverage, TRICARE, a qualified student plan, or a plan you bought yourself that covers the essential benefits.Licensed Navigators• Help consumers complete applications• Provide impartial advice on insurance enrollment• Offer outreach and education about the Marketplace and insurance use• Refer clients to other community resources

e following counties: Osceola Seminole or free erson tance 64-5031mail: @gmail.com Your Connection to Affordable Health Coveragen the web:eringCFL.net

The Health Insurance Marketplace helps Open E people find health coverage and allows those insured through the Marketplace to November 1 2016 re-enroll annually. Special Enr A Navigator can help you fill out a Marketplace February 1, 2016 application and inform you if you are eligible for: February 1, 2017 Qualified Health Plans which are private health Enroll outside of Op insurance plans. Some plans include dental permanently moved coverage. In other cases, separate dental plans baby or adopted a c are available. in income, lost cove school, Medicaid or Financial assistance based on household size immigration status, and income. Most people who apply will qualify for lower costs. 10 Essential Hea Offered with All P Florida Kidcare, CHIP or Medicaid. Outpatient careFinancial Assistance Emergency Service Hospitalization Tax credits for lowering premiums may be Mental Health/Beh available for individuals and families whose in- Health Treatment Maternity and new come falls in the ranges below: Prescription drugs Rehabilitative Serv Number of people in your household Laboratory Service 123456$11,770 $15,930 $20,090 $24,250 $28,410 $32,570 Preventive and We to to to to to to Pediatric services$47,080 $63,720 $80,360 $97,000 $113,640 $130,280 Free Preventive Tax credits for lowering premiums AND out-of-pocket costs may be available for individuals and Mammograms anfamilies whose income falls in the ranges below: Vaccines Blood pressure an 123456 Birth Control$11,770 $15,930 $20,090 $24,250 $28,410 $32,570 Depression scree to to to to to to$29,425 $39,825 $50,225 $60,625 $71,025 $81,425

Enrollment Marketplace Application Checklist 6—January 31, 2017 When you apply for coverage in the Health Insurance Marketplace, you will need to providerollment Period some information about you and your 6—October, 31 2016 household, including income and any insurance 7—October 31, 2017 you currently have. pen Enrollment if youd, got married, had a Use the checklist below to help gather what you child, had an increase will need to apply for coverage. erage from your work, r a divorce, changed Social Security Numbers (or document numbers for legal immigrants) for everyone or left incarceration. applying for coverage alth Benefits Employer and income information for every Plans member of your household (for example, from pay stubs or W-2 forms—Wage and Tax es Statements) havioral Policy numbers for any current health insurance plans covering members of yourwborn care households vices Completed Employer Coverage Tool for every es job-based plan you or someone in your ellness care household is eligible for. (You’ll need to fill out including dental this form even for coverage you’re eligible for but don’t enroll in). Contact us to obtain ae Care copy of the Employer Coverage Tool or download it from healthcare.gov. nd other cancer screenings nd cholesterol screeningsening…..and more

Requisito de Tener Cobertura Sirviendo a los condadLa mayoría de las personas deben tenercobertura de salud o pagar una multa o Lakepenalidad. Si usted no tiene cobertura en Orangeel 2016, tendrá que pagar una multa del2.5% de sus ingresos o $695 por adulto Llame para($347.50 por niño), lo que sea mayor. asistenciaUsted pagará la penalidad en los impues- o para hactos sobre la renta del 2016. La multa seincrementará en el año 2017. cita 1-877-564• Algunas personas pueden calificar para una exención de la cuota, basa- o escr da en los ingresos u otros factores. CFLnavigator@• Usted es considerado cubierto si Visítenos e tiene un plan del Mercado de Salud, www.Cover cobertura subsidiada por el emplea- dor, Medicare, Medicaid, CHIP, CO- Revisión 0 BRA, cobertura para jubilados, algún seguro escolar, o un plan que compró por su cuenta que cubre los benefi- cios esenciales.NavegadoresNavegadores son individuos con licenciaque ayudan a los consumidores a comple-tar aplicaciones para establecer la elegi-bilidad e inscribirse en la cobertura através del Mercado de Seguros Médicos.Navegadores proporcionan asistencia yeducación para crear conciencia sobre elmercado de salud y referir a los clientes alos programas de asistencia cuando seanecesario. Todos los servicios son completamente gratis.

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El Mercado de Seguros de Salud ayuda a INSCRIPCIO las personas sin seguro médico a 1 Nov 2016—3encontrar la cobertura de salud si califican PERIODO DE INSCRy permite que los asegurados a través del 1 Feb 2016 — 31 1 Feb 2017 — 31 mercado puedan volver a inscribirse. Período de InscripciónUn navegador puede ayudarle a llenar una calificar si se mudó, sesolicitud del Mercado de Salud e informarle si o adoptó un niño, tuvousted es elegible para: ingresos, perdió otra c estatus migratorio o sPlanes de salud calificados que son losplanes de salud privados. Algunos planes Planes calificincluyen salud dental. En otros casos, losplanes dentales están disponibles indivi- 10 Beneficios para ldualmente. Servicios para pacLa asistencia financiera basada en la uni- Servicios de emergdad familiar y el ingreso. Hospitalización Salud Mental / TraFlorida KidCare, CHIP, la cobertura de sa- del comportamienlud para los niños y Medicaid. Maternidad y cuida Los medicamentosAsistencia Financiera Servicios de rehab Servicios de labora Créditos para bajar las primas pueden estar Servicios preventivdisponibles para los individuos y familias cuyos Pediatría incluso s ingresos caen en el rango de abajo. Cuidado preventivo Tamaño de la familia Debido a la Ley del Cuid Precio, los planes de se123456 preventivos sin co-pago$11,770 $15,930 $20,090 $24,250 $28,410 $32,570 Las mamografías y o a a a aaa cáncer Vacunas$47,080 $63,720 $80,360 $97,000 $113,640 $130,280 Exámenes de presió Planificación familia Créditos para bajar las primas y otros costos Monitoreo de la dep pueden estar disponibles para los individuos yfamilias cuyos ingresos caen en el rango de abajo.123456$11,770 $15,930 $20,090 $24,250 $28,410 $32,570 aaaaaa$29,425 $39,825 $50,225 $60,625 $71,025 $81,425

ON ABIERTA Lista de control de aplicaciones del31 Enero 2017 mercado RIPCION ESPECIAL Cuando usted solicita la cobertura en el Seguro 1 Octobre 2016 de Salud por medio del Mercado de Salud tendrá 1 Octubre 2017 que proporcionar alguna información acerca de usted y su familia, incluyendo ingresos yn Especial: Podría cualquier seguro que usted tiene actualmente. e casó, tuvo un bebéo un aumento en los Utilice la siguiente lista para ayudar a reunir locobertura, cambió su que se necesita para solicitar cobertura médica.salió de la cárcel. Número de Seguro Social (o documentoscados ofrecen para los inmigrantes legales como el Certificado de Naturalización)la Salud Esenciales Información de los empleadores y de los ingresos de todos los miembros de su familiacientes ambulatorios (por ejemplo, los talones de pago o gencia formularios W-2-salarios y declaraciones de impuestos)atamiento de salud Números de Póliza para cualquier plan dento de la salud mental seguro de salud actuales que cubren los ado del recién nacido miembros de su hogar s con receta médica Complete la forma de herramienta para labilitación/habilitación cobertura del empleador para cada plan atorio basado en el trabajo que usted o alguien en vos su hogar sea elegible. (Usted tendrá queservicios dentales llenar este formulario incluso para cobertura la cual es elegible pero no se hayao gratuito inscrito). Para obtener una copia de la herramienta, llámenos o vaya adado de Salud a Bajo cuidadodesalud.gov.eguro ofrecen servicioso o deducible. otros exámenes deón arterial y colesterolarpresión ... y mucho más

Manda Endividyèl Plas nou bay sèv FloridPi fò moun dwe gen asirans santé oswa peyeyon penalité. Si w pa gen asirans santé nan Lake2016, ou ap peye yon frè $695 oswa 2.5% Seminolenan lajan ou travay pou ane a ($347.50 pouchak timoun), kèlkeswa sa ki pi wo. Frè sa Rele pou yonap sorti nan tax w ap plin pou 2016. Penalité w gratis oswa ap ogmante nan 2017. rendeGen kèk moun ki ka kalifye pou yon egzam- 1-877-56syon nan frè a, ki baze sou revni oswa lòtfaktè. OpsyYo konsidere w kouvri si ou gen asirans san- Vizite nou sté nan travay ou, ou gen Medicare A, Medi- http://Covercaid, CHIP, COBRA, asirans retrete, TRICARE,asirans santé VA, asirans elèv, oswa asiransou achté pou ou ki kouvri benefis esansyèl.NavigatèNavigatè se moun ki gen lisans ki ede konso-matè ranpli aplikasyon konplè pou etabli kalifi-kasyon ak enskri pou asirans santé nanMaketplace la. Navigatè bay edikasyon akkontak pou ogmanté konsyantizasyon souMaketplace la epi refere konsomatè yo pouasirans santé ak lot asistans ki nesesè

vis nan Centralde la: Osceola Orangen moun edewa pran yonevou64-5031yon 3 Koneksyon-w pou asirans santé abòdab!sou paj sa:ringCFL.net

Asirans santé nan Marketplace la ede Enskrip moun ki pa gen asirans jwen asirans 1 Novanm 2015 - santé epi pèmèt moun ki gen asirans santé nan Marketplace la enskri anko Enskripsyon 16 Fevriye 2015 -Yon Navigatè ka ede w ranpli yon aplikasyon 1 Fevriyé 2016 jiskanan Marketplace la ak enfòme w si w kalifye : pou lo• Plan ki Kalifye pou Sante w ki sorti nan asirans prive. Kèk plan la dan yo gen Ou ka enskri an deyò dat pwoteksyon dantè. Nan lòt ka, gen plan sikonstans espesyal (SE gratis ki disponib . ou chanjé zòn te marye, adopté yon timoun, chan• Selon de valè moun ki rete lakay la, gen oswa si-w pèdi asirans d asistans financyèl ki disponib. jou ki sot pasé yo).• Florida Kidcare, se yon asirans santé pou Plan ki kalifye pou as timoun. ofri 10 benefis esansGen ed finans ki disponib pou moun ak • Sèvis anbilans poufanmi ki gen revni tonbe nan seri ki anba • Sèvis ijansla a: • Entène lopital • Konpòtman santéVale moun ki Revni pou Ane a • Swen bebe fèk fèt lakay $11,770 $47,080 matènite 1 $15,930 $63,720 • Medikaman preskr 2 $20,090 $80,360 • Sèvis Reyabilitasyo 3 $24,250 $97,000 • Sèvis laboratwa 4 $28,410 $113,640 • Sèvis prevantif ak b 5 $32,570 $130,280 • Sèvis pediate 6 $36,730 $146,920 7 $40,890 $163,560 Swen prevantif grati 8 Lwa ki sou swen abòd Ameriken kounye a ka prevantif san frè oswa Mammogram ak lot Vaksen Tès pou tansyon ak Planine (konprime p Tès depresyon ak p

psyon Lis verifikasyon pou aplikasyon nan 31 Janvier 2016 Marketplace la n Especyal 31 Octobre 2015 Le ou aplike pou asirans santé nan ouverti enskripsyon Marketplace la, ou pral bezwen bay kekot ané enfòmasyon sou ou, fanmi w ki abite lakay ou, ak revni epi nenpòt lot asirans t sa yo si ou gen yon ou genyen kounye a.EP). Ou kapab kalifye si Itilize lis ki anba la a pou ede w ranmase fek fè yon bébé oswa sa w ap bezwen pou aplike pounjman nan revni-w, pwoteksyon santé.denyéman (pandan 60 Nimewo Sosyal Sekirite w oswa sirans santé yo dwe nimewo imigrasyon ba ou asyèl pou swen santé Enfòmasyon travay ak revni pou chaku pasyan manm fanmi lakay la ki bezwen asirans santé(egzanp, reci chèk oswa mantal papye taks ou) & Enfòmasyon pou nenpòt ki asirans ripsyon santé aktyèl ki kouvri manm fanmi won Ranpli zouti anplwayè pou chak byennet pwoteksyon yo ofri w nan travay ou a, minm ke ou pat aksepte l is oswa enskri nan li.dab fe konin pi fò Pou w jwen yo kopi zouti deapab jwen anpil sèvis pwoteksyon santé pou travay. a franchiz. https://www.healthcare.gov. Oswa kontakte nou pou nou voye l ba out maladi kansè nan imel.k kolestewòlpou w pa fe pitit)plis

Exigência de Seguro de Saúde Servindo os localizadosA maioria das pessoas deve ter plano de Lakesaúde ou terá que pagar uma multa. OrangeSe você não estiver coberto por um plano desaúde em 2016, voce terá que pagar uma Chamada grmulta de US$695,00 por adulto e assistênciaUS$347,50 por criança, ou 2.5% de suarenda, o que for maior. Você pagará essa 1-877-56multa na declaração do imposto de renda de2016 e a mesma sofrerá aumento em 2017. EmAlgumas pessoas poderão se beneficiar de CFLnavigatoruma isenção da multa, com base na rendaou outros fatores. Visite-nos nVocê é considerado coberto se tiver umplano de saúde proveniente do emprego, https://CoveMedicare Parte A ou Parte C, COBRA, planopara aposentado, Medicaid, CHIP, plano de Translated from Englisaúde VA, TRICARE, plano para estudante Giani Saunders - A(algumas restrições se aplicam), ou um Inc. www.anplano que você tenha adquirido que cubraos benefícios essenciais. Instrutores licenciados • ajudam os clientes a completarem a inscrição no Marketplace • fornecem conselhos adequados sobre a inscrição no Marketplace • divulgam e oferecem informações educativas sobre o Marketplace • orientam os clientes sobre outros recursos disponíveis na região

municípios s na Flórida Osceola Seminole ratuita para a pessoal 64-5031mail: [email protected] internet: Conectando-o com um plano de saúde acessíveleringCFL.net ish to Portuguese by & P International, npintl.com

O Plano Marketplace ajuda as pessoas Abertura das a obterem plano de saúde e permite 01 de novemb que os já segurados se reinscrevam. 31 de janeirO instrutor poderá ajudá-lo a preencher umpedido do Marketplace e informá-lo se você Período especiestá qualificado para: 16 de feverei 31 de outub• planos de saúde privados qualificados. Alguns planos incluem cobertura 01 de fevereiro de 2 odontológica. Em outros casos, planos período de odontológicos não associados ao plano de saúde também estão disponíveis. Inscrições fora dos perío necessárias nos seguint• assistência financeira com base no domiciliar, casamento, d tamanho e renda familiar. A maioria das adoção de filho(s), altera pessoas que se inscreverem se beneficiará perda do plano de saúde de custos mais baixos. escola ou Medicaid, mud imigratório ou encarcera• Florida KidCare, CHIP ou Medicaid. 10 Benefícios de SaúAssistência Financeira Essenciais Oferecido Todos os Planos Créditos fiscais para redução dos prêmios poderão estar disponíveis para indivíduos e • Atendimento ambula famílias cujo rendimento se enquadre nas • Serviços de emergên • Hospitalização faixas abaixo: • Saúde mental/tratam Número de dependentes na família comportamental • Maternidade e assist 123456$11,770 $15,930 $20,090 $24,250 $28,410 $32,570 -nascido • Prescrição de medica aaaaaa • Serviços de reabilitaç$47,080 $63,720 $80,360 $97,000 $113,640 $130,280 • Serviços de laboratór • Cuidados preventivos Créditos fiscais para redução dos prêmios e • Serviços pediátricos, custos não cobertos pelo plano poderão estar de visão disponíveis para indivíduos e famílias cujo rendimento se enquadre nas faixas abaixo: Cuidados preventivo 123456 • Mamografias e outro$11,770 $15,930 $20,090 $24,250 $28,410 $32,570 • Vacinas • Exames de pressão aaaaaa • Controle de natalida$29,425 $39,825 $50,225 $60,625 $71,025 $81,425 • Diagnóstico de depr

s inscrições Lista de Verificação para Inscriçãobro de 2015 a no Marketplace ro de 2016 Quando você se inscrever no Plano de Saúde ial de inscrição Marketplace, você precisará fornecer iro de 2015 a algumas informações pessoais e familiares,bro de 2015 incluindo rendimentos e detalhes do seu 2016 até o próximo plano de saúde atual. inscrições A documentação necessária para você seodos citados acima são candidatar à cobertura do plano está listada tes casos: mudança abaixo:divórcio, nascimento ou • número do Seguro Social (ou número do ação da renda familiar, e obtido pelo emprego, documento para imigrantes legais) de dança do status todos que se beneficiarem do planoamento. • informações sobre empregador e rendaúde de todos os membros da família (comoos em por exemplo, recibos de pagamento ou W-2, formulários de salário e declaraçõesatorial fiscais)ncia • número das apólices de todos os planosmento de saúde de saúde dos membros da família tência médica ao recém • formulário “Employer Coverage Tool” completo para você e todos os membros amentos da família que tenham plano de saúde ção através do emprego (esse formulário terá rio que ser preenchido inclusive para s e de bem-estar cobertura incluída no seu plano de saúde , incluindo dental e atual que nao se aplique no seu caso). Você pode entrar em contacto conoscoos grátis para obter uma cópia do formulário “Employer Coverage Tool” ou baixá-lo do os exames pré-cancer site healthcare.gov. arterial e de colesterolade ressão ... e mais

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