You will need copies of the following document(s) to sign-up for this program: Contact information for all healthcare facilities where you have received treatment, including names of your doctors, a list of your prescribed medications, and the names and dates of medical tests you have had and who sent you for them. If you want Direct Deposit for your benefit checks, provide your checking or savings account number, including the bank's 9-digit routing number. You must supply the names and dates of birth of your minor children and your spouse, including dates of any marriages and divorces. Veterans must provide their Military Service discharge information (Form DD 214) for all periods of active duty. Other documentation must include a W-2 Form (or your IRS 1040 and Schedules C and SE if self-employed) from the past year. Your previous employment must be documented via a list of the jobs (up to 5) that you had in the 15 years before you became unable to work. Include the dates you worked at those jobs, if possible. Also provide information about any insurance or workers' compensation claims you filed, such as claim number and name, address and phone number of insurance company. If you need assistance with your application, include the name, address and phone number of someone who knows about your medical conditions and can help with your claim.
How It Works
HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, or an individual and family health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. HealthPocket, Inc. is part of the Health Insurance Innovations, Inc. family of companies (NASDAQ: HIIQ).