While we are not affiliated with the government in any way, our private company engaged writers to research the Unemployment Insurance program and compiled a guide and the following answers to frequently asked questions. Our goal is to help you get the benefits that you need by providing useful information on the process.
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Medicaid is a federal U.S. health insurance program that provides health coverage to millions of Americans. The program primarily covers low-income adults, children pregnant women, elderly adults and people with disabilities.
Federal guidelines for the Medicaid program are established by the Centers for Medicare and Medicaid Services (CMS). Learn more about Medicaid at a national level on the CMS website here.
The Guam Medicaid program is administered by the Guam Department of Public Health and Social Services. Learn more about Medicaid in Guam on the Department of Public Health and Social Services website here.
Through Medicaid, people gain access to health care services that may not be affordable without it. Additionally, some programs and benefits include special protections—such as provider network and payment methods—that help ensure services are accessible. Medicaid also provides preventive care and other services help people stay healthy and avoid costlier care.
Medicaid covers medical and health care services such as:
*Additional services, such as nursing homes or personal care services, may be available to those who have special needs.
Medicaid does not cover the following types of medical services:
Learn more about medical and health care services that are covered by Medicaid in Guam on the Medicaid and CHIP Payment and Access Commission page here.
Recipients may sometimes need to pay a small out-of-pocket cost for treatments, which are known as copayments. For Medicaid recipients with a household income at or below the Guam poverty level, there are no deductibles or copayments.
Eligible enrollees with household incomes higher than the poverty level may need to pay copayments on prescription drugs. Copayment amounts depend on the recipient’s age, household income and what the state pays for the specific service. There is a limit to the amount you can pay in copayments each month.
Each Medicaid participant through the Guam Department of Public Health and Social Services has their own individual health care plan. Some participants may be required to pay fees, and some recipients may not be required to pay fees, i.e., are exempt.
Medicaid participants who fall into one of the below categories are exempt from copayment fees:
To learn more about Medicaid premiumsand copayments, click here.
To qualify for Medicaid in Guam, you must:
Income limits vary depending on household size, medical status and other factors and are subject to change annually. Find the current Medicaid income limits based on household size in Guam here.
Learn what documents you can submit to prove your citizenship and identity here.
Find further information on Guam Medicaid eligibility here.
To apply for Medicaid in Guam, complete the following three steps:
Learn what documents you need here.
To apply for Medicaid by mail, click here to access the application form, fill it out, and mail it with the necessary documents to:
Department of Public Health and Social Services
Division of Public Welfare | Bureau of Economic Security
123 Chalan Kareta, Mangilao, Guam 96913-6304
To apply for Medicaid in person, click here to find your nearest Bureau of Economic Security office.
To apply for Medicaid by phone, call one of the Guam Bureau of Economic Security offices at:
To apply for Medicaid by email, click here to access the application form, fill it out, and send it with the necessary documents to publicassistance@dphss.guam.gov.
If you apply in person, you will complete an interview at the time of your application submission to verify your eligibility for the program.
If you apply by mail, by phone or by email, you will complete the interview over the phone.
If you have questions about the application process or require assistance, call one of the Bureau of Economic Security offices at:
Or, contact your nearest local Guam Public Health and Social Services Office. Find contact information for local field offices in Guam here or refer to the list below.
Location | Address | Phone Number | Hours |
---|---|---|---|
Northern Office | 520 Santa Monica Ave Dededo, Guam 96929 |
(671) 635-7488 (671) 635-7432 | Monday – Friday, 8 AM – 5 PM |
Central Office | 123 Chalan Kareta Mangilao, Guam 96913 |
(671) 735-7245(671) 735-7274 | Monday – Friday, 8 AM – 5 PM |
Southern Office | 162 Apman Dr. Inarajan, Guam 96917 |
(671) 828-7542 | Monday – Friday, 8 AM – 5 PM |
Guam Medicaid recipients must report changes that can influence their eligibility status, including:
Update your information by completing the Change Request Form here. Once you have filled out the form, you can submit the request in the following ways:
Guam Department of Public Health and Social Services
Division of Public Welfare | Bureau of Economic Security
123 Chalan Kareta, Mangilao, Guam 96913-6304
You can check the status of your application by calling:
The Guam Department of Public Health and Social Services will review your application to verify if you are eligible for Medicaid. In some cases, the state may ask for additional information before approving your application. Guam will mail applicants a letter detailing if their Medicaid application was approved or denied.
It takes approximately 30 days to process a Medicaid application. If you are approved, you will receive a Medicaid identification card within 2 weeks of when you receive your approval notification.
Medicaid applications will be denied when applicants do not meet the eligibility requirements. Also, beneficiaries can have their benefits terminated or reduced if their eligibility status changes while they are enrolled.
If your Medicaid application is denied or your benefits amount is reduced, you have the right to file an appeal. You can request an appeal by contacting a local field office. Find contact information for field offices here.
The Guam Department of Public Health and Social Services will review your claim and may ask for additional information or evidence of your eligibility. If you are granted a hearing, you will receive a notice with the date, time and location of the hearing.
Guam Medicaid recipients must report changes that can influence their eligibility status, including relocating to a new address.
If you move to a new residence within Guam, you can update your address by completing the Change Report Form here and sending it to the Guam Department of Public Health and Social Services in the following ways:
Guam Department of Public Health and Social Services
Division of Public Welfare | Bureau of Economic Security
123 Chalan Kareta, Mangilao, Guam 96913-6304
Note: Medicaid benefits do not transfer. If you move to a new state, you must reapply for Medicaid in your new location. If you have further questions about moving with Medicaid, visit the national Medicaid Contact Us here.
For help with a Medicaid application, or for any further questions about the Medicaid program, contact the Guam Department of Public Health and Social Services:
Department of Public Health and Social Services
Division of Public Welfare | Bureau of Economic Security
123 Chalan Kareta, Mangilao, Guam 96913-6304
You can also visit or call a local Public Health and Social Services Office for further assistance. Find your nearest Public Health and Social Services Office location and contact information here.
While we are not affiliated with the government in any way, our private company engaged writers to research the Medicaid program and compiled a guide and the following answers to frequently asked questions. Our goal is to help you get the benefits that you need by providing useful information on the process.
Our free Medicaid Guide is filled with helpful information about how to apply, program eligibility and how to get in touch with local offices. You can view or download our free guide here.
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To apply for Medicaid in Guam, complete the following three steps:
Learn what documents you need here.
To apply for Medicaid by mail, click here to access the application form, fill it out, and mail it with the necessary documents to:
Department of Public Health and Social Services
Division of Public Welfare | Bureau of Economic Security
123 Chalan Kareta, Mangilao, Guam 96913-6304
To apply for Medicaid in person, click here to find your nearest Bureau of Economic Security office.
To apply for Medicaid by phone, call one of the Guam Bureau of Economic Security offices at:
To apply for Medicaid by email, click here to access the application form, fill it out, and send it with the necessary documents to publicassistance@dphss.guam.gov.
If you apply in person, you will complete an interview at the time of your application submission to verify your eligibility for the program.
If you apply by mail, by phone or by email, you will complete the interview over the phone.
If you have questions about the application process or require assistance, call one of the Bureau of Economic Security offices at:
Or, contact your nearest local Guam Public Health and Social Services Office. Find contact information for local field offices in Guam here or refer to the list below.
Location | Address | Phone Number | Hours |
---|---|---|---|
Northern Office | 520 Santa Monica Ave Dededo, Guam 96929 |
(671) 635-7488 (671) 635-7432 | Monday – Friday, 8 AM – 5 PM |
Central Office | 123 Chalan Kareta Mangilao, Guam 96913 |
(671) 735-7245(671) 735-7274 | Monday – Friday, 8 AM – 5 PM |
Southern Office | 162 Apman Dr. Inarajan, Guam 96917 |
(671) 828-7542 | Monday – Friday, 8 AM – 5 PM |
Guam Medicaid recipients must report changes that can influence their eligibility status, including:
Update your information by completing the Change Request Form here. Once you have filled out the form, you can submit the request in the following ways:
Guam Department of Public Health and Social Services
Division of Public Welfare Bureau of Economic Security
123 Chalan Kareta, Mangilao, Guam 96913-6304
You can check the status of your application by calling:
The Guam Department of Public Health and Social Services will review your application to verify if you are eligible for Medicaid. In some cases, the state may ask for additional information before approving your application. Guam will mail applicants a letter detailing if their Medicaid application was approved or denied.
It takes approximately 30 days to process a Medicaid application. If you are approved, you will receive a Medicaid identification card within 2 weeks of when you receive your approval notification.
Medicaid applications will be denied when applicants do not meet the eligibility requirements. Also, beneficiaries can have their benefits terminated or reduced if their eligibility status changes while they are enrolled.
If your Medicaid application is denied or your benefits amount is reduced, you have the right to file an appeal. You can request an appeal by contacting a local field office. Find contact information for field offices here.
The Guam Department of Public Health and Social Services will review your claim and may ask for additional information or evidence of your eligibility. If you are granted a hearing, you will receive a notice with the date, time and location of the hearing.
For help with a Medicaid application, or for any further questions about the Medicaid program, contact the Guam Department of Public Health and Social Services:
Department of Public Health and Social Services
Division of Public Welfare | Bureau of Economic Security
123 Chalan Kareta, Mangilao, Guam 96913-6304
You can also visit or call a local Public Health and Social Services Office for further assistance. Find your nearest Public Health and Social Services Office location and contact information here.
While we are not affiliated with the government in any way, our private company engaged writers to research the Medicaid program and compiled a guide and the following answers to frequently asked questions. Our goal is to help you get the benefits that you need by providing useful information on the process.
Our free Medicaid Guide is filled with helpful information about how to apply, program eligibility and how to get in touch with local offices. You can view or download our free guide here.