Families First accepts all kinds of health insurance, including most private insurance plans, Marketplace plans, NH Medicaid,  MaineCare and Medicare. No one is ever turned away from Families First due to lack of health or dental insurance or inability to pay. If you live in New Hampshire, we can help you find out if you are eligible for a free or inexpensive insurance plan. If no insurance is available to you, we can still help by offering you a discount based on your income.

Help Applying for Insurance

Families First is here to help you learn about your options for affordable health insurance through the New Hampshire Marketplace and Medicaid. Our enrollment counselors will work with you to figure out which health insurance coverage you may be eligible for. (Maine residents should call York County Community Action at 800-965-5762.) For your free enrollment appointment, contact our enrollment specialists on 603-422-8208 (press 8). Please include your full name and phone number.

Call (603) 422 8208 (press 8) for your free appointment for help enrolling.

Open Enrollment Starts November 1


For insurance through the Health Insurance Marketplace:

Open enrollment for the Marketplace is November 1 – December 15, 2018. To get help enrolling or re-enrolling: call 603-422-8208 press 8.  Then, see “Health Insurance Marketplace” below on what to do “To Get Started.”

If your household has experienced a life change outside of open enrollment, you may qualify for a Special Enrollment Period (SEP). Some qualifying life changes include a birth or death, marriage, change in employment, a loss of health insurance coverage, or a move to New Hampshire.  You should start your SEP within 60 days of the qualifying life change. Contact our enrollment specialists at 603-422-8208 (press 8) to assist you.

If you have NHHPP Medicaid (“expanded Medicaid” with Ambetter, Harvard Pilgrim or Anthem) 

Granite Advantage Health Care Program will replace the New Hampshire Health Protection Program (NHHPP) on January 1, 2019. You need to pick a new plan by December 3. Your choices will be either New Hampshire Healthy Families or Well Sense Health Plan. If you do not choose a plan, one will be assigned to you.  Granite Advantage Health Care Program is introducing a community engagement requirement for eligible adults. Read how this may affect you here.

What coverage am I eligible for?

in your
Health Insurance Marketplace
Also known as Obamacare — offers reduced monthly premiums if your estimated 2018 annual household income is in the range below. You may also qualify for extra help with deductibles and copays.
Granite Advantage Health Care
Also known as Expanded Medicaid— offers free coverage for eligible adults ages 19-64 whose monthly gross  household income is no more than …
Learn more about Granite Advantage
$16,754 – $48,560


$22,716 – $65,840
$28,677 – $83,120
$34,639 – $100,400
$40,601 – $117,680
Both programs help pay for regular checkups, prescription drugs, ER visits, hospital stays, specialist visits, and mental health and substance use treatment.

Note: Even if you don’t see your household income on the chart above, you or your children may be eligible for other types of Medicaid coverage, with managed care through NH Healthy Families or Well Sense Health Plan. To learn more about and apply for NH Medicaid, click here.


If you currently have NHHPP Medicaid (with Ambetter, Harvard Pilgrim or Anthem)

NHHPP is changing to Granite Advantage Health Care Program on 1/1/2019. You need to pick a new plan (either New Hampshire Healthy Families or Well Sense Health Plan) by December 3, or one will be selected for you. Granite Advantage members may have a requirement for community engagement. Read more about this here.

This program is for adults (ages 19-64) residing in New Hampshire whose incomes are below certain levels (see chart above). Once enrolled, you will pay little or nothing for your medical appointments at Families First, specialty care, hospital services, prescriptions, blood work and other tests!

If you are asked to pick a Medicaid plan, be sure to act promptly to select a plan that includes the medical providers you see and the medications you use. If you need help, ask us.

Don’t forget: For your free enrollment appointment, send an email, or call 603-422-8208 (press 8). Please leave your full name and phone number.

Information to have ready for each household member:

  • Date of birth
  • Social Security number
  • Documentation of income for the last 30 days (pay stubs, Social Security letters, etc.)
  • Most recent tax returns (if any)
  • All employers’ names, addresses and phone numbers
  • Immigration documents (if applicable)

For more information on the Granite Advantage Health Care Program:

Visit https://nheasy.nh.gov/#/granite-advantage or call 1-800-852-3345.


To Get Started
1) Prepare your 2019 income estimate. Write down how you did it!
2) If you have a household member who has access to insurance at work, complete this employer coverage tool.
3) Use the online shopping tool to see what plans you might buy and compare coverage details and costs.

If keeping your current doctors is important to you, call your doctors and ask them which of the Marketplace insurance plans they accept. Families First is in-network for Ambetter, Anthem, and Harvard Pilgrim. This Marketplace Plan Selection Worksheet may help you.

Information to have ready for each household member:

  • Your written estimate of household income for 2019 and how you calculated it
  • A completed Employer Coverage Tool for every job-based plan for which you or someone in your household is eligible (even if you don’t take the insurance).
  • Immigration documents (if applicable)
  • Income information for every member of your household (most recent tax returns, pay stubs, Social Security letters, etc.)
  • Home and mailing addresses for everyone applying for coverage
  • Dates of birth
  • Social Security numbers
  • Employers’ names, addresses and phone numbers
  • Notices from your current plan that include your plan ID#, if you had Marketplace insurance in 2018
  • If you have email, make sure you know your email address and password.

For more information on the Health Insurance Marketplace:

  • Visit HealthCare.gov or contact the HealthCare.gov call center, which is open 24/7, at 1-800-318-2596 (TTY: 1-855-889-4325).