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Documents Required to Enroll in ObamaCare

Please bring documents from each of the following six categories.

ObamaCare is a new Medicaid program for adults. It may pay for most of the services you receive at Erie. And it also covers other medical services you may receive outside of Erie such as hospital visits, medical equipment, home health services and physical therapy.

 

1) Identity – Only one required for each applicant

  • Birth certificate
  • Drivers license
  • State ID card
  • Foreign passport/ID
  • Certificate of Citizenship
  • Military ID card
  • Other identity proof
  • U.S. Passport
  • Work or School ID card

2) Citizenship/Legal Status – Only one required for each applicant

  • Birth certificate
  • Certificate of Citizenship
  • Employment Authorization Card
  • Foreign passport
  • Form I-94 Arrival-Departure
  • Immigration status filing
  • U.S. Passport
  • Other citizenship/alien proof
  • Permanent Resident Card
  • Selected USCIS (INS) documents

3) Income – One document or set of documents required to verify monthly income amount for each income source

  • Employer statement
  • Most recent tax return
  • Benefits awards letter
  • Support of alimony payment records
  • Retirement benefit records
  • Other benefits records
  • Pay stubs/statements
  • Other income proof
  • Unemployment Insurance record

4) Self-Employment Income – If you are self- employed full-time or part-time, one document or set of documents required to verify monthly income amount for each self-employment income source

  • Business record
  • Most recent tax return
  • Other-self-employment proof
  • Receipts for goods/services

5) Address in Cook County – Only one required

  • Current lease agreement
  • Drivers license
  • State ID card
  • Employment records
  • Letter with address from local shelter, social services, or religious organization where homeless applicants can get mail from State
  • Mortgage receipt
  • Other residency proof
  • Rent receipt
  • School records
  • Utility bills or records

6) Social Security Number

  • Proof of application for a SS Number for each applicant who does not yet have a SSN

If you have any questions about what documents you need to bring, please call 312-666-3494, press 2 for English, then 6 for ObamaCare.