Care Coordination FAQs

How do I know if I qualify for the SeaCare program?

There are three main criteria you need to meet to be eligible for SeaCare’s program:

• Your town must be within the 21 town service area
• Your income must be within our guidelines (click here for an income estimate worksheet)
• You are without health insurance, or are underinsured

Can you mail me an application?

Yes, you may call our office to have an application mailed to you, or you can download an application here.  Please be sure to include the required documents with the application when you mail it to us.  If you do not have the required documents, don’t give up!  Call us, we may be able to help you.

Who do I count in my household size?

SeaCare considers the household to be the number of people living with you for whom you are financially responsible, i.e. yourself, spouse, significant other/partner (only if you share a child), children, and anyone else you claim as a dependent on your income tax. People who do not count as part of your household:

• A roommate
• Immediate family members you may be living with i.e. mother, father, siblings, grandparents
• A significant other/partner if you are not married and do not share a child

What should I bring to my enrollment appointment?

An enrollment appointment will be made for you once we have all the necessary paperwork in our office.  On the day of your appointment, you will just need to bring yourself and any other household member who will be enrolling.

What do I bring to a doctor’s appointment?

You must have your current SeaCare card with you for all appointments to show to the front desk.

What if I already have a Primary Care Physician (PCP)?

Many of the area doctors participate with SeaCare. Let us know who your doctor is, and if they are on our program, we will do our best to keep you with that doctor.

What if I need surgery?

Though surgery is not covered under the SeaCare program, there are some options available. Your surgeon may be able to provide the procedure at a discounted rate for you. Your care coordinator will request a reduced rate or donation if your physician is a volunteer provider for SeaCare. The care coordinators can also assist you in applying for financial aid for the hospital. SeaCare is a member of New Hampshire Health Access, which qualifies individuals for financial aid for all the hospitals in the state of New Hampshire.

What do I do if I receive a bill in the mail from a provider?

If you receive a bill for more than you feel you owe from a SeaCare provider, please contact our billing service provider at (603) 772-8119. You may be asked to mail the bill in to our office for follow up. The office address is: SeaCare Health Services 11 Downing Ct. Exeter, NH 03833

What should I do if I want to change my Primary Care Physician (PCP)?

You can request a change of PCP while being a client of SeaCare. If approved, this change will be made by your care coordinator one time.

Do you have specialists on your program? How would I get to see a specialist that I need?

Yes, we have many different types of specialists on our program. In order to be able to see a specialist, you must first see your PCP. If your PCP determines you need a specialist, please call a care coordinator at SeaCare for approval.

Are prescription medications covered under the program?

Though there isn’t prescription coverage through a pharmacy, SeaCare does have a Medication Bridge Program that may possibly help with many free/reduced cost long-term medications. Speak with your care coordinator regarding this program. Short-term medications are not covered through Medication Bridge.

What if I lose my card?

Call SeaCare to let a care coordinator know. A new one will be issued and mailed directly to you.

What if the dates on my card are about to expire or have expired?

Your SeaCare card is good for 6 (six) months. Approximately one month before your card is due to expire you should receive a renewal form. Complete this form and return it to SeaCare with the necessary documents and the $25.00 administrative fee. You will receive an updated card shortly after we receive everything. If you did not receive a renewal form and your card is past due, please call the SeaCare office as soon as possible. If your card is not renewed, you cannot be covered for medical visits or lab-work through SeaCare. Please notify the office if you have a change of address. If you have misplaced your renewal form, you may download a copy here.

What happens if I get a job or health insurance?

Inform the staff at SeaCare when you become employed or insured. Once you have insurance you will no longer need SeaCare. Employment without insurance is NOT an automatic withdrawal from the program. You may be employed and still meet the income guidelines.

How long can I stay on SeaCare?

You may stay on SeaCare for as long as you meet the eligibility requirements for the program. Reasons you may no longer qualify for the program:

• Moving out of the service area
• Getting insurance coverage including Medicaid and Medicare
• Being over the income guidelines
• Noncompliance

Can I put my child on SeaCare?

Most children who would qualify for SeaCare will also qualify for New Hampshire Children’s Medicaid. SeaCare Family Connection can assist you in applying for NH Children’s Medicaid or SeaCare Medical Access. If you do not qualify for NH Children’s Medicaid, you may be able to apply for SeaCare.