Can we help you?
You may be eligible for more assistance than you thought.
An application and all necessary documents must be completed and submitted before enrollment into the program. You can download an application by clicking here, or you may call our main office at (603) 772-8119 and request an application be mailed to you.
When you submit an application, all the necessary documents must be submitted at the same time. If you do not have all the documents, don’t give up! Please call our office. We may be able to assist you. For a list of the essential documents and a worksheet to plan your gross income, click here for a “List of Documents to Bring”.
During your intake appointment, you will learn about the services provided through SeaCare. You will have the opportunity to ask questions as well. Prior to the conclusion of your appointment, you will be assigned a primary care physician (PCP). If you would like more information, please download our Participant Guide.
You can stay on SeaCare for as long as you meet the eligibility requirements for the program. However, upon the six (6) month anniversary of your enrollment, you will receive information on how to recertify in order to stay on the program for another six (6) months. You will need to provide the documents listed above in the “List of Documents to Bring” as well as a complete recertification form. You can download our Recertification Form here or contact your care coordinator at (603) 772-8119.
Medical Access Program – There is an administration fee of $25.00 for each renewal (this is less than $4.25 a month). SeaCare cards will expire in six (6) months, requiring renewal paperwork to be completed twice (2) a year.
Medication Bridge Program – The program will charge an administration fee of $10.00 for each three month renewals of prescriptions.
Your enrollment with SeaCare provides you with personal Care Coordinators who will help you obtain access to: