The Patient Protection and Affordable Care Act (PPACA) or "Obamacare" was signed into law in 2010. Its design is to create affordability and quality of health insurance and to help the 50 million+ individuals that currently do not have insurance get access to healthcare. Individuals who have pre-existing medical conditions may no longer be declined health insurance. Beginning January 1st, 2014, all individuals are required to purchase health insurance
or file for an exemption, if applicable, or they may be subject to a penalty tax.
All patients and visitors to this site are encouraged to check out their health insurance options at:
www.healthcare.gov [English]
www.cuidadodesalud.gov [Spanish]
or file for an exemption, if applicable, or they may be subject to a penalty tax.
All patients and visitors to this site are encouraged to check out their health insurance options at:
www.healthcare.gov [English]
www.cuidadodesalud.gov [Spanish]
Estimate Your Costs
Resources
Protect Yourself from Fraud
English
Spanish
May I be exempt from purchasing Health Insurance?
English
Spanish (currently unavailable)
Things to think about when choosing a plan
English
Spanish
Marketplace Application Checklist
English
Spanish
Staying Enrolled
English
Spanish
Reporting Life Changes
English
Spanish
Getting Help In Another Language Other Than English
Key Dates for Health Insurance
English
Spanish
English
Spanish
May I be exempt from purchasing Health Insurance?
English
Spanish (currently unavailable)
Things to think about when choosing a plan
English
Spanish
Marketplace Application Checklist
English
Spanish
Staying Enrolled
English
Spanish
Reporting Life Changes
English
Spanish
Getting Help In Another Language Other Than English
Key Dates for Health Insurance
English
Spanish
Where can I use a computer?
West Bend Memorial Community Library
630 Poplar Street
West Bend
262-335-5151
www.west-bendlibrary.org
You are welcome to use the computers to enroll for healthcare under the Affordable Care Act. In-person assistance is not provided.
Washington County Human Services Department
333 East Washington Street
Suite 2100 and 3100
West Bend, WI 53095
262-335-4583
www.co.washington.wi.us
In-person assistance is available.
Albrecht Free Clinic
In-person assistance (Certified Application Counselor) is available every Wednesday by appointment only between 9am -12pm.
Froedtert and Medical College of Wisconsin
St. Joseph's Hospital
In-person assistance (Ceritifed Application Counselor) is available by appointment
3200 Pleasant Valler Rd
West Bend, WI 53095
262-836-8095
www.froedtert.com/st-josephs
Slinger Community Library
In-person assistance (Insurance agent) is available by appointment
220 Slinger Rd.
Slinger, WI 53086
262-323-9069 to schedule an appointment
www.slinger.lib.wi.us/
630 Poplar Street
West Bend
262-335-5151
www.west-bendlibrary.org
You are welcome to use the computers to enroll for healthcare under the Affordable Care Act. In-person assistance is not provided.
Washington County Human Services Department
333 East Washington Street
Suite 2100 and 3100
West Bend, WI 53095
262-335-4583
www.co.washington.wi.us
In-person assistance is available.
Albrecht Free Clinic
In-person assistance (Certified Application Counselor) is available every Wednesday by appointment only between 9am -12pm.
Froedtert and Medical College of Wisconsin
St. Joseph's Hospital
In-person assistance (Ceritifed Application Counselor) is available by appointment
3200 Pleasant Valler Rd
West Bend, WI 53095
262-836-8095
www.froedtert.com/st-josephs
Slinger Community Library
In-person assistance (Insurance agent) is available by appointment
220 Slinger Rd.
Slinger, WI 53086
262-323-9069 to schedule an appointment
www.slinger.lib.wi.us/
Applications
English
Individual Short Form
Individual Short Form Instructions
Family
Family Instructions
Individual without Financial Assistance
Individual without Financial Assistance Instructions
Spanish
Family
Family Instructions
Individual Short Form
Individual Short Form Instructions
Family
Family Instructions
Individual without Financial Assistance
Individual without Financial Assistance Instructions
Spanish
Family
Family Instructions