Diamond State Health Plan (DSHP)
1-800-996-9969
Print out an application.

The DSHP is Delaware’s Medicaid Managed Care Program. Eligibility is determined by your gross monthly income, the age and number of family members in your home. There are special programs for pregnant women, infants and young children, disabled children, disabled workers, Medicare recipients and people who receive Social Security Supplemental Income benefits.  Delaware Medicaid allows deductions for child care expenses and each working adult in the home. Additional deductions are given to self-employed persons, pregnant teens and step-parent families. There are no monthly premiums or co-pays.

Basic benefits include but are not limited to:
-- Physician Services
-- Inpatient and outpatient hospitalization
-- Laboratory Services
-- Pharmacy
-- Transportation
-- Behavioral Health Care

Many working adults and families qualify for one of the many Medicaid programs, but do not realize it.  If you think you or your children may qualify for this program, don’t hesitate to either:
1)  Print out this application and submit to the address on the form.
2) To apply over the phone, call 1-800-996-9969.  Please tell them you found the phone number on this website.

Delaware's new Cancer Treatment Program provides treatment for qualified individuals who can't afford it.

Dealing with cancer is difficult enough. Having it threaten your life savings and livelihood can cause an even greater personal crisis. So Delaware created this program to provide cancer treatment for people who don't have health insurance and who are not eligible for Medicaid.

The Delaware Cancer Treatment Program may help you pay for cancer treatment for a period of one year if you:

- Are a Delaware resident,
- Have been diagnosed with cancer on or after July 1, 2004,
- Have no comprehensive health insurance, and
- Have a household income that meets qualification guidelines, which are 650% of the Federal Poverty Level (for example, the income for a family of four must be less than $122,525).

If you think you, or someone you know, may be eligible, call the Medicaid Health Benefit Manager for more information or an application. The call is free: 1-800-996-9969

DPAP provides prescription coverage to the elderly and or disabled adults who do not have prescription coverage based on gross monthly income and/or have prescription costs greater than 40% of their monthly income. This program covers medically necessary prescription drugs. The program does not pay for any of the drugs or diabetic supplies for Medicare recipients. Medicare currently covers these supplies for both insulin and non-insulin dependent patients. Clients must make a co-payment of $5 or 25% of the cost of the prescription, whichever is greater. The co-pay is collected by the dispensing pharmacy.

Eligibility:
Clients must reside in the State of Delaware. They must be at least 65 years old or qualify for Social Security Disability benefits. The income eligibility limit is set at 200% of the Federal Poverty Level (FPL) which is currently $1,432 in gross monthly income for one individual. Couples are counted as two individuals. Individuals with income over 200% of FPL can qualify if they have prescription costs exceeding 40% of their income. Those age 65 and over who are eligible for the Nemours Foundation prescription benefit are not eligible for DPAP. DPAP does not replicate coverage for Nemours clients.

Individuals wishing to apply for DPAP should call 1-800-996-9969. Applications are handled through the mail. Applicants do not need to come into our office to apply. Applicants will need to provide proof of income with their signed and dated DPAP application.

Screening for Life
Call 1-800-464-4357

 

Screening for Life provides payment for cancer screening tests to qualified Delaware adults. The program is a cooperative effort of the Delaware Division of Public Health and the U.S. Centers for Disease Control and Prevention (CDC).

Cancers can be treated more effectively if they are found early, and Screening for Life can help you get the tests you need at the recommended times.

What Services Does the Program Provide?

Eligible individuals can receive:
- Office visits
- Mammograms and clinical breast exams for breast cancer
- Pap tests
- Colorectal cancer screening tests recommended by your doctor
- Health education
- Help with coordinating associated care

To be eligible for these services, you must meet age, income and insurance guidelines. Go to the following link to find out if you are eligible:

Information About Eligibility Guidelines
Enrollment is easy. Call the Delaware HelpLine (1-800-464-4357) and ask for Screening for Life .  If you are eligible, you will be enrolled and mailed information on how to schedule your appointment with a participating health care provider. Screening for Life will help you get the recommended exams for your age and health history – free or at a cost you can afford.

Who Should Have The Exams?

Pap Tests :  All women age 18 and older, especially if they are sexually active, should have an annual Pap test and pelvic exam.

Breast Exams: All women should have their breasts examined by a doctor or other health professional once a year.

Mammograms :  Women age 40 and older should have regular mammograms, as recommended by their doctors or health professionals.

Colorectal Tests:  Men and women age 50 and older should have regular colorectal cancer screening tests, as recommended by their doctors or health professionals.  These tests may include colonoscopy, sigmoidoscopy, or home-test kits (called FOBT, for fecal occult blood test).