Certificates/Forms Assistance

Certificates/Forms Assistance

Provider: ASIAN PACIFIC HEALTHCARE VENTURE - BELMONT HEALTH CENTER

Services and hours may have been affected due to Coronavirus. Please call for more information to verify.

The agency is authorized to conduct enrollment into Covered California, Medi-Cal, and other public health insurance programs for individuals and families, who are without health insurance and are not covered by any other social or private insurance programs. Services include state/local health insurance information/counseling, medicaid applications, medicare information/counseling, certificate forms assistance for food stamps/SNAP applications and WIC application/certification. There are geographic restrictions for some services. In addition, the agency provides Medi-Cal counseling for low-income adults and Medicare Part D counseling for older adults. The outreach programs target the Asian/Pacific Islander community, and offer translation and transportation to encourage understanding and enrollment.

The agency also provides information and assists with applications for food stamps/SNAP and WIC. APPLICATION PROCEDURE Call the agency's insurance enrollment hotline number to find out about enrollment in Healthy Kids or other free/low-cost insurance programs, and to make an appointment. Callers who leave a message will be called back by an enrollment agent to schedule an appointment.

Documentation requires proof of family income, including previous year's income tax form; proof of residence, such as a utility bill, rent receipt or driver's license. The person applying may be the parent, step parent, guardian or relative care giver. FEES/PAYMENT SOURCE To apply for WIC, Call 1-888-942-9675 or visit https://www.phfewic.org/how-wic-works/apply-for-wic/.

There are no fees to enroll; premiums for select programs are based on the plan selected and other program criteria.
Languages
Bengali
Cambodian (Khmer)
Chinese-Cantonese
Chinese-Mandarin
Korean
Thai
Vietnamese
Service Condition Fee

Free

Free

Address

180 Union Pl.

Los Angeles , CA 90026 (Physical)

Get directions

Website

www.aphcv.org
Service hours
Monday through Friday, 9:00am to 5:00pm.

Service/Intake

(323) 644-3885

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