Apply
Applying for HIPP Benefits
There are three ways to apply for Alaska HIPP benefits!
- Print a HIPP application (PDF)
- Call our toll-free line 866-251-4861 to start an application over the telephone.
- Apply Online
Send the completed application and documents by:
Fax: 907-561-4435, or
HMS
Attn: HIPP Unit
4341 B Street Suite 100
Anchorage, Alaska 99503
Email application: customerservice@MYAKHIPP.com
You must be able to provide the following Information:
- Policyholder’s name, Social Security number and date of birth
- Policy number and group number of the employee sponsored insurance
- A copy of insurance card (front and back)
- Employer and employee share of premium cost
- Medicaid card and/or Identification Number Insurance card (front and back)
- Benefit plan summary document. This can be provided from your employer.
- Health insurance rate sheet that includes information such as: “Individual Only,” “Individual + Spouse,” “Individual + Child,” or “Family”. This can be provided from your employer.
- A copy of the most recent pay stub or other form of premium payment verification
- EOBs for all applicants currently covered under the employer sponsored health insurance for the past 12 months upon request