GENERAL FREQUENTLY ASKED QUESTIONS

When did Guam start its Medicaid program?

Guam became a U.S. territory in 1950 and created a Medicaid program in 1975. Its Medicaid program is administered by the Guam Department of Public Health and Social Services.

How are my medical bills paid with Medicaid or MIP?

Payments of bills are made directly to the physicians, hospitals, clinics, dentists, and other health care providers. Recipients should not make payments to the provider for any medical services, equipment, or supplies other than the co-payment charges and liability share.  

Recipients will not be reimbursed for any medical payments. If you are billed by a provider for a service you feel should be covered by Medicaid or MIP, please contact the Bureau of Health Care Financing (BHCF) before making any payments.

Where do I apply for Medicaid or MIP insurance coverage?

Please visit or call the Bureau of Economic Security (BES) offices located at any of the following Department of Public Health & Social Service offices below Monday to Friday, 8:00 am to 5:00 pm, Closed on the weekends and GovGuam Holidays:

                         NORTHERN PUBLIC HEALTH (Dededo)

Telephone Number:  (671) 635-7429 / 7439 / 7484 / 7488 & (671) 635-7396

Districts Covered:      Dededo, Harmon, Tumon, Tamuning and Yigo

                         CENTRAL PUBLIC HEALTH (Tamuning), 2nd Floor, RANCARE Building

Telephone Number:  (671) 300-8853 / 8867

Districts Covered:       Agana Heights, Agat, Asan, Barrigada, Chalan Pago,

Hagåtña, Maina, Mangilao, Mongmong-Toto-Maite,

Toto-Maite, Ordot, Piti, Santa Rita and Sinajana

                         SOUTHERN PUBLIC HEALTH (Inarajan)

Telephone Number:  (671) 828-7524 / 7534 / 7537 / 7539 / 7542

Districts Covered:      Yona, Inarajan, Merizo, Talofofo, and Umatac

What do I need to know when I seek medical service at the Guam Memorial Hospital Authority (GMHA) or the Guam Regional Medical City(GRMC)?

When registering at GMHA or GRMC for Emergency Room (ER) or Urgent Care services, patients must inform the hospital representative of any and all insurance coverages that they may currently have.

If a patient leaves or walks out of the ER or Urgent Care facility at an institution (GMHA or GRMC), prior to being seen by a physician or properly discharged by the physician, the ER or Urgent Care facility charge will be denied by Medicaid or MIP and will be deemed “ Patient’s Responsibility”.