Access to Health
Guiding families through healthcare access and benefits — helping navigators, social workers, and counselors connect people to the coverage they deserve.
The problem
Millions of families struggle to access healthcare benefits they qualify for. The landscape of Medicaid, Medicare, CHIP, and marketplace insurance is fragmented across federal and state agencies, each with different eligibility rules, enrollment windows, and documentation requirements.
Healthcare navigators, social workers, and benefits counselors spend countless hours untangling complex eligibility criteria and guiding clients through enrollment processes that were never designed to be user-friendly. The gap between available benefits and actual enrollment leaves vulnerable populations without the coverage they need.
Our approach
Access to Health provides AI-powered healthcare navigation tools that help professionals and families cut through the complexity of benefits enrollment. Built on current program guidelines and designed for real-world use, these tools guide users through eligibility determination, plan comparison, and enrollment steps.
Every tool is open source, designed with empathy, and built to work within the Claude.ai platform — no coding required, no cost to the end user.
Key Capabilities
Medicaid Eligibility
Guided eligibility screening tools that help families and navigators determine Medicaid qualification based on income, household size, state of residence, and special circumstances.
Medicare Planning
Structured tools for comparing Medicare Advantage plans, understanding Part D prescription coverage, and navigating enrollment periods for seniors and eligible individuals.
CHIP Enrollment
Step-by-step guidance for Children's Health Insurance Program enrollment, helping families understand eligibility thresholds and navigate the application process for their children.
Benefits Navigation
Comprehensive tools for understanding and accessing healthcare benefits across multiple programs, including subsidies, cost-sharing reductions, and special enrollment periods.
Provider Search
Tools to help families find in-network providers, community health centers, and specialty care options that accept their specific insurance coverage and benefits programs.
Coverage Comparison
Side-by-side plan comparison tools that break down premiums, deductibles, copays, and covered services to help families choose the best coverage option for their needs.
Projects
Access to Health
AI-powered healthcare navigation tools providing Medicaid eligibility screening, Medicare plan comparison, CHIP enrollment guidance, and benefits navigation for families and professionals.
Who this is for
Healthcare Navigators
Certified application counselors and enrollment assisters who guide individuals through marketplace insurance, Medicaid, and CHIP applications across complex eligibility landscapes.
Social Workers
Social service professionals who help clients access healthcare benefits as part of holistic case management, connecting families to coverage and community health resources.
Benefits Counselors
Professionals at hospitals, community organizations, and government agencies who help individuals understand and enroll in healthcare programs they qualify for.
Family Caregivers
Family members navigating healthcare systems on behalf of aging parents, children with special needs, or loved ones who need help understanding and accessing their benefits options.
How to use these tools
These are Claude Skills — structured AI prompt systems that run inside Claude.ai. To get started:
- Clone the repository from GitHub
- Upload the
SKILL.mdfile to a Claude Project as a project knowledge file - Start a conversation — the skill will guide you through its capabilities
No coding required. These tools work entirely through conversation with Claude.