Child Health Plus

Child Health Plus

Child Health Plus provides preventive care and medical treatment for children under the age of 19 years. Primary and specialty care, prescription drugs, vision and hearing aids, and dental health are covered under the plan. Child Health Plus covers children who are not covered by private health insurance and are not eligible for Medicaid, whether or not they are documented residents of the U.S.

Free coverage is provided for families whose income is below a certain income level. Families with somewhat higher incomes pay a small monthly premium of $9, $15, $30, $45 or $60 a month per child, depending on their income and family size. For larger families (four or more children) the monthly premium fee is capped at the level for three children.

Family Size*  2 3 4 5 6
MAXIMUM ANNUAL GROSS INCOME TO QUALIFY**
Coverage is Free $23,311 $29,295 $35,279 $41,263 $47,247
$9.00 per child, per month
(Maximum $27.00 per family)		 $32,346 $40,649 $48,951 $57,254 $65,557
$15.00 per child, per month
(Maximum $45.00 per family)		 $36,425 $45,775 $55,125 $64,475 $73,825
$30.00 per child, per month
(Maximum $90.00 per family)		 $43,710 $54,930 $66,150 $77,370 $88,590
$45.00 per child, per month
(Maximum $135.00 per family)		 $50,995 $64,085 $77,175 $90,265 $103,355
$60.00 per child, per month
(Maximum $180.00 per family)		 $58,280 $73,240 $88,200 $103,160 $118,120
Full premium per child, per
month  ($193.46 per child)		 Over
$58,280		 Over
$73,240		 Over
$88,200		 Over
$103,160		 Over
$118,120

 

 

 

 

 

 

 

 

 

 

*Pregnant women count as two when determining family size.
**As of November 1, 2009. Maximum annual gross income amounts are subject to change.

Program Benefits

  • No co-payments, but Plan premiums may apply
  • In-patient hospitalization
  • Emergency care
  • Out-patient care
  • Lab tests and x-rays
  • Primary and preventative health care/education
  • Vision, speech, and hearing services
  • Durable medical equipment
  • Dental care
  • Prosthetics and orthotics
  • Second medical/surgical equipment
  • Diabetic supplies and equipment
  • Smoking cessation products
  • Short-term rehabilitation
  • Home health care
  • Family planning/reproductive health
  • Radiation, chemotherapy, hemodialysis
  • Mental health/alcohol and substance abuse treatment (some limits apply)
  • Over the counter drugs (with written prescription)
  • Non-airborne emergency ambulance services
  • Hospice care

If you think you qualify, even if you’re not sure, start the process online now.  If you prefer, you can contact Customer Care  or call 1.800.339.4557. Our friendly and courteous representatives can quickly tell you if you’re eligible for one of our State-sponsored health care programs.