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, $20, $30 or $40 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 | ||
| 2008 MAXIMUM ANNUAL GROSS INCOME TO QUALIFY** | |||||||
| Coverage is Free | $22,400 | $28,160 | $33,920 | $39,680 | $45,440 | ||
| $9.00 per child, per month (Maximum $27.00 per family) |
$31,080 | $39,072 | $47,064 | $55,056 | $63,048 | ||
| $15.00 per child, per month (Maximum $45.00 per family) |
$35,000 | $44,000 | $53,000 | $62,000 | $71,000 | ||
| $20.00 per child, per month (Maximum $60.00 per family) |
$42,000 | $52,800 | $63,600 | $74,400 | $85,200 | ||
| $30.00 per child, per month (Maximum $90.00 per family) |
$49,000 | $61,600 | $74,200 | $86,800 | $99,400 | ||
| $40.00 per child, per month (Maximum $120.00 per family) |
$56,000 | $70,400 | $84,800 | $99,200 | $113,600 | ||
| Full premium per child, per month($164.02 per child) |
Over $56,000 |
Over $70,400 |
Over $84,800 |
Over $99,200 |
Over $113,600 |
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*Pregnant women count as two when determining family size.
**As of September 1, 2008. 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 your child is eligible for Child Health Plus, even if you’re not sure, contact Customer Care or call us at 1.800.339.4557. Our friendly and courteous representatives can quickly tell you if you or your loved ones qualify for one of our State-sponsored health care programs.