Health
Plus...
The New York State Legislature passed the Child Health Plus plan to make health insurance accessible to children of working families. This plan is now available from a number of providers throughout the state.
Parents can find out how to enroll their children in the plan by contacting the toll-free helpline 1-800-698-4543. They can also call the New York State Growing Up Healthy Hotline at 1-800-522-5006 to find out more about this program and other New York State health programs for children.
If you would like to contact an insurer directly, you can do so and ask if they are participating in the program, or contact the helpline for a list of participating insurers.
The insurer you choose will send you an application for the plan and give you a list of participating providers in your area. The provider might be a single doctor or group practice, or a community health center. If it is a group practice, you may be asked to choose a doctor for your child. Either way, you will get the personal attention and health care that your child needs.
Skyrocketing health care costs are pushing health insurance out of reach for many working families today. That’s why the New York State Legislature passed the Child Health Plus plan.
This health insurance plan is for children under the age of 19 who are not eligible for Medicaid and who have limited or no health insurance.
This flyer will explain a little about the program and who may be eligible. For more information, call toll-free 1-800-698-4543.
If I can be of assistance, please contact my office.
Sincerely,
Nelson L. Castro
Member of Assembly
2488 Grand Concourse, Suite 310-11
Bronx, NY 10458
718-933-6909
Room 921 LOB
Albany, NY 12248
518-455-5511
castronl@assembly.state.ny.us
The following benefits are provided under Child Health Plus:
well-child care
physical examinations
immunizations
diagnosis and treatment of illness and injury
x-rays and lab tests
outpatient surgery
emergency care
prescription drugs and non-prescription drugs, if ordered
inpatient hospital medical or surgical care
short-term therapeutic outpatient services such as chemotherapy or hemodialysis
limited inpatient and outpatient treatment for alcoholism and substance abuse and mental health
dental, vision, speech and hearing care
durable medical equipment
emergency ambulance transport to a hospital
hospice
If you’re interested in finding out more about Child Health Plus and other health programs for children in the state, call 1-800-698-4543 or visit the Web site at: www.health.state.ny.us.
You may have to pay a family contribution to enroll in Child Health Plus. Find your monthly gross household income in the tables on the right. This will show you how much — if any — family contribution you will have to pay.
Remember, even if you earn more than the highest monthly income listed, you can still participate; you’ll just have to pay the full premium.
| Age Categories for Children | 1 | 2 | 3 | 4 | 5 |
Each Additional Person, Add: |
| Children under 1 year; Pregnant Women* | $1,805 | $2,429 | $3,052 | $3,675 | $4,299 | $624 |
| 1 to 5 years | $1,201 | $1,615 | $2,030 | $2,444 | $2,859 | $415 |
| 6 to 18 years | $903 | $1,215 | $1,526 | $1,838 | $2,150 | $312 |
| Family Contributions | 1 | 2 | 3 | 4 | 5 |
Each Additional Person, Add: |
| Free Insurance | $1,443 | $1,942 | $2,441 | $2,939 | $3,438 | $499 |
| $9 per child per month (maximum of $27 per family) | $2,004 | $2,696 | $3,388 | $4,080 | $4,772 | $692 |
| $15 per child per month (maximum of $45 per family) | $2,257 | $3,036 | $3,815 | $4,594 | $5,373 | $780 |
| Full premium per child per month | Over $3,610 | Over $4,857 | Over $6,104 | Over $7,350 | Over $8,597 |
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