Child Health

Plus

What is Child Health Plus?

New York State has a health insurance plan for kids, even undocumented children, called Child Health Plus. Depending on your family’s income, your child may be eligible to join either Child Health Plus A (formerly Children’s Medicaid) or Child Health Plus B. Both Child Health Plus A and B are available through DCCAP. Enrolling in Child Health Plus is easy.

Who is eligible?

To be eligible for either Child Health Plus A or B, children must be under the age of 19 and be residents of New York State. Whether a child qualifies for Child Health Plus A or Child Health Plus B depends on gross family income. Children who are not eligible for Child Health Plus A can enroll in Child Health Plus B if they don’t already have health insurance and are not eligible for coverage under the public employees’ state health benefits plan.

Child Health Plus A includes: Medicaid, WellCare, MVP, GHI, Fidelis and Hudson Health Care.

Child Health Plus B includes: WellCare, MVP, CDPHP, Empire Blue Cross, GHI and Fidelis.

What does it cost?

There is no monthly premium for families whose income is less than 1.6 times the poverty level. That's about $460 a week for a three-person family, about $560 a week for a family of four. Families with somewhat higher incomes pay a monthly premium of $9 or $15 a month per child, depending on their income and family size. For larger families, the monthly fee is capped at three children. If the family's income is more than 2.5 times the poverty level, they pay the full monthly premium charged by the health plan. There are no co-payments for services under Child Health Plus, so you don't have to pay anything when your child receives care through these plans.

What benefits can you get for your kids?

• Well-child care
• Physical exams
• Immunizations
• Diagnosis and treatment of illness and injury
• X-ray and lab tests
• Outpatient surgery
• Emergency care
• Prescription and non-prescription drugs if ordered
• Inpatient hospital medical or surgical care Short-term therapeutic outpatient services (chemotherapy, hemodialysis)
• Limited inpatient and outpatient treatment for alcoholism and substance abuse, and mental health
• Dental care
• Vision care
• Speech and hearing
• Durable medical equipment
• Emergency ambulance transportation to a hospital
• Hospice

Questions or comments: 845-437-0222 or email   health@dutchessCAP.org