Family Health Plus by gdf57j

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									                                   To be eligible for either Children's Medicaid or Child Health Plus, children must be under
                                   the age of 19 and be residents of New York State. Whether a child qualifies for Children's
                                   Medicaid or Child Health Plus depends on gross family income. Children who are not
                                   eligible for Medicaid can enroll in Child Health Plus if they don't already have health
                                   insurance and are not eligible for coverage under the public employees' state health
benefits plan. Some children who were covered by employer-based health insurance within the past six months may be
subject to a waiting period before they can be enrolled in Child Health Plus. Determining whether your child is subject to a
waiting period will depend on your household income and the reason your child(ren) lost employer-based coverage.


                                                   Child Health Plus
                               2011 Family Contributions by Income and Household Size
                       (For Applications Received by the CHPlus Health Plan On or After 4/1/2011)

                                                 Monthly Income by Family Size*                         Each
                                                                                                      Additional
              Premium                                                                                  Person,
              Categories           1     2        3        4        5          6        7         8     Add:
            Free Insurance    $1,451 $1,961 $2,470 $2,979 $3,489 $3,998 $4,507              $5,017    $510
            $9/Child/Month $2,015 $2,722 $3,429 $4,135 $4,842 $5,549 $6,255                 $6,962    $707
                 (Max
              $27/Family)
           $15/Child/Month $2,269 $3,065 $3,861 $4,657 $5,453 $6,248 $7,044                 $7,840    $796
                (Max
             $45/Family)
           $30/Child/Month $2,723 $3,678 $4,633 $5,588 $6,543 $7,498 $8,453                 $9,408    $955
                (Max
             $90/Family)
           $45/Child/Month $3,177 $4,291 $5,405 $6,519 $7,633 $8,748 $9,862                 $10,976 $1,115
                (Max
             $135/Family)
           $60/Child/Month $3,630 $4,904 $6,177 $7,450 $8,724 $9,997 $11,270 $12,544 $1,247
                (Max
             $180/Family)

            Full Premium*/ Over Over Over Over Over Over Over              Over
             Child/Month $3,630 $4,904 $6,177 $7,450 $8,724 $9,997 $11,270 $12,544


*The full premium varies, depending on the health plan chosen by the family.


                                                         Medicaid
                                              2011 Income Eligibility Levels
                                       (For Applications Signed On or After 4/1/2011)

                                                          Monthly Income by Family Size                           Each
                                                                                                               Additional
     Age Categories for Children          1       2        3        4          5      6       7        8      Person, Add:
   Children under 1 yr; Pregnant       $1,815 $2,452 $3,089 $3,725 $4,362 $4,999 $5,635 $6,272 $637
             Women*
          Children 1-5 yrs             $1,207 $1,631 $2,054 $2,478 $2,901 $3,324 $3,748 $4,171 $424
          Children 6-18 yrs            $908    $1,226 $1,545 $1,863 $2,181 $2,500 $2,818 $3,136 $319

*Pregnant women count as two
What benefits can you get?
    •   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



                 Enrollment Schedule
                 No Appointments, Just walk-In

Department of Health Education
Robert L. Yeager Center, Building J
Monday-Friday 9:00-12:00n

Nyack YMCA
35 South Broadway, Nyack
Mondays 5:00-7:00 pm

Haverstraw Center; 2nd Floor
50 West Broad Street, Haverstraw
Wednesdays- 2:00-5:00 pm

Louis Kurtz Civic Center
9 North Main Street, Spring Valley
Thursdays 3:30-6:00 pm

French, Creole and Spanish Speaking Facilitated Enrollers are available.

Schedule Subject to Change. Call 845-364-3312 to confirm.

Click Here for the health insurance application and list of documents needed

Helpful Links:


Healthy New York www.healthyny.com

www.nyhealthinsurer.com

www.myBenefits.ny.gov

								
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