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Health Care Programs

Health Care Programs. Medi-Cal for Children Healthy Families Healthy Kids . What is *Medi-Cal for Children?. Comprehensive health, dental, and vision benefits for children (birth to 19) No monthly premiums No co-payments for any service

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Health Care Programs

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  1. Health Care Programs • Medi-Cal for Children • Healthy Families • Healthy Kids

  2. What is *Medi-Cal for Children? • Comprehensive health, dental, and vision benefits for children (birth to 19) • No monthly premiums • No co-payments for any service Health Plans:Santa Clara Family Health Plan or Blue Cross Dental Plan:Denti-Cal Vision Plan: Vision Service Plan * Full Scope Medi-Cal

  3. What is Healthy Families? • Comprehensive health, dental, and vision benefits for children (birth to 19) • Low monthly premiums ($4 - $9) • No co-payments for preventive services and $5 for other services Health Plans:Santa Clara Family Health Plan, Blue Cross, Kaiser, Blue Shield, Health Net Dental Plans:Delta Dental, Access Dental, Health Net Dental Vision Plan:Vision Service Plan

  4. What is Healthy Kids? • Created to fill the insurance gaps for kids in Santa Clara County • Healthy Families look-a-like • Benefits • Family contributions / premiums Health Plan:Only Santa Clara Family Health Plan offers Healthy Kids Dental Plan:Delta Dental Vision Plan:Vision Service Plan

  5. What’s Covered? All three programs include: • Full medical, including prescriptions • Inpatient care • Physician visits • Prevention services • Well-baby visits • Health education • Dental care • Vision services • Alcohol and substance abuse care • Mental health

  6. What Qualifies You? • Family Size • Age of Child • Income

  7. Who Qualifies? • Children up to their 19th birthday, *regardless of their immigration status • Families with incomes at or below 300% of the Federal Poverty Level • Children without health insurance • Children who live in Santa Clara County * Healthy Kids

  8. Immigration Status Applying for Medi-Cal or Healthy Families will: • Not hurt your chances to get a green card • Not endanger your current green card • Not prevent you from entering the country so long as you are not gone for more than six months • Not keep you from sponsoring someone to come to the US Source: Immigration & Naturalization Service, May 25, 1999.

  9. Immigration Status - (Cont.) Healthy Kids If you are eligible for Healthy Kids, immigration status is not considered

  10. 300 Healthy Kids Regardless of immigration status 250 200 Healthy Families 133 100 No Cost Medi-Cal 0 <1 1-6 6-19 0-19 Coverage - Children < 19 Years Income Above FPL (%) Qualifying Age (years) *Children under 19 years of age may also qualify for Share of Cost Medi-Cal

  11. Pre-screen clients for Medi-Cal, Healthy Families, and Healthy Kids Assist families in completing appropriate application(s) Educate families on the insurance membership process Follow-up to provide enrollment outcome Application Specialists Activities

  12. What You Will Need to Bring • Medi-Cal & Healthy Families Programs: • Birth Certificate or Immigration papers • Income and/or Deductions statements • Proof of California Residency • If Pregnant: Verification from doctor or clinic • Healthy Kids Program: • Income statements • Proof of that you live in Santa Clara County (Electric Bill, Water Bills, etc.)

  13. How to Apply • CHI Representative Insert Site Address (XXX) XXX-XXXX • Call CHI toll-free number 1-888-244-5222 • Visit the websites: www.CHIkids.org

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