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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 • 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 Health Plans:Santa Clara Family Health Plan or Blue Cross Dental Plan:Denti-Cal Vision Plan: Vision Service Plan * Full Scope Medi-Cal
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
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
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
What Qualifies You? • Family Size • Age of Child • Income
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
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.
Immigration Status - (Cont.) Healthy Kids If you are eligible for Healthy Kids, immigration status is not considered
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
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
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.)
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