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

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Presentation on theme: "Health Care Programs à Medi-Cal for Children à Healthy Families à Healthy Kids."— Presentation transcript:

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2 Health Care Programs à Medi-Cal for Children à Healthy Families à Healthy Kids

3 What is *Medi-Cal for Children? à Comprehensive health, dental, and vision benefits for children (birth to 19) à No monthly premiums à 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

4 What is Healthy Families? à Comprehensive health, dental, and vision benefits for children (birth to 19) à Low monthly premiums ($4 - $9) à 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

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

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

7 What Qualifies You? à Family Size à Age of Child à Income

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

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

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

11 Qualifying Age (years) *Children under 19 years of age may also qualify for Share of Cost Medi-Cal Coverage - Children < 19 Years Healthy Families No Cost Medi-Cal 0 100 133 200 300 250 <1 1-66-19 0-19 Healthy Kids Regardless ofimmigration status Income Above FPL (%)

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

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

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


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