The federal government manages Children’s Medicaid, a type of public insurance that doesn’t charge you a monthly fee. However, sometimes you have to pay a small fee for some services, and other times you don’t have to. Under Medicaid, the most you would ever have to pay in copays in a year is $200.
Your child is eligible for Children’s Medicaid if:
• It is 1-18 years old
• It resides in NYS and is a U.S. Citizen, National, or a Non-Citizen legally admitted into the U.S
• The amount of money you make is equal or lower than on a portion of the Federal Poverty Level that is set by New York State. See if your income qualifies by checking this Glance Card.
Every year, the insurance must be renewed. See details at info.nystateofhealth.ny.gov/COVID-19-Changes. To apply go to nystateofhealth.ny.gov.
Child Health Plus is New York State’s child health insurance program. Depending on your income, the amount you pay each month may be fully subsidized, somewhat subsidized, or not subsidized at all. The monthly fee however is capped at three children for bigger families. Families with income above the low-income threshold for subsidies may have to pay the whole premium, which varies by health plan. In contrast, low-income households are not required to pay a premium.
One of the good things about Child Health Plus is that there are no annual deductibles. You can also sign up your kid for it at any time of the year through the NY State of Health.
Your child is eligible for Child Health Plus if:
– It is less than 19 years old
– It is not eligible for Children Medicaid
– It cannot be covered by other health insurance
– It resides in New York State, no matter its immigration status
For more information about Child Health Plus, check out this Glance Card. Every year, Child Health Plus must be renewed. See details at info.nystateofhealth.ny.gov/COVID-19-Changes.
Learn if your child qualifies for either Medicaid or Child Health Plus at health.ny.gov/health_care/child_health_plus/eligibility_and_cost. For other questions, call this toll-free number: 1-800-698-4KIDS (1-800-698-4543), and ask about Child Health Plus or Children’s Medicaid. If you are hearing impaired, call the TTY number, 1-877-898-5849.
Updated on February 27, 2024