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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

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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


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