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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
Health Care Programs
  • Medi-Cal for Children
  • Healthy Families
  • Healthy Kids
what is medi cal for children
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
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
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
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
What Qualifies You?
  • Family Size
  • Age of Child
  • Income
who qualifies
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

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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.

slide10

Immigration Status - (Cont.)

Healthy Kids

If you are eligible for Healthy Kids, immigration status is not considered

slide11

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

application specialists activities
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
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.)
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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