Public Health Insurance programs for Children in Texas, North Carolina, Florida, Pennsylvania and Arizona.

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As of 4/12/2011 these states that don’t have open-enrollment periods for “child-only” health insurance policies. Information provided by the Foundation for Health Coverage Education and available online at www.CoverageForAll.org or at the U.S. Uninsured Help Line: 800.234.1317.

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Public Health Insurance programs for Children in Texas, North Carolina, Florida, Pennsylvania and Arizona.

  1. 1. Public Health Insurance programs for Children in Texas, North Carolina, Florida, Pennsylvania and Arizona. Texas Program Contact Program Description Estimated Name Information CostState Kid 877-543-7669 Comprehensive health care with two types of plans: $15 or $25Insurance www.ers.state.tx.u HealthSelect and HMOs. Plans cover inpatient and outpatient per monthProgram s/insurance/skip/d hospital services, physician services, prescription drugs, etc.(SKIP) efault.aspx Must wait at least 90 days before health coverage starts.Children’s 800-647-6558, Choice of doctors, check-ups, office visits, dental care $50Health 877-KIDS NOW (cleanings and fillings), prescription drugs and medical enrollmentInsurance supplies, medical specialists, vaccines, hospital care and fee everyProgram www.chipmedicaid services, x-rays and lab tests, mental health care, treatment of year(CHIP) .org special health needs, eye exams and glasses. First time Copayment enrollees in CHIP who previously had private health insurance s between will have a 90-day waiting period for benefits. Exceptions: $3 to Children who lost insurance due to parents’ loss of job and/or $10per dependent coverage or change in marital status; children who month lost Medicaid eligibility or had prior insurance that cost 10% or more of family income; new children (e.g. newborns) added to current CHIP account.Medicaid 800-647-6558, Choice of doctors, check-ups, office visits, dental care $0 877-KIDS NOW (cleanings and fillings), prescription drugs and medical supplies, medical specialists, vaccines, hospital care and www.chipmedicaid services, x-rays and lab tests, mental health care, treatment of .org special health needs, eye exams and glasses.Children 800-252-8023 Ambulances, ambulatory surgery; primary and preventive $0with Special www.dshs.state.tx. care, inpatient rehabilitation and outpatient care; speech andHealth Care us/cshcn hearing services, vision and dental care; family support andNeeds mental health; laboratory and radiology, equipment and(CSHCN) medical supplies; home health nursing, hospice and hospital care; meals, lodging and medical transportation and medicines; occupational and physical therapy; orthotics and prosthetics; special nutritional products; insurance premium payment assistance and case management.CHIP 800-647-6558, Offers care before child is born and 12 months after child is $0 orPerinatal 877-KIDS NOW enrolled. Benefits include up to 20 prenatal visits, minimal www.chipmedicaid prescriptions and prenatal vitamins, labor with delivery of the share of .org baby, 2 doctor visits for the mother after the baby is born, and cost regular check-ups, immunizations and prescriptions for the baby after the baby leaves the hospital.TX Vaccines 800-252-9152 Vaccinations to protect children from vaccine-preventable $0for Children http://www.dshs.s diseases. tate.tx.us/immuniz e/tvfc/tvfc_about.s htmWomen- 800-942-3678 Nutrition education and services, breastfeeding promotion $0 orAs of 4/12/2011 these states that don’t have open-enrollment periods for “child-only” health insurancepolicies. Information provided by the Foundation for Health Coverage Education and available online atwww.CoverageForAll.org or at the U.S. Uninsured Help Line: 800.234.1317.
  2. 2. Infant- www.dshs.state.tx. and education, monthly food prescription of nutritious foods, minimalChildren us/wichd/default.s and maternal, prenatal and pediatric health care services. share of(WIC) htm cost North Carolina Program Contact Program Description Estimated Name Information CostMedicaid 800-662-7030, Inpatient hospital services outpatient hospital services, $0 or 919-855-4400 (for prenatal care; vaccines for children; physician services, minimal Wake County), nursing facility services for persons ages 21 or older; family share of TTY: 919-733- planning services and supplies; rural health clinic services; cost 4851 home health care for persons eligible for skilled nursing services; laboratory and x-ray services; pediatric and family www.ncdhhs.gov/ nurse practitioner services; nurse/midwife services and dma/medicaid/ possibly more.North 800-662-7030, Hospital care; outpatient care; physician and clinic services; $0–$100Carolina’s 919-855-4440 (for immunizations; surgical services; prescription drugs; enrollmentHealth Choice Wake County) laboratory and radiology services; mental health services; fee; $1– durable medical equipment and supplies; vision; hearing; $25 co- www.ncdhhs.gov/ home health care; nursing care; dental care; substance abuse pays dma/healthchoice treatment; physical therapy, occupational therapy and depending / therapy for individuals with speech, hearing and language on service disorders; hospice care and possibly more.Medicaid for 919-707-5700, Maternity services only. Prenatal care, delivery and 60 days $0 orPregnant TTD: 877-452- postpartum care, treating medical conditions which may minimalWomen 2514 complicate the pregnancy (approval for some services share of needed), childbirth and parenting classes, family planning, cost www.dhhs.state.n Maternity Care Coordination services. c.us/dma/medicai dWomen- 919-707-5800 Nutrition education and services, breastfeeding promotion $0 orInfant-Children and education, monthly food prescription of nutritious foods, minimal(WIC) www.nutritionnc. and maternal, prenatal and pediatric health care services. share of com/wic costBaby Love 919-855-4260 Maternity care coordination, childbirth education classes, $0 or counseling and emotional support, medical home visits, and minimal www.ncdhhs.gov/ referral to other programs. share of dma/services/bab cost ylove.htmNC Family 800-FOR-BABY, Provides information, referral and advocacy services for $0 (toll-Health 800-367-2229 pregnancy and child care issues. free)Resource Line TTY: 1-800-976- 1922As of 4/12/2011 these states that don’t have open-enrollment periods for “child-only” health insurancepolicies. Information provided by the Foundation for Health Coverage Education and available online atwww.CoverageForAll.org or at the U.S. Uninsured Help Line: 800.234.1317.
  3. 3. Florida Program Contact Program Description Estimated Name Information CostMedicaid 850-488-3560 Among some of the services: ambulatory surgical centers, $0–$3 co- birth center services, child health check-ups, chiropractic pays per www.fdhc.state.fl care, durable medical equipment and supplies, federally visit. 5% of .us/Medicaid qualified health centers, home health hospital payment inpatient/outpatient care, laboratory, licensed midwives, up to physician, podiatry prescriptions, rural health clinics, therapy, $15/visit x-rays. for non- emergency services in the ERFlorida KidCare 888-540-5437 Comprehensive health insurance coverage. Benefits vary Most 877-316-8748 based on the segment of the program in which a child families TTD participates: MediKids, Healthy Kids, or the Children’s pay either Medical Services (CMS) Network for children with special $15 or $20 www.floridakidca health care needs. per month. re.org Some may pay moreWomen- 800-342-3556 Nutrition education and services, breastfeeding promotion $0 orInfant-Children www.doh.state.fl. and education, monthly food prescription of nutritious foods, minimal(WIC) us/family/wic/ and maternal, prenatal and pediatric health care services. share of cost Pennsylvania Program Contact Program Description Estimated Name Information CostMedicaid 866-542-3015 Office visits, prescription drugs, immunizations, vision testing $0–$3 co- www.dpw.state.p and eyeglasses, emergency room care, lab testing and x-rays, pays. $3– a.us hearing testing and hearing aids, mental and substance abuse $21 per For more treatment. hospital information call admission your local county (except in office: institution for mental www.humanservi diseases) ces.state.pa.us/C ompass.Web/CM HOM.aspxChildren’s 800-986-5437 Immunizations, routine check-ups, diagnostic testing; $0 /monthHealth prescription drugs; dental, vision, hearing services; - familyInsurance Plan www.chipcoversp emergency care, maternity care; mental health benefits and incomes up(CHIP) akids.com up to 90 days hospitalization in any year; durable medical to 200% equipment; substance abuse treatment; partial FPL hospitalization for mental health services; rehabilitation therapies; home health care. $43–$68 / month for familyAs of 4/12/2011 these states that don’t have open-enrollment periods for “child-only” health insurancepolicies. Information provided by the Foundation for Health Coverage Education and available online atwww.CoverageForAll.org or at the U.S. Uninsured Help Line: 800.234.1317.
  4. 4. incomes at 200%– 300% FPL $195/mont h for family incomes above 300% FPLHealthy Baby 800-986-BABY, Healthy Baby provides health insurance assistance $0 (toll-Help Line 800-986-2229 information and referral service for pregnant women. free) Arizona Program Contact Program Description Estimated Name Information CostKidsCare 877- 764-5437 A wide array of medical services including behavioral health $10 to $25 602- 417-5437 services. per month for one www.kidscare.sta child te.az.us $15 to $35 per month for two or more childrenWomen- 800-252-5942 Nutrition education and services, breastfeeding promotion $0 orInfant-Children and education, monthly food prescription of nutritious foods, minimal(WIC) www.azwic.gov and maternal, prenatal and pediatric health care services. share of costAHCCCS: In State: 602-542- Some benefits include preventive care, doctor’s visits, $0–$1 co-Arizona Health 9935, Out-of- hospital services, lab and x-rays, emergency care, family pay forCare Cost State: 800-962- planning, dialysis, surgery, behavioral health services, officeContainment 6690, 800-352- podiatry, and prescription drugs for non-Medicare recipients. visits. $5System 8401 Children under 21 also receive dental, vision, hearing for non-(Arizona’s services, and Early and Periodic Screening Diagnosis and emergencyMedicaid) www.ahcccs.state Treatment (EPSDT). visits to ER .az.usAs of 4/12/2011 these states that don’t have open-enrollment periods for “child-only” health insurancepolicies. Information provided by the Foundation for Health Coverage Education and available online atwww.CoverageForAll.org or at the U.S. Uninsured Help Line: 800.234.1317.

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