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

                                                      Texas
 Program           Contact                               Program Description                             Estimated
  Name           Information                                                                                Cost
State Kid      877-543-7669          Comprehensive health care with two types of plans:                  $15 or $25
Insurance      www.ers.state.tx.u    HealthSelect and HMOs. Plans cover inpatient and outpatient         per month
Program        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             $50
Health         877-KIDS NOW          (cleanings and fillings), prescription drugs and medical            enrollment
Insurance                            supplies, medical specialists, vaccines, hospital care and          fee every
Program        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              $0
with Special   www.dshs.state.tx.    care, inpatient rehabilitation and outpatient care; speech and
Health Care    us/cshcn              hearing services, vision and dental care; family support and
Needs                                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 or
Perinatal      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           $0
for Children   http://www.dshs.s     diseases.
               tate.tx.us/immuniz
               e/tvfc/tvfc_about.s
               htm

Women-         800-942-3678          Nutrition education and services, breastfeeding promotion           $0 or
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.
Infant-           www.dshs.state.tx.    and education, monthly food prescription of nutritious foods,     minimal
Children          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                                                                            Cost
Medicaid            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–$100
Carolina’s          919-855-4440 (for    immunizations; surgical services; prescription drugs;            enrollment
Health 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 or
Pregnant            TTD: 877-452-        postpartum care, treating medical conditions which may           minimal
Women               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
                    d
Women-              919-707-5800         Nutrition education and services, breastfeeding promotion        $0 or
Infant-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                                                                               cost

Baby 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.htm

NC 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-
                    1922




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.
Florida
  Program             Contact                             Program Description                             Estimated
   Name             Information                                                                              Cost
Medicaid          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 ER
Florida 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 more
Women-            800-342-3556        Nutrition education and services, breastfeeding promotion           $0 or
Infant-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                                                                              Cost
Medicaid          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.aspx

Children’s        800-986-5437        Immunizations, routine check-ups, diagnostic testing;               $0 /month
Health                                prescription drugs; dental, vision, hearing services;               - family
Insurance 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
                                                                                                          family

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.
incomes at
                                                                                                       200%–
                                                                                                       300% FPL

                                                                                                       $195/mont
                                                                                                       h for
                                                                                                       family
                                                                                                       incomes
                                                                                                       above
                                                                                                       300% FPL
Healthy 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                                                                           Cost
KidsCare          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
                                                                                                       children
Women-            800-252-5942         Nutrition education and services, breastfeeding promotion       $0 or
Infant-Children                        and education, monthly food prescription of nutritious foods,   minimal
(WIC)             www.azwic.gov        and maternal, prenatal and pediatric health care services.      share of
                                                                                                       cost
AHCCCS:           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 for
Care Cost         State: 800-962-      planning, dialysis, surgery, behavioral health services,        office
Containment       6690, 800-352-       podiatry, and prescription drugs for non-Medicare recipients.   visits. $5
System            8401                 Children under 21 also receive dental, vision, hearing          for non-
(Arizona’s                             services, and Early and Periodic Screening Diagnosis and        emergency
Medicaid)         www.ahcccs.state     Treatment (EPSDT).                                              visits to ER
                  .az.us




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. Public Health Insurance programs for Children in Texas, North Carolina, Florida, Pennsylvania and Arizona. Texas Program Contact Program Description Estimated Name Information Cost State Kid 877-543-7669 Comprehensive health care with two types of plans: $15 or $25 Insurance www.ers.state.tx.u HealthSelect and HMOs. Plans cover inpatient and outpatient per month Program 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 $50 Health 877-KIDS NOW (cleanings and fillings), prescription drugs and medical enrollment Insurance supplies, medical specialists, vaccines, hospital care and fee every Program 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 $0 with Special www.dshs.state.tx. care, inpatient rehabilitation and outpatient care; speech and Health Care us/cshcn hearing services, vision and dental care; family support and Needs 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 or Perinatal 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 $0 for Children http://www.dshs.s diseases. tate.tx.us/immuniz e/tvfc/tvfc_about.s htm Women- 800-942-3678 Nutrition education and services, breastfeeding promotion $0 or 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.
  • 2. Infant- www.dshs.state.tx. and education, monthly food prescription of nutritious foods, minimal Children 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 Cost Medicaid 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–$100 Carolina’s 919-855-4440 (for immunizations; surgical services; prescription drugs; enrollment Health 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 or Pregnant TTD: 877-452- postpartum care, treating medical conditions which may minimal Women 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 d Women- 919-707-5800 Nutrition education and services, breastfeeding promotion $0 or Infant-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 cost Baby 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.htm NC 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- 1922 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.
  • 3. Florida Program Contact Program Description Estimated Name Information Cost Medicaid 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 ER Florida 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 more Women- 800-342-3556 Nutrition education and services, breastfeeding promotion $0 or Infant-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 Cost Medicaid 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.aspx Children’s 800-986-5437 Immunizations, routine check-ups, diagnostic testing; $0 /month Health prescription drugs; dental, vision, hearing services; - family Insurance 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 family 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.
  • 4. incomes at 200%– 300% FPL $195/mont h for family incomes above 300% FPL Healthy 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 Cost KidsCare 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 children Women- 800-252-5942 Nutrition education and services, breastfeeding promotion $0 or Infant-Children and education, monthly food prescription of nutritious foods, minimal (WIC) www.azwic.gov and maternal, prenatal and pediatric health care services. share of cost AHCCCS: 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 for Care Cost State: 800-962- planning, dialysis, surgery, behavioral health services, office Containment 6690, 800-352- podiatry, and prescription drugs for non-Medicare recipients. visits. $5 System 8401 Children under 21 also receive dental, vision, hearing for non- (Arizona’s services, and Early and Periodic Screening Diagnosis and emergency Medicaid) www.ahcccs.state Treatment (EPSDT). visits to ER .az.us 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.