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.
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.