Health Care ProgramsHealth Care Programs

Medi-Cal for Medi-Cal for ChildrenChildren

Healthy FamiliesHealthy Families

Healthy Kids Healthy Kids

What is *Medi-Cal for What is *Medi-Cal for Children?Children? Comprehensive health, dental, and vision Comprehensive health, dental, and vision benefits for children (birth to 19) benefits for children (birth to 19) No monthly premiumsNo monthly premiums No co-payments for any service No co-payments for any service

Health Plans:Health Plans: Santa Clara Family Health Plan Santa Clara Family Health Plan

or Blue Cross or Blue Cross

Dental Plan:Dental Plan: Denti-CalDenti-Cal Vision Plan: Vision Plan: Vision Service PlanVision Service Plan

* Full Scope Medi-Cal* Full Scope Medi-Cal

What is Healthy Families?What is Healthy Families? Comprehensive health, dental, and vision Comprehensive health, dental, and vision

benefits for children (birth to 19) benefits for children (birth to 19) Low monthly premiums ($4 - $9)Low monthly premiums ($4 - $9) No co-payments for preventive services No co-payments for preventive services

and $5 for other services and $5 for other services

Health Plans:Health Plans: Santa Clara Family Health Plan, Santa Clara Family Health Plan, Blue Cross, Kaiser, Blue Cross, Kaiser, Blue Shield, Health Net Blue Shield, Health Net

Dental Plans:Dental Plans: Delta Dental, Access Dental, Delta Dental, Access Dental, Health Net Dental Health Net Dental

Vision Plan:Vision Plan: Vision Service PlanVision Service Plan

What is Healthy Kids?What is Healthy Kids?

Created to fill the insurance gaps for Created to fill the insurance gaps for kids in Santa Clara County kids in Santa Clara County

Healthy Families look-a-likeHealthy Families look-a-like BenefitsBenefits Family contributions / premiumsFamily contributions / premiums

Health Plan:Health Plan: Only Santa Clara Family Only Santa Clara Family Health Health Plan offers Healthy Kids Plan offers Healthy Kids

Dental Plan:Dental Plan: Delta DentalDelta Dental

Vision Plan:Vision Plan: Vision Service PlanVision Service Plan

What’s Covered? What’s Covered? All three programs include:All three programs include:

Full medical, including prescriptionsFull medical, including prescriptions Inpatient careInpatient care Physician visitsPhysician visits Prevention services Prevention services

Well-baby visitsWell-baby visits Health educationHealth education Dental careDental care Vision servicesVision services Alcohol and substance abuse care Alcohol and substance abuse care Mental healthMental health

What Qualifies You?What Qualifies You?

Family SizeFamily Size

Age of ChildAge of Child

Income Income

Who Qualifies?Who Qualifies?

Children up to their 19th birthday, Children up to their 19th birthday, *regardless of their immigration status*regardless of their immigration status

Families with incomes at or below Families with incomes at or below 300% 300% of the Federal Poverty Level of the Federal Poverty Level

Children without health insuranceChildren without health insurance

Children who live in Santa Clara Children who live in Santa Clara County County

* Healthy Kids* Healthy Kids

NotNot hurt your chances to get a green hurt your chances to get a green cardcard

NotNot endanger your current green card endanger your current green card

NotNot prevent you from entering the prevent you from entering the country country so long as you are not gone for more so long as you are not gone for more than than six months six months

NotNot keep you from sponsoring someone keep you from sponsoring someone

to come to the US to come to the US

Immigration Status Immigration Status

Applying for Medi-Cal or Applying for Medi-Cal or Healthy Families will:Healthy Families will:

Source: Immigration & Naturalization Service, May 25, Source: Immigration & Naturalization Service, May 25, 1999.1999.

Immigration Status - Immigration Status - (Cont.)(Cont.)

If you are eligible for Healthy If you are eligible for Healthy Kids, immigration status is Kids, immigration status is

not considerednot considered

Healthy KidsHealthy Kids

Qualifying Age (years)

*Children under 19 years of age may also qualify for Share of Cost Medi-Cal

Coverage - Children < 19 Coverage - Children < 19 YearsYears

Healthy Families

No Cost Medi-Cal

0

100

133

200

300

250

<1 1-6 6-19 0-19

Healthy Kids

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imm

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tio

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tatu

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Inco

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Ab

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FP

L (

%)

Application Specialists Application Specialists Activities Activities Pre-screen clients for Medi-Cal, Pre-screen clients for Medi-Cal,

Healthy Families, and Healthy Kids Healthy Families, and Healthy Kids

Assist families in completing Assist families in completing appropriate application(s) appropriate application(s)

Educate families on the insurance Educate families on the insurance membership process membership process

Follow-up to provide enrollment Follow-up to provide enrollment outcome outcome

What You Will Need to What You Will Need to BringBringMedi-Cal & Healthy Families Medi-Cal & Healthy Families

Programs:Programs: Birth Certificate or Immigration Birth Certificate or Immigration

paperspapers Income and/or Deductions statementsIncome and/or Deductions statements Proof of California Residency Proof of California Residency If Pregnant: Verification from doctor If Pregnant: Verification from doctor

or clinicor clinic

Healthy Kids Program:Healthy Kids Program: Income statementsIncome statements Proof of that you live in Santa Clara Proof of that you live in Santa Clara

County County

(Electric Bill, Water Bills, etc.)(Electric Bill, Water Bills, etc.)

CHI Representative CHI Representative

Insert Site Address Insert Site Address

(XXX) XXX-XXXX (XXX) XXX-XXXX

Call CHI toll-free number Call CHI toll-free number

1-888-244-52221-888-244-5222

Visit the websites: Visit the websites:

www.CHIkids.orgwww.CHIkids.org

How to ApplyHow to Apply