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Child Health Plus NY

Child Health Plus NY is a health insurance program for children in New York State.

• Ages 19 and under
• Reside in New York
• Uninsured or underinsured
• Meet income requirements

Child Health Plus NY provides comprehensive health coverage, including:

• Doctor visits
• Hospital stays
• Prescriptions
• Dental care
• Vision care
• Mental health care

Ages 19 and under

Child Health Plus NY is available to children and young adults under the age of 19. This includes:

• Infants and toddlers: Children from birth to age 2 are eligible for Child Health Plus NY regardless of their family’s income.
• Children and adolescents: Children and adolescents ages 3 to 18 are eligible for Child Health Plus NY if their family’s income is below a certain level. The income limit varies depending on the size of the family.
• Young adults: Young adults ages 19 and 20 are eligible for Child Health Plus NY if they are still in school and meet the income requirements.

Child Health Plus NY provides comprehensive health coverage for children and young adults, including doctor visits, hospital stays, prescriptions, dental care, vision care, and mental health care.

Reside in New York

Child Health Plus NY is available to children and young adults who reside in New York State. This includes:

• U.S. citizens: Children and young adults who are U.S. citizens are eligible for Child Health Plus NY regardless of their immigration status.
• Lawful permanent residents: Children and young adults who are lawful permanent residents are eligible for Child Health Plus NY.
• Undocumented immigrants: Undocumented immigrant children and young adults are eligible for Child Health Plus NY if they meet the income requirements.

To apply for Child Health Plus NY, you will need to provide proof of residency, such as a utility bill or a lease agreement.

Uninsured or underinsured

Child Health Plus NY is available to children and young adults who are uninsured or underinsured. This means that they do not have health insurance or their health insurance does not cover all of the essential health benefits.

Underinsured children and young adults may be eligible for Child Health Plus NY if their health insurance does not cover all of the following essential health benefits:

• Doctor visits
• Hospital stays
• Prescriptions
• Dental care
• Vision care
• Mental health care

Child Health Plus NY provides comprehensive health coverage for children and young adults, including all of the essential health benefits. This means that children and young adults with Child Health Plus NY will have access to the health care they need to stay healthy and well.

If you are unsure whether your child or young adult is uninsured or underinsured, you can contact the Child Health Plus NY program for more information.

Meet income requirements

Child Health Plus NY is available to children and young adults who meet certain income requirements. The income limits vary depending on the size of the family and the age of the child or young adult.

For example, in 2023, a family of four with an income of up to $86,250 per year is eligible for Child Health Plus NY. A child or young adult who is 19 or 20 years old and is still in school is eligible for Child Health Plus NY if their family’s income is up to $48,500 per year.

To apply for Child Health Plus NY, you will need to provide proof of income, such as a pay stub or a tax return.

If you are unsure whether your family meets the income requirements for Child Health Plus NY, you can contact the program for more information.

Doctor visits

Child Health Plus NY covers doctor visits for children and young adults, including:

• Well-child visits: These visits are recommended by the American Academy of Pediatrics and help to ensure that children and young adults are growing and developing properly. Well-child visits also include immunizations.
• Sick visits: These visits are for when children and young adults are sick or injured. Sick visits can be used to diagnose and treat a variety of illnesses and injuries, such as colds, flu, ear infections, and broken bones.
• Specialist visits: These visits are for when children and young adults need to see a specialist, such as a pediatrician, cardiologist, or neurologist. Specialist visits can be used to diagnose and treat a variety of complex medical conditions.
• Urgent care visits: These visits are for when children and young adults need medical attention but it is not an emergency. Urgent care visits can be used to treat a variety of minor injuries and illnesses, such as sprains, strains, and cuts.

Child Health Plus NY covers doctor visits at a variety of locations, including pediatricians’ offices, family health centers, and urgent care centers.

Hospital stays

Child Health Plus NY covers hospital stays for children and young adults, including:

• Inpatient stays: These stays are for when children and young adults need to be admitted to the hospital for treatment. Inpatient stays can be used to treat a variety of medical conditions, such as pneumonia, asthma, and appendicitis.
• Outpatient stays: These stays are for when children and young adults need to receive medical treatment at the hospital but do not need to be admitted. Outpatient stays can be used to treat a variety of medical conditions, such as injuries, infections, and chronic illnesses.
• Emergency room visits: These visits are for when children and young adults need immediate medical attention. Emergency room visits can be used to treat a variety of injuries and illnesses, such as broken bones, lacerations, and heart attacks.

Child Health Plus NY covers hospital stays at a variety of hospitals, including children’s hospitals, general hospitals, and specialty hospitals.

Prescriptions

Child Health Plus NY covers prescription drugs for children and young adults, including:

• Brand-name drugs
• Generic drugs
• Over-the-counter drugs

Child Health Plus NY covers prescription drugs for a variety of medical conditions, such as:

• Asthma
• Diabetes
• Epilepsy
• Heart disease
• Mental illness

Child Health Plus NY also covers prescription drugs for children and young adults who are in foster care or who are adopted.

To get prescription drugs covered by Child Health Plus NY, you will need to get a prescription from a doctor. You can then fill your prescription at any pharmacy that accepts Child Health Plus NY.

Dental care

Child Health Plus NY covers dental care for children and young adults, including:

• Preventive care: This care includes regular checkups, cleanings, and fluoride treatments. Preventive care helps to keep teeth and gums healthy and can help to prevent cavities and other dental problems.
• Basic care: This care includes fillings, crowns, and root canals. Basic care helps to restore teeth that have been damaged by cavities or other dental problems.
• Major care: This care includes orthodontics, surgery, and other complex procedures. Major care is used to treat severe dental problems that cannot be treated with preventive or basic care.

Child Health Plus NY covers dental care at a variety of locations, including dentists’ offices, dental clinics, and hospitals.

Vision care

Child Health Plus NY covers vision care for children and young adults, including:

• Eye exams: These exams are used to check for vision problems, such as nearsightedness, farsightedness, and astigmatism. Eye exams also include a check for eye diseases, such as glaucoma and cataracts.
• Eyeglasses and contact lenses: These devices are used to correct vision problems. Eyeglasses and contact lenses are covered by Child Health Plus NY if they are prescribed by an eye doctor.
• Vision therapy: This therapy is used to treat vision problems, such as lazy eye and strabismus. Vision therapy is covered by Child Health Plus NY if it is prescribed by an eye doctor.

Child Health Plus NY covers vision care at a variety of locations, including optometrists’ offices, ophthalmologists’ offices, and vision clinics.

Mental health care

Child Health Plus NY covers mental health care for children and young adults, including:

• Therapy: This care includes individual therapy, group therapy, and family therapy. Therapy can help children and young adults to manage mental health conditions, such as depression, anxiety, and post-traumatic stress disorder (PTSD).
• Medication: This care includes medication to treat mental health conditions. Mental health medication can help to improve symptoms and make it easier for children and young adults to function in everyday life.
• Case management: This care includes help with finding and accessing mental health services. Case managers can also help children and young adults to coordinate their care and to stay on track with their treatment plans.

Child Health Plus NY covers mental health care at a variety of locations, including mental health clinics, schools, and hospitals.

FAQ

Here are some frequently asked questions about Child Health Plus NY:

Question 1: Who is eligible for Child Health Plus NY?
Answer 1: Child Health Plus NY is available to children and young adults under the age of 19 who are uninsured or underinsured and who meet certain income requirements.

Question 2: What does Child Health Plus NY cover?
Answer 2: Child Health Plus NY covers a comprehensive range of health care services, including doctor visits, hospital stays, prescriptions, dental care, vision care, and mental health care.

Question 3: How do I apply for Child Health Plus NY?
Answer 3: You can apply for Child Health Plus NY online, by mail, or by phone. You will need to provide proof of your child’s or young adult’s identity, residency, and income.

Question 4: How much does Child Health Plus NY cost?
Answer 4: Child Health Plus NY is free for children and young adults who are under the age of 1, and for children and young adults who are in foster care or who are adopted. For other children and young adults, the cost of Child Health Plus NY is based on a sliding scale, and it depends on the family’s income.

Question 5: Where can I find a doctor or dentist who accepts Child Health Plus NY?
Answer 5: You can find a doctor or dentist who accepts Child Health Plus NY by using the Child Health Plus NY provider directory.

Question 6: What if I have other questions about Child Health Plus NY?
Answer 6: You can contact the Child Health Plus NY customer service line at 1-800-698-4569.

We hope this FAQ has been helpful. If you have any other questions, please do not hesitate to contact us.

Now that you know more about Child Health Plus NY, you can take steps to get your child or young adult enrolled in this important program.

Tips

Here are a few tips to help you get the most out of Child Health Plus NY:

Tip 1: Apply early. The sooner you apply for Child Health Plus NY, the sooner your child or young adult will be able to get the health care they need.

Tip 2: Keep your contact information up to date. If you move or change your phone number, be sure to update your contact information with Child Health Plus NY so that they can reach you if they need to.

Tip 3: Use the Child Health Plus NY provider directory. The provider directory can help you find a doctor or dentist who accepts Child Health Plus NY and who is located near you.

Tip 4: Take advantage of preventive care. Preventive care is important for keeping children and young adults healthy and can help to prevent serious health problems in the future. Child Health Plus NY covers a wide range of preventive care services, such as well-child visits, immunizations, and dental checkups.

We hope these tips have been helpful. If you have any other questions, please do not hesitate to contact the Child Health Plus NY customer service line at 1-800-698-4569.

Child Health Plus NY is a valuable program that can help to ensure that children and young adults in New York State have access to the health care they need. By following these tips, you can help your child or young adult get the most out of this important program.

Conclusion

Child Health Plus NY is a comprehensive health insurance program for children and young adults in New York State. This program provides access to a wide range of health care services, including doctor visits, hospital stays, prescriptions, dental care, vision care, and mental health care.

Child Health Plus NY is available to children and young adults who are uninsured or underinsured and who meet certain income requirements. The program is free for children and young adults who are under the age of 1, and for children and young adults who are in foster care or who are adopted. For other children and young adults, the cost of Child Health Plus NY is based on a sliding scale, and it depends on the family’s income.

Child Health Plus NY is a valuable program that can help to ensure that children and young adults in New York State have access to the health care they need. By providing comprehensive health coverage, Child Health Plus NY can help children and young adults to stay healthy and well.

If you have a child or young adult who is uninsured or underinsured, we encourage you to apply for Child Health Plus NY today. You can apply online, by mail, or by phone. For more information, please visit the Child Health Plus NY website or call the customer service line at 1-800-698-4569.