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Child Health Plus
Who is eligible?
To be eligible for either Children's Medicaid or Child Health Plus, children must be under the age of 19 and be residents of New York State. Whether a child qualifies for Children's Medicaid or Child Health Plus depends on gross family income. Children who are not eligible for Medicaid can enroll in Child Health Plus if they don't already have health insurance and are not eligible for coverage under the public employees' state health benefits plan. Some children who were covered by employer-based health insurance within the past six months may be subject to a waiting period before they can be enrolled in Child Health Plus. Determining whether your child is subject to a waiting period will depend on your household income and the reason your child(ren) lost employer-based coverage. Check the following income charts to see whether your child will most likely qualify for Children's Medicaid or Child Health Plus.
Child Health Plus
Final 2008 Family Contributions by Income and Household Size
(For Enrollment Effective On or After 9/1/2008)
| Family Contributions |
Monthly Income by Family Size* |
Each Add'l
Person, Add: | | 1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
| Free Insurance |
$1,386 |
$1,866 |
$2,346 |
$2,826 |
$3,306 |
$3,786 |
$4,266 |
$4,746 |
$480 |
$9 per Child per Month
(Maximum of $27 per family) |
$1,924 |
$2,590 |
$3,256 |
$3,922 |
$4,588 |
$5,254 |
$5,920 |
$6,586 |
$666 |
$15 per Child per Month
(Maximum of $45 per family) |
$2,167 |
$2,917 |
$3,667 |
$4,417 |
$5,167 |
$5,917 |
$6,667 |
$7,417 |
$750 |
$20 per Child per Month
(Maximum of $60 per family) |
$2,600 |
$3,500 |
$4,400 |
$5,300 |
$6,200 |
$7,100 |
$8,000 |
$8,900 |
$900 |
$30 per Child per Month
(Maximum of $90 per family) |
$3,034 |
$4,084 |
$5,134 |
$6,184 |
$7,234 |
$8,284 |
$9,334 |
$10,384 |
$1050 |
$40 per Child per Month
(Maximum of $120 per family) |
$3,467 |
$4,667 |
$5,867 |
$7,067 |
$8,267 |
$9,467 |
$10,667 |
$11,867 |
$1200 |
Full Premium per Child
per Month |
Over
$3,467 |
Over
$4,667 |
Over
$5,867 |
Over
$7,067 |
Over
$8,267 |
Over
$9,467 |
Over
$10,667 |
Over
$11,867 |
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*Pregnant women count as two
Medicaid and PCAP
Final 2008 Income Eligibility Levels
(Effective 1/1/2008)
| Age Catagories for Children |
Monthly Income by Family Size |
Each Add'l
Person, Add: |
| 1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
Children Under 1 Year;
Pregnant Women* |
$1,734 |
$2,334 |
$2,934 |
$3,534 |
$4,134 |
$4,734 |
$5,334 |
$5,934 |
$600 |
| Children 1-5 Years |
$1,153 |
$1,552 |
$1,951 |
$2,350 |
$2,749 |
$3,148 |
$3,547 |
$3,946 |
$399 |
| Children 6-18 Years |
$867 |
$1,167 |
$1,467 |
$1,767 |
$2,067 |
$2,367 |
$2,667 |
$2,967 |
$300 |
*Pregnant women count as two
Revised 08/2008
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