Child Health Plus

The Child Health Plus program is a New York State program which offers free or low cost health insurance to children up to age 19 who do not have Medicaid and who have little or no health insurance. The program also provides benefits to children who do not have proof that they are in the country legally.

In order to receive services under Child Health Plus, you must fill out a separate application. You can enroll your grandchild in one of several providers available throughout New York State.

If you would like to find the provider nearest you or would like an application with a list of providers, call 1-800-698-4543 or call the New York state hotline at 1-800-522-5006.

Source: Brookdale Center on Aging...HELP Booklet

Who can receive child health plus benefits?
In order to be eligible for the Child Health Plus program, children must:

  • live in New York State;
  • be under 19 years of age;
  • not receive Medicaid; and
  • have little or no other health insurance.

Is Child Health Plus free for the children?
It depends. The cost of Child Health Plus depends on the size of the family and the family's income. If your grandchild has income over a certain limit, you may have to pay a premium. Your premium, however, will probably be less than you would pay for other private insurance. There are no copayments for the benefits and services received.

Does the child have to be an American citizen?
No. Children who are not United States citizens, or children who do not have documents showing that they are legally in the United States, can apply for the Child Health Plus program as long as they live in New York State.

Will my Income be counted when my grandchild applies for Child Health Plus?
It depends. Your income does not count when you apply for child Health Plus for your grandchild, unless you have adopted your grandchild. However, you grandchild's income will be counted.

You should apply for the Child Health Plus program for your grandchild if they have little or no income and little or no medical insurance.

Is my grandchild eligible for Child Health Plus even if she does not receive family assistance?
Yes. Your grandchild may be eligible for Child Health Plus even if she does not receive Family Assistance or assistance from other benefit programs. She must, however, live in New York state, be under the age of 19, and have little or no medical insurance.

What services are covered under Child Health Plus?
The medical coverage provided under the Child Health Plus program includes:

  • emergency care;
  • regular doctors visits (physical examinations and well child care);
  • diagnosis and treatment or illness or injuries;
  • screening for lead poisoning;
  • prescription and non–prescription dugs ordered by a doctor;
  • laboratory and x-rays;
  • immunizations;
  • physical therapy;
  • outpatient surgery;
  • hospitalization and surgical care;
  • vision, speech and hearing exams;
  • dental care;
  • limited treatment for alcoholism and substance abuse;
  • short-term therapeutic outpatient services (chemotherapy and hemodialysis);
  • limited mental health services, and
  • durable medical equipment, like wheelchairs.

Where will my grandchild receive health care?
You grandchild will receive services at your nearest Child Health Plus provider. Your grandchild will receive health care services from one doctor, a group practice with several doctors, or a community health center.

Where do I apply for Child Health Plus for my grandchild?
For applications or information, you can visit your nearest Child Health Plus provider (look for signs in your neighborhood) or call:

1-800-522-5006 or 1-800-698-4543