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Who
is Eligible?
Children newborn through 18 years of age.
Children in qualifying middle- or low-income families. For example, a family
of four that earns about $58,000 or less a year would be eligible.
Children not covered by insurance through an employer.
Immigration status does not matter.
Participating
Programs
- Medi-Cal
- Healthy Families
- Kaiser Child Health Plan
- Healthy Kids
For the children
who meet the eligibility criterion above but who do not qualify
for Medi-Cal or Healthy Families and who
don’t live in an area covered by Kaiser Child Health Plan.
Covered Services
- Doctor Check-ups
- Specialist Care
- Prescription Coverage
- Vision and Dental Care
- Hospital Visits
- Emergency Care
- Mental Health Care
- Alcohol and Drug Treatment
- A 24-hour nurse help line
What is the Cost?
(Healthy Families/Healthy Kids/Kaiser)
Insurance may be free or at a very low cost.
We will help you apply for the best
insurance program.
Healthy Families Cost
Premiums
Healthy Families applicants pay a monthly premium . The premium is
between $4 and $15 for each child — up to a maximum amount
of $45 a month for all children in the family.
Co-payments
Healthy Family members also pay a co-payment (usually $5) for most
services. Co-payments are payments for visits to the doctor, for
prescription drugs, for emergency services or other services. Some
services are free. Free services include immunizations and other
preventive care.
The most a family has to pay in co-payments is $250 per year.
For children of American Indian descent or
Alaska Natives, premiums
and co-payments may be waived (free).
Kaiser Child Health Plan Cost
Monthly Premiums
Monthly premiums range from $8 to $15 per child, up to three children,
depending on income levels. Additional children are covered at no
extra premium.
Co-Payments
The co-payment limit for the year is $250 for one child, $500 for
two children or more.
Healthy Kids Cost
Monthly Premiums
Depending on how much a family earns in a year, premiums range from
$4 to $12 per child per month, up to three children.
Co-Payments
When you visit a doctor, there may be a small co-payment at the time
of the visit. Well-child visits and shots (immunizations) are
free.
Sick child, dental, eye visits, emergency room visits and prescriptions
are $5.
How to Enroll?
Certified Application Assistants are available in
several Yolo County communities. You will need to bring the following
documentation:
- Proof of income
- Proof of age of child
- Proof that you
live in Yolo County.
A Certified Application Assistant will answer your questions and
help you make the right choice for insuring your child. Every
call, every conversation is
kept confidential, so your privacy is protected. Our goal is to build
trust with you and your family and to be there to help you every
step of the
way. Call the number below in your community to make an appointment.
In Woodland and Winters:
Yolo Family Resource Center
(530) 406-7221
409 Lincoln Ave.
In Davis:
CommuniCare Health Center
(530) 758-2060
2040 Sutter Place
In Esparto, Capay Valley:
RISE
(530)787-4110
17313 Fremont Street
In In West Sacramento:
Salud Clini
(916) 375-6400
500B Jefferson Blvd. #180
How
to Keep Your Coverage
For Healthy Kids, you will need to re-apply once
a year. A re-enrollment packet will be sent to you about 2 1⁄2
months before your year is up. |
¿ Quien
es Elegible?
Niños recién nacidos hasta los 18 años
de edad.
Niños en familias que califiquen de medio
o bajo ingresos. Por ejemplo, una familia de cuatro con ingresos de
$58,000 o menos al año calificaría para este programa.
Niños que no son cubiertos por un seguro proveído
por un empleador.
El estatus inmigratorio del niño no importa.
Programas Participantes
- Medi-Cal
- Healthy Families
- Kaiser Child Health Plan
- Healthy Kids
Para los niños que satisfacen el criterio de elegibilidad
descrito arriba pero quienes no califican para Medi-Cal o Healthy
Families y no viven en el área
de cobertura de Kaiser Child Health Plan. Servicios Cubiertos
- Chequeos del Doctor
- Servicios de Especialista
- Cobertura de Recetas
- Servicios de Visión y Dental
- Visitas al Hospital
- Servicios de Emergencia
- Servicios de Salud Mental
- Tratamiento de Drogadicción y Alcoholismo
- Una línea de ayuda 24 horas al día
¿Cual es el Costo?
(Healthy Families/Healthy Kids/Kaiser)
Seguro puede ser gratuito o a un costo bajo.
Le ayudaremos a solicitar el mejor programa
de seguro.
¿Como Inscribirse?
Asistentes Certificados para Solicitudes (CAA) están
disponibles en varias de las comunidades del Condado de Yolo. Usted
tendrá que disponer de los siguientes documentos:
- Prueba de ingreso
- Prueba de la edad del niño,
por ejemplo, un certificado de nacimiento.
- Prueba de que usted vive en
el Condado de Yolo.
Un Asistente Certificado para Solicitudes (CAA)
le contestara cualquier pregunta que tenga y le ayudara a tomar la
mejor
decisión para asegurar su hijo. Toda llamada, conversación
es confidencial, para que su privacidad sea protegida. Nuestra meta
es desarrollar confianza con usted y su familia y para ayudar a cada
paso del proceso. Llame al número siguiente en su comunidad
para hacer una sita.
En Woodland y Winters:
Centro de Recursos para Familias
(530) 406-7221
409 Lincoln Ave.
En Davis:
Centro de Salud CommuniCare
(530) 758-2060
2040 Sutter Place
En Esparto, Capay Valley:
RISE
(530)787-4110
17313 Fremont Street
En West Sacramento:
Clinica de Salud (Salud Clinic)
(916) 375-6400
500B Jefferson Blvd. #180
Como Mantener su Cobertura
Para Healthy Kids, usted necesitara solicitar una
vez al año todos los años. Un paquete de matricula será enviado
a usted en aproximadamente dos meses y medio antes de que el año
se ve.
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