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FAQ - Child Health Plus
Frequently Asked Questions
Got questions about your health plan? WellCare wants to make it easy for you to find answers. Below are some commonly asked questions from our members along with the respective answers. If you have a question that isn’t listed here, or if you need any information regarding your WellCare health plan coverage, please call our Customer Service Department or contact us.

1) What Is Child Health Plus?

A New York State-sponsored health insurance program that helps children under 19 years of age get quality health care.  Even if you are working and have a good income, your children may still be eligible for New York State's Child Health Plus program offered by WellCare.  Your child may be eligible regardless of immigration status.  Participation in this program will not affect future immigration status.

2) Who Is Eligible?

Children who:
 
  1. Are under 19 years of age
  2. are not eligible for Medicaid
  3. Have limited or no health insurance
  4. Are residents of New York state

3) What Does It Cost?

There is no monthly premium for families whose income is less than 1.6 times the poverty level. That's about $563 a week for a three-person family, about $678 a week for a family of four. Families with somewhat higher incomes pay a monthly premium of $9, $15, $30, $45, or $60 per child per month, depending on their income and family size. For larger families, the monthly fee is capped at three children. If the family's income is more than 4 times the poverty level, they pay the full monthly premium charged by the health plan. There are no co-payments for services under Child Health Plus, so you don't have to pay anything when your child receives care through these plans.
 

4) What Benefits Can I Get for My Kids?

  • Well-child care
  • Physical exams
  • Immunizations
  • Diagnosis and treatment of illness and injury
  • X-ray and lab tests
  • Outpatient surgery
  • Emergency care
  • Prescription and non-prescription drugs if ordered
  • Inpatient hospital medical or surgical care
  • Short-term therapeutic outpatient services (chemotherapy, hemodialysis)
  • Limited inpatient and outpatient treatment for alcoholism and substance abuse, and mental health
  • Dental care
  • Vision care
  • Speech and hearing care
  • Durable medical equipment
  • Emergency ambulance transportation to a hospital
  • Hospice
5) Where Do My Kids Go for Healthcare?

If your child is enrolled in Children's Medicaid, you may be required to enroll in a managed care plan, or you may bring your child to any provider who accepts Children's Medicaid. If your child is enrolled in Child Health Plus, you will be given a list of providers near you. The provider may be a single doctor, group practice of several doctors, or community health center. If it is a group practice, you will be asked to choose a doctor for your child. Either way, you will be getting the personal health care that your child deserves!

6) How Do I Apply?

For more information on how to become a member of WellCare Child Health Plus call toll-free at 1-800-288-5441 (TTY/TDD 1-877-247-6272) speak to a representative.  There is no obligation.



Last modified: 12/10/2009
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