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Child Health Plus (CHPlus) | EmblemHealth

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Child Health Plus

Help your child stay healthy with low or no monthly costs. With Child Health Plus, there is never a copay. 

How many children don't get the health care they need because their parents can't afford it? At EmblemHealth, we don't want any child to go without health insurance. That's why we offer the New York State-Sponsored Child Health Plus program. 
 

Child Health Plus provides uninsured children under 19 years of age with a full range of health care services for free or a low monthly cost, depending on family income. In addition to immunizations and well-child care visits, Child Health Plus covers prescription drugs, vision, dental, and mental health services.

Quick Links

Looking to become a member?
Call: 1-888-447-2863 (TTY 711), Monday through Friday,
8 am to 8 pm.

Already a member?
Call Customer Service at:
1-855-283-2146 (TTY 711), Monday through Friday,
8 am to 6 pm.

Covered Drugs

For many, getting prescription drugs at an affordable cost is key to their good health. Our Child Health Plus plan covers a wide range of prescription drugs, both generic and brand name.

Plan Summary

PCP Required Yes
Referral for In Network Specialists Visits  No
PCP/Specialist Copay No
Network Prime
Out of network coverage Yes*
Deductible None
Out-of-pocket maximum None
Dental services:  $0
Hearing aid:  $0
Routine eyewear:  $0 per year
24-Hour nurse hotline:  Yes
Prescription drug:  Yes

*Requires prior authorization from plan

There are no copayments for any CHPlus benefits, but you may have a monthly payment depending on your family's monthly income and your family size compared to the current Federal Poverty Level (FPL) guidelines. Families with low incomes may be fully subsidized by the State and will not need to pay anything. Those families with higher incomes will need to pay a monthly premium of $15, $30, $45, or $60 per child per month, depending on family income and family size. Those families whose incomes are 400% above the FPL are not State subsidized and will need to pay the plan premium rate. To find out the current EmblemHealth non-subsidized CHPlus monthly premium rate, please call Customer Service at 1-800-447-8255, Monday through Friday, 8 a.m. to 6 p.m.

To learn more about CHPlus or what your monthly premium may be, check the most current FPL chart.

Know your rights

Member Rights and Responsibilities

Understanding your rights and responsibilities as a plan member can help you and us make the most of your membership. 

get started

Make an Appointment

To make an appointment with a Facilitated Enroller (FE), call toll-free at 1-800-542-2412 (Monday through Friday, 8 am to 8 pm.)

You can also visit the NY State of Health Marketplace online at www.nystateofhealth.ny.gov or call 1-855-355-5777

ALSO OF INTEREST

State-Sponsored Programs Understanding Medicaid, Enhanced Care Plus (HARP) and Child Health Plus (CHPlus) Child Health Plus (CHPlus) Member Rights and Responsibilities

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© 2020 EmblemHealth. All Rights Reserved.

Any information provided on this Website is for informational purposes only. It is not medical advice and should not be substituted for regular consultation with your health care provider. If you have any concerns about your health, please contact your health care provider's office.

Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage.