Frequently Asked Questions
- Approximately
1 million California children are without health insurance although two
thirds of these children are eligible for affordable state-sponsored
health programs.
- Many parents report they have not enrolled
their children in health insurance programs because they haven’t heard
of these programs or think their children are ineligble.
- Without access to health care, students face daunting challenges in meeting California’s newly instituted academic standards.
- Countless school hours are lost due to dental pain, vision problems and illnesses that could be prevented or treated.
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Even if a child is healthy, preventative care is important. Kids need health insurance to: - See a doctor to prevent an illness from becoming more serious.
- Miss fewer days of school, be more ready to learn, and participate in school sports and activities.
- Get the regular medical, dental, and vision check-ups they need in order to grow into strong and healthy adults.
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- Teachers
are trusted messengers of information and can enhance school health
outreach efforts by distributing information about health care to
parents.
- Teachers can refer parents to experts who can provide
free enrollment assistance so students can obtain health insurance
programs.
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- Health plans can provide technical assistance to teachers and school personnel.
- Health plans can become part of the school health outreach team and provide valuable resources to school staff and parents.
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- This program is for working families: For example a family of 4 with an annual income up to $50,004 may qualify.
- Comprehensive medical, dental, and vision benefits
- $5 co-payment for non-preventive services
- Monthly premiums from $4-$15 per child per month to a maximum of $45 per family
- Choice of major medical, dental, and vision plans
- Federal funding pays for two thirds of the program cost with a one third state match.
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- This program is for working and non-working families
- No monthly premiums
- No co-payments for any benefit
- Comprehensive medical, dental, and vision benefits
- 50% federal funding for the program with a 50% state match.
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- Covers children from birth to age 19 (Medi-Cal to age 21 if in school)
- Determined by family income and size
- Available to U.S citizens, U.S. nationals and qualified immigrant children
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- In
some counties, HEALTHY KIDS and other local programs may be available
for those children who may not meet the eligibility requirements for
Healthy Families or Medi-Cal due to citizenship status or higher family
incomes up to 300% of the federal poverty level or $60,012 for a family
of four (400% of the federal poverty level or $80,016 for a family of
four in San Mateo County).
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