Kaiser

Health Care

Children and Youth

Ability To Pay (ATP) Plan Child Health & Disability Prevention Program (CHDP) Children's No-Cost Medi-Cal Services Former Foster Care Children Healthy Families Kaiser Permanente Cares for Kids Medi-Cal Outreach District Outpatient Reduced-Cost Simplified Application (ORSA) Plan Regular No-Cost or Low-Cost Medi-Cal Services Women, Infants & Children Supplemental Nutrition Program (WIC)

Pregnant Women

Ability To Pay (ATP) Plan Access For Infants and Mothers (AIM) Pregnant-Only Medi-Cal Services Other Health Care Programs for Pregnant Women Outpatient Reduced-Cost Simplified Application (ORSA) Plan Regular No-Cost or Low-Cost Medi-Cal Services Women, Infants & Children Supplemental Nutrition Program (WIC)

Families

Ability To Pay (ATP) Plan Outpatient Reduced-Cost Simplified Application (ORSA) Plan Regular No-Cost or Low-Cost Medi-Cal Services Transitional Medi-Cal Programs

Aged - Blind - Disabled

Ability To Pay (ATP) Plan Long Term Care Medi-Cal Medicare Medi-Cal for Individual/Couple Living at Home Medicare Premium Assistance Programs Outpatient Reduced-Cost Simplified Application (ORSA) Plan Other Health Care Programs and Services Pickle Amendment Programs

Adults

Ability To Pay (ATP) Plan Other Free or Low-Cost Plans Outpatient Reduced-Cost Simplified Application (ORSA) Plan Regular No-Cost or Low Cost Medical Services

Special Health Problems

Ability To Pay (ATP) Plan California Children Services (CSS) Programs DDS Home & Community Based Services Dialysis or Total Parenteral Hyperalimentation (TPN) Programs Outpatient Reduced-Cost Simplified Application (ORSA) Plan Tuberculosis (TB) Program

Access Manual Estate Recovery Program Former Foster Care Children Healthy Way LA California Health Care Options (HCO) Immigrants We've Got You Covered

CalFresh General Relief Medi-Cal Office Locations

Kaiser Permanente Cares for Kids Program (Child Health Plan)

If your child has no medical coverage and is under the age of 19, this program can provide low-cost health insurance. The Child Health Plan is open to eligible children under age 19 who live within Kaiser Permanente's California Service Area and are enrolled in participating public schools.

What services are offered?
Comprehensive preventive care services, primary and specialty care, medical office visits, vision care, prescription medicines, mental health services and hospitalization.

Who can be covered?
Children ages 0 to 19 who are NOT eligible for Medi-Cal or Healthy Families and at least one child in the household is enrolled in any public school.

Kaiser Child Health Plan Monthly Income Limits
Family Size	Between 200% - 275%
1	$1,805 - $2,483
2	$2,429 - $3,341
3	$3,052 - $4,197
4	$3,675 - $5,055
5	$4,299 - $5,913
6	$4,922 - $6,768
7	$5,545 - $7,626
8	$6,169 - $8,484
9	$6,792 - $9,339
10	$7,415 - $10,197

Is there an income limit?
Yes, verified income between 200% and 275% of the Federal Poverty Level (FPL). See CHP Monthly Income Limits chart for further details.

Is there a property limit?
No.

Can an individual receive services if he/she has other health insurance?
No.

How much does it cost?
Co-payments of $5 to $10 for some services and monthly premiums of $25 to $35 per child to a maximum of three children. (No additional premium amount for families with more than three children.)

Is citizenship or legal residency required?
Children's Social Security numbers are requested.

How to file an application?
Call the toll-free number at(800) 255-5053 or Click Here to visit the Kaiser Permanente Child Health Plan Website.

Last Updated: May 2012

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