New York State Department of Health

Child Health Plus

Who is eligible?

To be eligible for either Children's Medicaid or Child Health Plus, children must be under the age of 19 and be residents of New York State. Whether a child qualifies for Children's Medicaid or Child Health Plus depends on gross family income. Children who are not eligible for Medicaid can enroll in Child Health Plus if they don't already have health insurance and are not eligible for coverage under the public employees' state health benefits plan. Some children who were covered by employer-based health insurance within the past six months may be subject to a waiting period before they can be enrolled in Child Health Plus. Determining whether your child is subject to a waiting period will depend on your household income and the reason your child(ren) lost employer-based coverage. Check the following income charts to see whether your child will most likely qualify for Children's Medicaid or Child Health Plus.

Child Health Plus Final 2009 Family Contributions by Income and Household Size
(For Enrollment Effective On or After 7/1/2009)
Premium Catagories	Monthly Income by Family Size*								Each Additional Person, Add:
Premium Catagories	1	2	3	4	5	6	7	8	Each Additional Person, Add:
Free Insurance	$1,443	$1,942	$2,441	$2,939	$3,438	$3,937	$4,435	$4,934	$499
$9 per child per month (Maximum of $27 per family)	$2,004	$2,696	$3,388	$4,080	$4,772	$5,464	$6,155	$6,847	$692
$15 per child per month (Maximum of $45 per family)	$2,257	$3,036	$3,815	$4,594	$5,373	$6,153	$6,932	$7,711	$780
$30 per child per month (Maximum of $90 per family)	$2,708	$3,643	$4,578	$5,513	$6,448	$7,383	$8,318	$9,253	$935
$45 per child per month (Maximum of $135 per family)	$3,159	$4,250	$5,341	$6,432	$7,523	$8,613	$9,704	$10,795	$1,091
$60 per child per month (Maximum of $180 per family)	$3,610	$4,857	$6,104	$7,350	$8,597	$9,844	$11,090	$12,337	$1,247
Full Premium* per Child per Month	Over $3,610	Over $4,857	Over $6,104	Over $7,350	Over $8,597	Over $9,844	Over $11,090	Over $12,337

*The full premium varies, depending on the health plan chosen by the family.

Medicaid and PCAP Final 2009 Income Eligibility Levels (Effective 2/1/2009)
Age Catagories for Children	Monthly Income by Family Size								Each Additional Person, Add:
Age Catagories for Children	1	2	3	4	5	6	7	8	Each Additional Person, Add:
Children under 1 year Pregnant Women*	$1,805	$2,429	$3,052	$3,675	$4,299	$4,922	$5,545	$6,169	$624
Children 1-5 year	$1,201	$1,615	$2,030	$2,444	$2,859	$3,273	$3,688	$4,102	$415
Children 6-18 year	$903	$1,215	$1,526	$1,838	$2,150	$2,461	$2,773	$3,085	$312

*Pregnant women count as two

Revised 02/2009