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Health Coverage: Healthy Kids

Last modified: 4/23/2013 1:23 PM
The Healthy Kids Program


Healthy Kids is an insurance program for children up to 19 years of age who are not eligible for free (no share of cost) Medi-Cal or Healthy Families. It is a locally-funded health insurance program established to provide a low cost comprehensive health coverage to uninsured children in Santa Clara County. Citizenship or legal immigration status is NOT required. There is NO property limit and NO property verification is required.

 

 

The following are some of the services covered by the Healthy Kids program:

  • Physician office visits
  • Diagnostic and lab services
  • Prescription medicines
  • Prevention and substance abuse services
  • Health education
  • Mental health services
  • Dental care
  • Vision care
 
Basic Eligibility Requirements
 
To qualify for the Healthy Kids Program, children must
 
  • Reside in Santa Clara County 
  • Be under age 19
  • Be INELIGIBLE  for Medi-Cal or Healthy Families insurance
  • Have family income at or below 300% of the Federal Poverty Level (FPL - See chart below)
  • Have no other health insurance

Note: Children who receive restricted Medi-Cal benefits may qualify for Healthy Kids; however, children who currently receive full scope Medi-Cal benefits with a share of cost are not eligible for enrollment. A share of cost is similar to a monthly deductible. It is the amount of medical expenses that a Medi-Cal beneficiary must pay or be obligated to pay before Medi-Cal will cover any medical expenses. 

 

Income Limits Chart (Effective 4/1/13 to 3/31/14)

Number of Persons in Family Maximum Income
(300% of Federal Poverty Level)
 1
$ 2,874 
 2
   3,879  
 3
   4,884  
 4
   5,889  
 5
   6,894  
 6
   7,899  
 7
   8,904  
 8
   9,909  
 9
   10,914 
10
   11,919  
For Each Additional Family Member ​1,006

 

Applying for The Healthy Kids Program

Persons who would like to apply for the Healthy Kids Program may:

  • Apply in person by going to one of the Social Services Agency Intake Offices and filling out an application, or
  • Call the Children’s Health Initiative toll-free phone line at 1-888-244-5222.
An Eligibility Worker (EW) or Certified Application Assistor (CAA) will help you apply for health insurance for your children.
 
Who Can I Call for More Information?

You may call any of the Social Services Agency Intake Offices and ask to speak to the Information Supervisor. The Information Supervisor will answer any questions you may have about the Healthy Kids Program.
You may also call the CHI toll-free phone line at 1-888-244-5222.
 
Documents You Will Need to Bring When You Apply
 
The following list contains examples of some of the most common documents you may need to provide when you apply for the Healthy Kids Program:

   Proof of Income 
 
  • Pay check stub  
  • Unemployment or Disability check stubs or Award Letters 
  • Last year’s Federal income tax return 
  • A signed statement from your employer indicating gross monthly income and dates received 
  • For day laborers and others without written proof of income, a letter from a recognizable charitable organization stating the gross income and dates received

   Santa Clara County Residency

   You can use proof of income as proof of residency if it shows your current address. You can also use: 

  • Rental agreement or rent receipt 
  • Utility or phone bill 
  • California DMV ID Card or Driver’s License showing your current address