Child Health Plus

Child Health Plus is a New York State sponsored health insurance program available to individuals directly from BlueCross BlueShield of Western New York.

child health plus

Coverage you can count on at little or no cost

You want your children to be healthy and strong - and so do we!  That’s why we are proud to offer New York State sponsored Child Health Plus. Coverage you can count on, at little or no cost to you.

How do I know if I qualify?
Your child may qualify for Child Health Plus if:

  • Your child is under the age of 19
  • Your child has limited or no health insurance and is not eligible for Medicaid
  • You and your child are New York State residents and live in Allegany, Cattaraugus, Chautauqua, Erie, Orleans or Wyoming counties
  • Your family meets the New York State income guidelines
  • Some children who had employer based health insurance within the past six months may be subject to a waiting period before they can enroll.  This will depend on your household income and the reason your children lost employer-based coverage.

Benefits Under Child Health Plus|
We can help your child stay healthy and strong with health care coverage and no copays for the following benefits:

  • Well and sick doctor visits
  • Immunizations
  • Hospitalization
  • Dental Care (Routine, preventive and emergency dental from Healthplex)
  • Vision care
  • Emergency and urgent care
  • Prescription medications

    Prescriptions and dental care are covered by BlueCross BlueShield of Western New York.

If your family’s monthly income is less than what’s listed on the chart below, there is no monthly premium. Families with somewhat higher incomes pay a monthly premium of $9, $15, $30, $45, or $60 per child, per month. This fee is capped at three children. Families with an income greater than what is on the chart pay the full monthly premium for each child, which is $209.12 per child per month.

Child Health Plus Premium Levels Chart


Monthly Income by Family Size*

Family Contributions

1

2

3

4

5

6

7

8

Each Added Person

Free Insurance

$1,555

$2,097

$2,638

$3,179

$3,721

$4,262

$4,803

$5,345

$542

$9/Child/Month
(Max $27/Family)

$2,159

$2,911

$3,662

$4,413

$5,164

$5,915

$6,666

$7,417

$752

$15/Child/Month
(Max $45/Family)

$2,432

$3,278

$4,123

$4,969

$5,815

$6,661

$7,507

$8,353

$846

$30/Child/Month
(Max $90/Family)

$2,918

$3,933

$4,948

$5,963

$6,978

$7,993

$9,008

$10,023

$1,015

$45/Child/Month
(Max $135/Family)

$3,404

$4,588

$5,773

$6,957

$8,141

$9,325

$10,509

$11,693

$1,185

$60/Child/Month
(Max $180/Family)

$3,890

$5,244

$6,597

$7,950

$9,304

$10,657

$12,010

$13,364

$1,354

Full Premium/
$213.55 Child/ Month 

Over
$3,890

Over
$5,244

Over
$6,597

Over
$7,950

Over
$9,304

Over
$10,657

Over
$12,010

Over
$13,364

Over
$1,354

*Pregnant Woman: Househould size calculation includes all expected children.



Children's Medicaid
2014 Income Eligibility Levels 

Age Categories for Children

1

2

3

4

5

6

7

8

Each Added Person

   Children under 1 Year;
   Pregnant Women*

$2,169

$2,924

$3,678

$4,433

$5,187

$5,942

$6,696

$7,451

$755

Children 1 - 18 Years

$1,498

$2,019

$2,540

$3,061

$3,582

$4,103

$4,624

$5,145

$522

*Pregnant Woman: Household size calculation invludes all expected children. 

Choose Your Doctor
With BlueCross BlueShield’s Child Health Plus, your child will see the same doctor who will coordinate all of their care needs. We have a network of over 3,200 doctors, and you get to choose the one who is right for you. If your child already has a doctor, click on the link below to see if he or she is part of our network.
Find a Doctor

Find a Dentist 


How to Apply

To apply, submit a completed application along with all of the required documentation, and the correct premium (if applicable) by check or money order to BlueCross BlueShield by the 20th of the month. To be eligible for coverage beginning on the first day of the following month, applications must be received by BlueCross BlueShield by the 20th of the month. Click on the link below to access the application.
Apply Now


We're Here to Help

BlueCross BlueShield has Facilitated Enrollers who can meet with you and help ensure your application is complete and that the correct premium is attached. They can also assist other eligible family members enroll in Medicaid or Family Health Plus.
Request more information now


Call us at 1-800-888-5407 if you have any questions, or would like to set up an appointment with a Facilitated Enroller.

Mail completed applications to:
BlueCross BlueShield
PO Box 5204
Binghamton, NY 13906-7503
Attn: Child Health Plus Enrollment

   

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