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Child Health Plus


 

Child Health Plus is available to individuals directly from BlueCross BlueShield of Western New York.

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’s Child Health Plus. Coverage you can count on, at little or no cost to you.

How do I know if I qualify?

Your child can be covered under BlueCross BlueShield’s 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, Genesee, Niagara, 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
  • Routine, preventive and emergency dental care
  • Vision care
  • Emergency and urgent care
  • Prescription medications

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 $180.95 per child per month.
 

Child Health Plus Premium Levels Chart


Premium Categories

1
Child

2
Children

3
Children

4
Children

5
Children

6
Children

Each add’l person

 Free Insurance

$1,489

$2,017

$2,545

$3,073

$3,601

$4,129

$528

 $9/Child/Month
(Max $27/Family)

$2,067

$2,800

$3,532

$4,265

$4,997

$5,730

$733

 $15/Child/Month
(Max $45/Family)

$2,328

$3,153

$3,978

$4,803

$5,628

$6,453

$825

 $30/Child/Month
(Max $90/Family)

$2,793

$3,783

$4,773

$5,763

$6,753

$7,743

$990

 $45/Child/Month
(Max $135/Family)

$3,258

$4,413

$5,568

$6,723

$7,878

$9,033

$1,155

 $60/Child/Month
(Max $180/Family)

$3,724

$5,044

$6,354

$7,684

$9,004

$10,324

$1,320

Full Premium/
$186.61 Child/Month

Over
$3,724

Over
$5,044

Over
$6,354

Over
$7,684

Over
$9,004

Over
$10,324

 


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.

https://securews.bcbswny.com/wps/portal/wny/Find?WCM_GLOBAL_CONTEXT=/contentwny/Help+Me+Find/Help+Me+Find+.../Find+a+Doctor/

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.

https://apps.nyhealth.gov/doh2/applinks/accessny/

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