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Healthy Families Health Insurance -Low cost health, dental and vision coverage to uninsured children

Healthy Families Program (HFP) provides low cost health, dental and vision coverage to uninsured children in low wage families whose income is too high for no cost Medi-Cal eligibility. Families pay premiums of $4-$14 per child per month to participate in the program.

When you enroll your children in Healthy Families, you choose the health, dental and vision insurance plans. The plans provide the health, dental and vision coverage for your children. This insurance pays most of your children’s costs for visits to doctors, dentists, and specialists. The insurance plans also contract with clinics, laboratories, pharmacies and hospitals for your children’s health care.

Download Forms:

 

 

 

Orange County, California

Health, dental and vision plans:

1.  About the plans.
The chart below lists plans in your county. Click on each plan name for a description of the plan.
2.  Costs.
How much will a plan cost each month?
3.  Compare health plans.
See a Chart comparing health plans
in your county. The chart compares information about how the plan works and what optional benefits it offers. You can also see a chart comparing all the plans, statewide.
4.  Compare dental plans.
See a Chart comparing dental plans in California.
5.  Vision plans.
See a Chart about vision plans in California.
6.  Survey about the plans.
How do other Healthy Families members like these plans? Check the Members' Survey.
7.  Survey about quality of certain services.
Check the Quality Measures to see how well plans provide certain services, such as immunizations or well-child visits
8.  For non-English speakers.
See which plans have written materials in other languages.

 

 
INSURANCE PREMIUM Category A Category B Category C
Plan Code Health Plans Available Number of Children: Number of Children: Number of Children:
1 2 or more 1 2 3 or more 1 2 3 or more
  Community Provider Health Plan  
1006 Cal Optima Kids  $4  $8  $6  $12  $18 $12 $24 $36
  Other Health Plans  
1002 Blue Cross EPO  $7  $14  $9  $18  $27  $15 $30 $45
1004 Blue Shield HMO  $7  $14  $9  $18  $27 $15 $30 $45
1010 Health Net HMO  $7  $14  $9  $18  $27  $15 $30 $45
1014 Kaiser Permanente  $7  $14  $9  $18  $27  $15 $30 $45
Plan Code Dental Plans Available Plan Code Vision Plans Available
2001 Access Dental  3002 EyeMed Vision Care
2010 HealthNet Dental 3003 SafeGuard Vision
2003 SafeGuard Dental  3001 Vision Service Plan (VSP)
2008 Western Dental  

Coverage for abortion.
Some health plans offer two choices: a plan that pays for abortions, and one that doesn't. If you choose a Blue Shield-EPO, Blue Shield-HMO, CalOptima Kids or Kern Family Health Care plan and you want the plan that does not include elective abortions, add "N" to the end of the Plan Code.

Who can join Healthy Families?

Who may qualify?

  • Children up to their 19th birthday.
  • Children in the family without employer-sponsored health insurance in the last three months.
  • Children living in California.
  • Children who are not eligible for or are enrolled in no-cost Medi-Cal.
  • Children who meet citizenship or immigration rules.
  • Children born to mothers enrolled in the Access for Infants and Mothers (AIM) Program, who are not enrolled in the no-cost full scope Medi-Cal Program or employer-sponsored health insurance.
  • Children in families with incomes within the Healthy Families Guidelines.

Who can apply?

Parents, legal guardians, stepparents, foster parents or caretaker relatives may apply for insurance for a child living in their home. Only the parents’ income will be considered. If you are a legal guardian, stepparent, foster parent or caretaker relative who lives with a child, your income will not be used to qualify the child for Healthy Families.

If you are age 18 or under, you may qualify to apply for your own insurance if you meet the income requirements.

Minors who do not live with parents, legal guardians, stepparents, foster parents or caretaker relatives may be eligible for Healthy Families for themselves or their children if they meet all other requirements.

What types of papers do I need to send in as proof of my family’s income?

The application form has information on the types of papers required as proof of income.

How do I apply for Healthy Families?

Fill out the application and mail it in the envelope provided. A complete application includes:

  1. All questions answered.
  2. Copies of papers showing your income — see application for examples.
  3. Copies of all other required papers.

 

 

 
     
 
 
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