Members pay a premium (payment) each month depending on income levels. It can cost from $4 to $32 per child and no more than $72 for all Healthy Families eligible children in a family. Some services are free, though members may pay a co-payment (Co-pays are $10 and prescriptions between $10 and $15) when they go to the doctor and for other services.

Is there an additional cost for my child to get these services?

All services covered by The Healthy Families Program are free.  However, depending on the type of health care service being performed on your child you may be required to pay a co-payment of $5 at the time of service (co-pay fees will not exceed $5 per child).  The maximum co-payment amount per benefit year that you would be required to pay for health care services will not exceed $250 per family.  The benefit year starts every July 1^st ending on June 30^th of the following year.

Keep all your receipts for the co-payments you make when receiving health care services for your children.  Be sure to contact your health plan when the $250 co-payment amount per benefit year maximum has been reached. After you reach this limit, you will not be required to make any more $5 co-payments for health care services until the beginning of the next benefit year of coverage (July  1st).

To determine the monthly Healthy Families premium for children in your family, you must consider the following:

• Number of family members living in the household.
• Net monthly income (gross income minus deductions allowed).

If you complete and submit the below Pre-Qualification Assessment a Certified Application Assistant (CAA) will contact you at a time that is convenient for you during regular business hours (M-F 8:00am-6:00pm).  You will be contacted within the next business day after your completed online Pre-Qualification Assessment is submitted.  At this time, you may ask the CAA for clarification on questions you may still have regarding The Healthy Families Program.