Atlanta, GA 30346 Excellus is now There are no copays or deductibles. To schedule yours, call 1-888-576-6542. Youll likely have to pay the full cost for COVID tests that are purchased at a pharmacy or online after May 11. We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. Child Health Plus As of January 1, 2014, applicants can apply for Child Health Plus coverage through the NY State of Health: The Official Health Plan Marketplace. Child Health Plus | Excellus BlueCross BlueShield Excellus BlueCross BlueShield members can use our app to log in and access health plan information on-the-go. Our latest update is coming soon! If you need further assistance, please call 1-888-576-6542. INP-Health Plans-Apply Button Mobile Size. Get care safely from home with telehealth services through your in-network provider or 24/7 telemedicine through MDLIVE. 24/7 Nurse Line: You can speak with a nurse by phone anytime 24 hours a day, seven days a week. Log into your account, view patient information, and more. If you would like to submit a complaint to us about charges for PPE from a participating provider, please contact us toll-free: Language AssistanceandNon-Discrimination Notice, English|Espaol||P|Kreyl Ayisyen||Italiano|||Polski||Franais||Tagalog||shqiptar. Where do your children go for health care? Essential Plan: Our specially trained registered nurses can answer your questions and provide support. Outside the annual open enrollment period (February 1-October 31), you may qualify to buy or change your health insurance coverage if you experience certain life events, within 60 days in most cases. Lets get you set up online today. Either way, you will be getting the personal health care that your child deserves! Certain plans may also ask members to pay some costs for the administration of the vaccine. Find out when and where your regional meeting is taking place. If you are enrolled in a grandfathered group, please consult with your employers human resources or health benefits representative for COVID-19 vaccine-related benefits. Health Plans for Self-Employed Individuals. For questions about health plans and income eligibility, call Excellus BCBS at 1-888-576-6542. What you pay for COVID-19 related medical and pharmacy care may change once the public health emergency ends on May 11, 2023. Essential Plan: Child Health Plus | Fidelis Care Almost every child in New York State is eligible, regardless of family income or immigration status. 8 am to 8 pm. Annual Amounts . What benefits can you get for your children? Were on a mission to inspire a more fearless Upstate New York showing how making small changes today can make a huge impact on your health tomorrow. See our Privacy Policy for how we use information. Tell us more about yourself to find qualifying plans and estimate costs. Turning 65 or switching Medicare plans? To be eligible for either Children's Medicaid or Child Health Plus, children must be under the age of 19 and be residents of New York State. Our plans are designed to provide you with personalized health care at prices you can afford. Families with somewhat higher incomes pay a monthly premium of $15, $30, $45, or $60 per child per month, depending on their income and family size. James V. McDonald, M.D., M.P.H., Commissioner, The Latest on New York's Response to COVID-19, Multisystem Inflammatory Syndrome in Children (MIS-C), Health Care and Mental Hygiene Worker Bonus Program, Lyme Disease & Other Diseases Carried By Ticks, Maternal Mortality & Disparate Racial Outcomes, NY State of Health (Health Plan Marketplace), Help Increasing the Text Size in Your Web Browser. Looking to become a member? The provider may be a single doctor, group practice of several doctors, or community health center. Both Children's Medicaid and Child Health Plus are available through dozens of providers throughout the state. Non-participating providers do not need to use Clear . New York State has a health insurance plan for kids, called Child Health Plus. Child Health Plus is a New York State sponsored health insurance program that offers free or very low-cost health insurance for children ages newborn to 19 who live in New York State. Download the free Wellframe app to chat via text with a Excellus BCBS Health Coach or Nurse who can provide access to our team of behavioral health specialists for support and access to resources. Whats changing: You will likely have to pay some costs for FDA-authorized COVID-19 lab tests and related visits after May 11, 2023, depending on the type of test and reason for the visit, as explained in your health plan benefits. ** Some limits may apply. If youre turning 65, you can enroll in Medicare from the period that extends 3 months before to 3 months after the month of your 65th birthday. Login | Members | Excellus BlueCross BlueShield If you have Medicaid, Essential Plan or Child Health Plus, you may have to start renewing your coverage once a year, for the first time since early 2020. You will have instant and convenient access to: - View and Order Member Card (s) - Track Deductibles and Out-of-Pocket Spending*. *Individuals older than age 64 may be eligible if they do not have Medicare coverage. After May 11, your cost for COVID-related services will now be based on the details of your current health plan benefits. he 24/7 Nurse Call Line is a service provided to our members to support their relationship with their health care providers. Q. $45/ Family up to 250% FPL $30/ Child Max. Use this code to complete the process. One of Connecticuts leading health plans. For larger families, the monthly fee is capped at three children. Child Health Plus (CHPlus) is aNew York State-sponsored program that provides qualityhealth insurancefor kids under age 19. We'll also email you a free guide to help you shop for health insurance. To talk to one of our dedicated Insurance Advisors today about your options, call 1-888-576-6542. Create an Account View your Summary of Benefits and Coverage Find a doctor, estimate medical cost and track your deductible and spending View and order your member card Go Paperless! To talk to one of our dedicated Insurance Advisors today about your options, call 1-888-576-6542. Call: 1-800-650-4359 (TTY711), Closed: Thanksgiving, Day after Thanksgiving, Christmas Eve, Christmas Day, New Years Eve, New Years Day. Medicaid, HARP, Subsidized Child Health Plus Members Essential Plan and Full Pay Child Health Plus Members Qualified Health Plan Members Need Health Insurance? How many adults (19+) are you looking to cover? For more information or to apply, call 1-800-234-4781, TTY: 1-800-662-1220 or visit, Bronze, Silver, Gold & Platinum Health Plans. PDF San Bernardino County (partial) Blue Shield 65 Plus (HMO) Summary of No, nothing in the law requires that an adult child be financially dependent upon the subscriber. If your child is enrolled in Child Health Plus, you will be given a list of providers near you. Child Health Plus | Excellus BlueCross BlueShield - Child Health Plus If youre losing your employer-sponsored health insurance, there are affordable, high-quality options available to you. NYS Sponsored Health Plans All of our plans offer access to top-quality doctors and hospitals, plus coverage for doctor visits, prescription drugs, urgent care, hospitalization, and free preventive care. Almost all children under 19 qualify for health coverage with Child Health Plus regardless of family income or immigration status. Only the monthly premiums vary based on income, and offer FREE Insurance, if qualified. EXCELLUS CHILD HEALTH PLUS EXCELLUS HMO BLUE OPTION NY STATE MEDICAID Important Renewal Information Every year, members with Medicaid Managed Care, Child Health Plus, Essential Plan, and HealthierLife (HARP) plans must renew their health coverage. Start a chat by selecting the blue chat box or request a call with one of our Facilitated Enrollers. User name and password from NY State of Health, if available. 100% 120% 133% 138% 150% 154% 155% 160% 200% 222% 223% 230% 240% 250% 300% 350% 400% FAMILY SIZE POVERTY GUIDELINE POVERTY GUIDELINE POVERTY GUIDELINE POVERTY GUIDELINE POVERTY GUIDELINE POVERTY GUIDELINE POVERTY GUIDELINE POVERTY . How many children don't get the health care they need because their parents can't afford it? Our members enjoy more than just healthcare coverage. We are challenging everything about our health plans and broadening the verydefinition of health coverage to bring you more benefits with lower costs. Almost all health plans already include full coverage for vaccines (including COVID-19 vaccines and boosters) that are recommended by the federal Advisory Committee on Immunization Practices (ACIP) and given by an in-network provider. Chat is available from Mon - Thurs from 8am 7pm, and Fri 9am - 7pm. Once the federal government runs out of its supply of treatments, however, what you pay will be based on the terms of your health insurance plan. Contact numbers are available here. When it comes to maintaining overall health and wellbeing, taking care of your teeth is just as important as taking care of the rest of your body. If it is a group practice, you will be asked to choose a doctor for your child. *Individuals older than age 64 may be eligible if they do not have Medicare coverage. You are not responsible for any charges from a Health Plan participating provider beyond your applicable deductible, copayment, or coinsurance, including any fees charged for PPE. Language AssistanceandNon-Discrimination Notice, English|Espaol||P|Kreyl Ayisyen||Italiano|||Polski||Franais||Tagalog||shqiptar. In less than a minute see if your income and household size qualify you for the Essential Plan or other free or low cost plans. Depending on your family's income, your child may be eligible to join either Children's Medicaid or Child Health Plus. We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. Child Health Plus Child Health Plus is a New York State-sponsored insurance program for children under the age of 19. Healthcare Exchange (ACA): New York State Health Exchange Florida FFM Provider Network Get Covered NJ Provider Network Medicare, MLTC, Medicaid, Child Health Plus, Essential Plan, or Commerical: AgeWell AmidaCare ArchCare ConnectiCare Elderplan EmblemHealth Excellus BlueCross BlueShield MVP Health Care Univera Healthcare VNSNY CHOICE Excellus is now using Envolve-New York, Inc. (Envolve-NY) to provide the utilization management function for their Child Health Plus line of business. If you have any To see whether you would have to pay a premium for coverage, consult the Child Health Plus eligibility tables below. Understanding your rights and responsibilities as a plan member can help you and us make the most of your membership. 315-3747. Where do your children go for health care? . For general information about Child Health Plus, call toll-free: 1-800-698-4KIDS [1-800-698-4543] Child Health Plus LINKS: Those families with higher incomes will need to pay a monthly premium of $15, $30, $45, or $60 per child per month, depending on family income and family size. Make your Child Health Plus premium payment I have questions. Medicaid, HARP, and CHPlus (State-Sponsored Programs), Find a doctor, dentist, specialty service, hospital, lab and more, 1199SEIU Preferred Premier & Preferred Plus, Understanding Medicaid, Enhanced Care Plus (HARP) and Child Health Plus (CHPlus). What benefits can you get for your children? - New York State There are no co-payments for services under Child Health Plus, so you don't have to pay anything when your child receives care through these plans. 4 questions to ask when choosing a health plan. Learn more about the. (800) 888-6674 Child Health Plus | Erie County Department of Social Services For a 2-person household Excellus BlueCross BlueShield - Everybody Benefits function for their Child Health Plus line of business. Beginning April 1, 2023, all Medicaid members enrolled in Blue Choice Option, HMO Blue Option, and Blue Option Plus will receive their prescription drugs through NYRx, the Medicaid Pharmacy Program. Essential Plan & QHP Individual Market Members: 1-877-626-9298 Child Health Plus Members: 1-800-650-4359 Medicare Members: 1-877-883-9577 TTY: 711 Those families with higher incomes will need to pay a monthly premium of $15, $30, $45, or $60 per child per month, depending on family income and family size. Where do your children go for health care? For example, if you turn 65 on July 4, you can enroll anytime between April 1 and October 31. Experience and analyze child assessments and Head Start data management in one system with zero complexity. When you can buy or change your health insurance all depends on the plan you qualify for. Beginning April 1, 2023, all Medicaid members enrolled in Blue Choice Option, HMO Blue Option, and Blue Option Plus will receive their prescription drugs through NYRx, the Medicaid Pharmacy Program. If you are experiencing severe symptoms such as sharp pains, fever, loss of bodily function control, vomiting or any other immediate medical concern, dial 911 or contact a physician directly. *Members of a select number of grandfathered employer groups may need to pay a cost share for the administration of the vaccine. Employer-based health insurance information. The Healthplex I.P.A. Our service area includes: San Bernardino County. Can I get help from someone in-person? If you are eligible for Medicaid, Child Health Plus, or the Essential Plan, you can enroll at any time during the year. Search for a medical professional, service, or facility in the Fidelis Care Network. It is not medical advice and should not be substituted for regular consultation with your health care provider. There are three times when you can enroll in Medicare: Annual Election Period,Turning 65 andSpecial Enrollment Periods. issues when contacting Envolve-NY, please contact PCG Customer Service at (866) With Child Health Plus, there is never a copay. Whats changing:Many health plans do not include coverage for over-the-counter (OTC) products. Depending on your family's income, you may need only a small monthly premium to enroll your child. Copyright 2023, Excellus BlueCross BlueShield, a nonprofit independent licensee of the Blue Cross Blue Shield Association. You can enroll inChild Health Plus year-round. Friday: 9 a.m. to 7 p.m. Find a plan that works in your service area. Choose your Medicare plan with confidence from the company your neighbors have trusted for over 85 years. There are two times when you can buy health insurance: Open Enrollment and Special Enrollment Periods. The exceptions: Medicaid Managed Care, Essential Plan, Health and Recovery Plans (HARP) and Child Health Plus will cover certain brands of over-the-counter tests at no cost until further notice. Child Health Plus - CDPHP Well also email you a free guide to help you shop for health insurance. Monday - Thursday: 8 a.m. to 7 p.m. Life Eventsinclude:getting pregnant, having a baby, adopting a baby, change in marital status, moving, losing coverage from your employer, or aging off of a parents health plan. Premiums are $0/month for eligible individuals, with coverage widely accepted by doctors, hospitals and pharmacies. Additional information to help parents Let us help you find the right plan. Call Us Billing and Payments: Learn about convenient bill pay options. For Metal level plans (Qualified Health Plans), you can purchase health insurance during Open Enrollment, which is typically between November 1 and January 31. Why are we asking how many people live in your household? NY State of Health: The Official Health Plan Marketplace, James V. McDonald, M.D., M.P.H., Commissioner, The Latest on New York's Response to COVID-19, Multisystem Inflammatory Syndrome in Children (MIS-C), Health Care and Mental Hygiene Worker Bonus Program, Lyme Disease & Other Diseases Carried By Ticks, Maternal Mortality & Disparate Racial Outcomes, NY State of Health (Health Plan Marketplace), Help Increasing the Text Size in Your Web Browser. Almost every child in NYS is eligible, regardless of family income or immigration status. - Managed Care provider list is associated with the following Excellus BlueCross BlueShield Child Health Plus Plan (GG-457CHP). ChildPlus - The Original Head Start Data Management Software Well-being solutions for companies and their employees. Learn more about the transition of the pharmacy benefit from Blue Choice Option, HMO Blue Option, and Blue Option Plus to NYRx, the Medicaid Pharmacy Program. Excellus Child Health Plus Prior Authorizations. Child Health Plus | Excellus BlueCross BlueShield Home Find a Plan Individual & Family Health Plans Child Health Plus Child Health Plus Free or Low-Cost Coverage for Kids Depending on your families' income, your children up to age 19 may qualify for free or very low-cost health insurance coverage sponsored by New York State. Make sure youre getting the most value out of your health plan by creating an account online at. Please log in to your member account at ExcellusBCBS.comto view your benefits. Don't have your card handy? Those families whose incomes are 400% above the FPL are not State subsidized and will need to pay the plan premium rate. Because were focused on your health and well-being, our team of nurses, social workers, respiratory therapists and mental health coaches are here to support you. Not using ChildPlus? Depending on your family's income, your child may be eligible to join either Children's Medicaid or Child Health Plus. Our dental plans for individuals and families include coverage for preventive services like cleanings, fluoride treatments and sealants, routine services such as exams, x-rays and fillings as well as coverage for more comprehensive care like select crowns and adult root canals. The information provided is intended to help educate members, not to replace the advice of a medical professional. Updates on COVID-19 | Excellus BlueCross BlueShield $15/ Child Max. If you're already a member, finding the right care is as easy as signing in to your myEmblemHealth account. the best interest of the child(ren). At EmblemHealth, we don't want any child to go without health insurance. We've enhanced the Dental Provider experience to view claims, eligibility, benefits and much more. Study with Quizlet and memorize flashcards containing terms like Deborah is a 24-year-old single mother on welfare. Health & Safety in the Home, Workplace & Outdoors, Clinical Guidelines, Standards & Quality of Care, All Health Care Professionals & Patient Safety. Download Statements & Forms Register & Create Account Helping a member as their personal representative? As the baby formula shortage continues, there are certain precautions you should take. To find out the current EmblemHealth non-subsidized CHPlus monthly premium rate, please call Customer Service at 1-800-447-8255, Monday through Friday, 8 a.m. to 6 p.m. To learn more about CHPlus or what your monthly premium may be, check the most current FPL chart. Or, you may be eligible for other NYS-sponsored plans or subsidies. Please refer to our Medicare Advantage Timeline to view specifics on when you may join or switchyour coverage. Any information provided on this Website is for informational purposes only. Child Health Plus Broome, Cayuga, Chemung, Chenango, Clinton, Cortland, Delaware, Essex, Franklin, Fulton, Hamilton, Herkimer, Jefferson, Lewis, Livingston, Madison, Monroe, Montgomery, Oneida, Onondaga, Ontario, Oswego, Otsego, Schuyler, Seneca, Steuben, St. Lawrence, Tioga, Tompkins, Wayne, Yates, $0for lower-income households who do not qualify for Medicaid or Child Health Plus, Livingston, Monroe, Ontario, Seneca, Wayne, Yates, Broome, Herkimer, Oneida, Onondaga, Otsego, $0-$251.86depending on household size & income, Livingston, Wayne, Monroe, Ontario, Seneca, Yates, Broome, Herkimer, Oneida, Onondaga, Otsego. Call: 1-800-650-4359 (TTY711), Closed: Thanksgiving, Day after Thanksgiving, Christmas Eve, Christmas Day, New Years Eve, New Years Day. fax or phone through Envolve-NY. Click the New Document option above, then drag and drop the document to the upload area, import it from the cloud, or using a link. Health Plans for Self-Employed Individuals, Find Your Doctor, Hospital or Other Provider. Renewals will begin in June of 2023, on a rolling monthly basis. Terms of Use | Web Privacy Policy | Accessibility Statement. New York State-sponsored program that provides quality, *** Child Health Plus covers prescription or non-prescription drugs listed in the formulary with no cost-sharing as long as they are ordered by a provider wi, FIDELIS and FIDELIS CARE are trademarks of Centene Corporation, Contact a Representative Today to Determine Your Eligibility for Child Health Plus, 24/7 telemedicine benefit through Babylon Health, Transparency in Coverage Machine Readable Files, Medical, dental, and vision coverage for kids up to 19*, Checkups, well child visits, and sick visits, Free or low-cost monthly premium, depending on income (no limit), Occupational, speech, and physical therapy**. Join us! What online tools are available to help me manage my membership? James V. McDonald, M.D., M.P.H., Commissioner, The Latest on New York's Response to COVID-19, Multisystem Inflammatory Syndrome in Children (MIS-C), Health Care and Mental Hygiene Worker Bonus Program, Lyme Disease & Other Diseases Carried By Ticks, Maternal Mortality & Disparate Racial Outcomes, NY State of Health (Health Plan Marketplace), Help Increasing the Text Size in Your Web Browser, Diagnosis and treatment of illness and injury, Prescription and non-prescription drugs if ordered by a licensed provider, Inpatient hospital medical or surgical care, Short-term therapeutic outpatient services (chemotherapy, hemodialysis), Inpatient and outpatient treatment for alcoholism and substance use, and mental health, Dental care including medically necessary orthodontia, Emergency ambulance transportation to a hospital. That's why we offer the New York State-Sponsored Child Health Plus program. PDF Dependent Coverage FAQ - Excellus BlueCross BlueShield We use cookies to ensure that we give you the best experience on our website. Call: 1-888-447-2863 (TTY 711), Monday through Friday, How do I renew my Medicaid, Essential Plan or Child Health Plus plan? Call Customer Service at: If your child is enrolled in Child Health Plus, you will be given a list of providers near you. Paper, fax, or email applications for Child Health Plus will not be accepted by Child Health Plus Health Plans after December 31, 2013. Forgot Password? Make your Child Health Plus premium payment | Highmark Blue Cross Blue Shield of Western New York Make your Child Health Plus premium payment To pay online To make your premium payment online, grab your invoice and go to our Premium Payment website (ACI). It does not apply to Medicaid, Family Health Plus, Child Health Plus, Medicare supplement and Medicare Advantage products. Already a member? You will have a Primary Care Provider (PCP) who will provide most of your care at little or no cost. To make an appointment with a Facilitated Enroller (FE), call toll-free at 1-800-542-2412 (Monday through Friday, 8 am to 8 pm. Visit our Resource Centers or get expert advice from our Facilitated Enrollers by phone or in a face to face appointment in certain counties. From free or low-cost New York state sponsored plans to individual and family plans, you can still have the peace of mind that comes with having coverage you know and trust. *** Child Health Plus covers prescription or non-prescription drugs listed in the formulary with no cost-sharing as long as they are ordered by a provider within the Fidelis Care network. Access general information about NYRx, the Medicaid Pharmacy Program, along with additional information for Members and Providers. Your eligibility forNew York State or federally-sponsored programs, financial assistance, or tax credits is determined by your household income and size compared to the Federal Poverty Level and other requirements. The information you're accessing may not be provided by Excellus BCBS. Add the Child health plus renewal forms for redacting. Members must also obtain a referral from the PCP before they . PDF Parenting Plan Guidelines How Do I Apply? - New York State Department of Health Ask a Nurse Today! All rights reserved. Depending on your familys income, your children up to age 19 may qualify for free or low-cost health insurance coverage sponsored by New York State. Child Health Plus - Fidelis Care Excellus BlueCross BlueShield - Everybody Benefits Call: 1-888-679-7105 (TTY711), All OtherNYS Sponsored Plans: Ask if the plan covers emergency care anywhere in the world. How about $0 flu shots, vaccines, immunizations, health screenings and more! The federal emergency required health insurers to provide certain COVID-related services at no cost to you. Whats changing: After May 11, 2023, the health plan will resume reviewing requests for early prescription refills. By logging in, you're accepting cookies for this site. If you are in a situation where you have not applied or have not yet been approved for unemployment, you can assume that income as zero until you start receiving unemployment benefits. - Check Coverage. PDF 202 Income Levels for Medicaid, Child Health Plus and Essential Plan You may still submit bills to Excellus BCBS for reimbursement for OTC tests purchased through May 11, 2023. When applying for health insurance, be prepared with the following information: Outside the annual open enrollment period (February 1-October 31), you may qualify to buy or change your health insurance coverage if you experience certain life events, within 60 days in most cases. All rights reserved. Plus, coverage for doctor visits and no cost preventive care such as vaccines, immunizations, mammograms, and routine physicals are included. If you are hearing impaired call the TTY number, 1-877-898-5849. Life Events . Health & Safety in the Home, Workplace & Outdoors, Clinical Guidelines, Standards & Quality of Care, All Health Care Professionals & Patient Safety. Enrollers will help you fill out an application, collect the necessary documents, and select a health plan. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage. You could qualify for the Essential Plan for $0a month based on your age, household income and size, and immigration status. In many cases, assistance is available during evenings and weekends. If you are experiencing severe symptoms such as sharp pains, fever, loss of bodily function control, vomiting or any other immediate medical concern, dial 911 or contact a physician directly. Tips For Our Members | Excellus BlueCross BlueShield Check the following income charts to see whether your child qualifies for Child Health Plus or Children's Medicaid. We have you covered. DRDP in ChildPlus: Experience and analyze child assessments and Head Start data management in one system, with zero complexity with ChildPlus. Child Health Plus Bronze, Silver, Gold & Platinum Plans Medicaid Find Your Plan In less than a minute see if your income and household size qualify you for the Essential Plan or other free or low cost plans. Income verification for the last four weeks. Find out about Child Health Plus. Log in, register for an account, pay your bill, print ID cards, and more. All rights reserved. Medicaid and Child Health Plus members, call 1-800-650-4359; Essential Plan members, call 1-877-626-9298 . These are a great opportunity to network and learn from ChildPlus users. To schedule your appointment.
