BENEFITS
• Well Child services to prevent disease
• Care from doctors, including surgeons
• Prescription drugs
• Hospital care when it is medically necessary
• Family planning (birth control)
• Mental health care
• Alcohol and drug treatment service
• Physical, speech and occupational therapy
• Lab and X-ray services
• Dental Services
• Eye Exams
Your welcome letter will contain the date coverage begins for each enrolled child. In most instances, the first day of coverage begins 10 days from the date Healthy Families determines that a child qualifies for the program. If your child’s no-cost Medi-Cal coverage is ending, Healthy Families coverage begins after the Medi-Cal coverage ends. (Further information on converting from Medi-Cal follows in a later question.) Healthy Families does not offer retroactive coverage.
Yes. There are several participating health plans and you will receive a list from which to choose. Please note that the health plans available may vary depending on the county where you live. Check out how current members rank their Healthy Families health plans and dental plans. See how Healthy Families members rate their doctors’ and dentists’ communication skills. <links to HF surveys- need to create onsite versions>
It’s important that you review the plans available to you. We will be happy to assist you in requesting information about the health plans available in your county.
Healthy Families is a State-sponsored program that contracts with selected insurance companies throughout California. Each county has different companies from which enrollees choose and each company contracts directly with healthcare providers. These are the doctors, dentists, eye doctors and specialists who will provide the care to your children. Once you have chosen the insurance company in your area, you will be able to choose your child’s providers.
This information is currently unavailable online. Please check back at a later convenience for updates.
We appreciate your patience!
Each insurance company is responsible for the quality of care that their contracted doctors provide. The State has quality mandates that must be met; surveys and audits are conducted to ensure your child will receive excellent health care through the Healthy Families Program. If you have any concerns about a doctor and the care provided to your child, you may file a grievance with the insurance company and if you are not satisfied with the outcome, there is a State agency that can help. The Healthy Families Handbook includes the information on how to proceed in such an event.
To review the health, dental and vision plans* available through Healthy Families, just click on the following links:
Health Optional Health Benefits (not offered by all plans) Dental Vision
*The benefits may vary slightly depending on which insurance company you select; please contact us for assistance with the plans available to you.
Do you still have a Benefits question that has not been met? ASK AN EXPERT
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