ELIGIBILITY
To qualify for Healthy Families, your children must:
• Live in California
• Be between the ages of 0– 18 years of age (up to their 19th birthday)
• Be without employer health insurance for the last three months
• Not eligible for or not enrolled in no-cost Medi-Cal
• Meet citizenship or immigration requirements
There are additional Healthy Families Program requirements; please call one of our Certified Application Assistants at 1-866-682-9903 to find out more.
Children eligible for the Healthy Families Program must be:
• A U.S. citizen. or
• A United States citizen national (non U.S citizen), or
• A qualified immigrant (requirement for children only)
Within 14 business days after your completed application is submitted you should receive a letter with all necessary information about your children’s acceptance into the Program. If you have not heard by that time, please contact us at 1-866-682-9903 and we will follow-up for you. If you submit an incomplete application, it will be rejected by Healthy Families.
You can apply for insurance when you are at least 6 months pregnant. With your application, you will need to send proof of pregnancy showing your due date. If the application is complete and your baby is eligible, you will be notified in writing within 10 days of receiving your complete application. If your application is not complete, Healthy Families will contact you.
Pregnant members in the Healthy Families Program may qualify for no-cost Medi-Cal coverage for their pregnancy-related services. If the pregnant member is enrolled in no-cost Medi-Cal, the baby will be insured by no-cost Medi-Cal for the first year. For information on no-cost Medi-Cal, call your local County Department of Social Services, a local Medi-Cal provider, or call 1-866-848-9166.
Yes, in fact, you may apply as early as three months before the baby is due.
Within 30 days of the baby's birth, you must send one of the following:
• A signed letter from the health care provider who delivered the baby or the hospital where the baby was born; or
• Hospital certificate of birth; or
• Birth certificate.
The proof of birth must have the baby's first and last name, birth date, place of birth, and gender. If Healthy Families does not receive proof of birth 30 days after the baby is born, your case will be closed. You will need to reapply and provide all necessary documentation with a new application. Insurance coverage for the baby begins 13 days after Healthy Families receives the proof of baby's birth.
If your income is below the limit for Healthy Families, you may qualify for no-cost Medi-Cal. Healthy Families can send your application to the county office nearest you to find out if you qualify for Medi-Cal.
If your income is above the limit for Healthy Families, there may be other programs you can access; further research into health coverage would be necessary.
Do not count income from these sources:
• SSI/SSP payments
• Foster care payments
• CalWORKS (AFDC replacement)
• General Relief payments
• Grants/scholarships used for school
• Earnings from a job of a child under 14 years old or who attends school
• Some government benefit payments
• Loans
• College work study payments
Call one of our Certified Application Assistants at 1-866-682-9903 to find out more.
Yes, but any child you wish to enroll must live in California.
No, but only the income of the household biological parents is used to determine eligibility.
You can apply for Healthy Families up to three months before your child's coverage ends if one of the following situations arise:
• Your child is turning 1 year old and losing no-cost Medi-Cal. Your child's Healthy Families coverage will start the first day of the month after your child's first birthday.
• Your child is turning 6 years old and losing no-cost Medi-Cal. Your child's Healthy Families coverage will start the first day of the month after your child's sixth birthday.
• Your child's no-cost Medi-Cal ends.
Do you still have an Eligibility question that has not been met? ASK AN EXPERT
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To qualify for Healthy Families, your children must:
· Live in California
· Be between the ages of 0– 18 years of age (up to their 19th birthday)
· Be without employer health insurance for the last three months
· Not eligible for or not enrolled in no-cost Medi-Cal
· Meet citizenship or immigration requirements
There are additional Healthy Families Program requirements; please call one of our Certified Application Assistants at 1-866-682-9903 to find out more.
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