Healthy Kids in the CAP
or Welfare Office
Covering The Basics
Uninsured children in the U.S.
• There are 315,000 children in NH. 72,000 of
them are low income.
• 71 percent of uninsured children in the U.S.
have family incomes below 200% of the FPL.
• The vast majority of uninsured children (88.2
%) come from families where at least one
parent is working.
• 88 percent of all low-income uninsured
children are eligible for Medicaid or CHIP
(known as Healthy Kids in NH).
Children without insurance…
• are more than three times as likely to lack a
regular source of health care
• more than four times as likely to have delayed
medical care because of cost
• more than three times as likely to lack
necessary dental care
• more than twice as likely to go without needed
prescription medications
• and more than twice as likely to go without
eyeglasses.
YOU are an important partner for
covering kids
• The NHHK outreach strategy depends
on our partnerships with communities
• Goal: make access to coverage
available at the places uninsured
families are already going
You can make a difference.
• Screen for health insurance status on intake forms
• Include NHHK materials and information in food
baskets
• Send NHHK materials home in routine mailings to
families
• Help enrolled families to stay enrolled; ask families
with enrolled kids when their renewal date is, and offer
help completing the renewal forms
• Learn about our income guidelines and share them with
families who may be eligible
Did you know? Families who ONLY want to apply
for Healthy Kids (and no other state programs)
DO NOT NEED to go to a District Office to apply!
Healthy Kids: The Basics
• Families apply for coverage by completing an
application
• NHHK staff review the application to be sure it is
complete. Families with incomplete applications are
given extra help to finish the process
• Completed applications are passed on to DHHS, who
determines which program the child is eligible for
• The child is enrolled in coverage (automatically for Gold
kids, a separate process for Silver/Buy-In)
• The family must complete an annual renewal to
maintain coverage
Healthy Kids: The Programs
Healthy Kids Gold
Coverage for children and pregnant woman at no
cost to the family. Infants up to the age of one are
eligible at higher income levels. State run, fee for
service program.
Doctors and Dentists
Care is provided by doctors, dentists, and health
care providers who contract with DHHS.
Cost
No cost to families
Healthy Kids Silver
Low-cost coverage for children who have been
uninsured for six months prior to enrollment.
Coverage is provided through a managed care plan
from Harvard Pilgrim and Northeast Delta Dental
Doctors and Dentists
The Harvard Pilgrim and Delta Dental network of
providers are available to enrolled children.
Cost
Monthly premiums are $32 or $54 depending on
income and family size.
Healthy Kids Buy-In
Unsubsidized coverage for children who do not
qualify for Gold or Silver. Benefits are the same as
the Healthy Kids Silver program. Some of the copays may differ from the Silver program.
Doctors and Dentists
The Harvard Pilgrim and Delta Dental network of
providers are available to enrolled children.
Cost
Monthly premiums are $205 per child, per month.
Healthy Kids: Eligibility
• Age: Must be under the age of 19 or pregnant women
of any age
• Citizenship: Must be a US citizen, refugee, asylee or a
permanent resident for at least five consecutive years
• Residency: Must be a NH resident
• Income: Total family income must fall within current
guidelines
• Insurance Status: Must be uninsured for six
consecutive months to be eligible for HK Silver or have
lost insurance due to certain good causes, such as job
loss.
Healthy Kids: Income Guidelines
Some expenses, such as child care, may be deducted from your income. If your income is above, but close to these limits, you may be eligible.
Income levels are subject to change. The Healthy Kids Buy-In program receives no State or Federal funds.
Healthy Kids: How to Apply
• For families not receiving other state assistance:
– Visit www.nhhealthykids.com to complete a printable application
– Call us at 1-877-464-2447 for help applying over the phone
– In person with a trained application assistor (available in most
communities)
– In person at 1 Pillsbury Street, Suite 300 in Concord, MondayFriday 8am-4:30pm. No appointment is necessary!
– Help the family complete a Health Insurance Status Release
Form and submit it to our office
• For families currently receiving other state assistance:
– Contact the local District Office (call us at 1-877-464-2447 to
find out where the District Office is located)
How to determine the status of an
application
• Ask the family, “where did you apply?” and “are you
receiving any other state assistance like cash or food
stamps?”
• If the family applied at a District Office OR if they are
receiving other state programs, call the District Office.
• If the family MAILED their application OR applied on
Pillsbury Street in Concord and they’re NOT receiving
other state programs, call our office at 1-877-4642447.
• You will need the family with you OR a signed
release form to get information about their case.
Helpful Tools
• New website
– Health insurance release of information
form
– Income guidelines
– Benefits information
– Printable application
• Local application assistors
Questions and
Answers