Child Health Plus | Fidelis Care

Your child, covered.

Quality, free or low-cost health insurance.

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CHILD HEALTH PLUS BY FIDELIS CARE

What is Child Health Plus?

Child Health Plus (CHPlus) is a New York State-sponsored program that provides quality health insurance for kids under age 19.


Who Can Apply?

Almost every child in NYS is eligible, regardless of family income or immigration status. Contact a Representative Today to Determine Your Eligibility for Child Health Plus


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How Much Does It Cost?

Only the monthly premiums vary based on income, and offer FREE Insurance, if qualified.
There are no copays or deductibles.

Availability

You can enroll in Child Health Plus year-round.

Benefits

  • Medical, dental, and vision coverage for kids up to 19*
  • Checkups, well child visits, and sick visits
  • Hospital and emergency care
  • X-rays and lab tests 
  • Free or low-cost monthly premium, depending on income (no limit)
  • Hearing services
  • Occupational, speech, and physical therapy**
  • No copays for prescription drugs***
  • No out-of-pocket costs
  • 24/7 telemedicine benefit through Babylon Health

 

Get Coverage Today

Tell us more about yourself to find qualifying plans and estimate costs.

 

Read the CHP Subscriber Contract for information about pharmacy and utilization management procedures, specific benefit inclusions and exclusions, and to learn how to get care using our provider network. To request a paper copy, call Fidelis Care at 1-888-FIDELIS (1-888-343-3547); TTY: 711.

 

How to Enroll

* Always check with your Primary Care Provider to find out if a referral is required for any additional health services you might need.
** Some limits may apply.
*** 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.

Find a Doctor

Search for a medical professional, service, or facility in the Fidelis Care Network.

2023 Child Health Plus (CHP) Income Levels

 

Monthly Income by Family Size**

Each Additional Person, Add:

Family Contributions   

1

   2

   3

   4

5

6

7

8

 

FREE Insurance

 

 

$2,698

 

 

$3,649

 

 

$4,600

 

 

$5,550

 

 

$6,501

 

 

$7,452

 

 

$8,403

 

 

$9,354

 

 

$951

 

$15 Per Child Per Month

(Maximum of $45 per family)

 

 

$3,038

 

$4,109

 

$5,180

 

$6,250

 

$7,321

 

$8,392

 

$9,463

 

$10,534

 

$1,071

 

$30 Per Child Per Month

(Maximum of $90 per family)

 

 

 

$3,645

 

$4,930

 

$6,215

 

$7,500

 

$8,785

 

$10,070

 

$11,355

 

$12,640

 

$1,285

 

$45 Per Child Per Month

(Maximum of $135 per family)

 

 

 

$4,253

 

$5,752

 

$7,251

 

$8,750

 

$10,250

 

$11,749

 

$13,248

 

$14,747

 

$1,500

 

$60 Per Child Per Month

(Maximum of $180 per family)

 

 

 

$4,860

 

$6,574

 

$8,287

 

$10,000

 

$11,714

 

$13,427

 

$15,140

 

$16,854

 

$1,714

 

Full Premium Per Child Per Month

 

 

Over

$4,860

 

Over

$6,574

 

Over

$8,287

 

Over

$10,000

 

Over

$11,714

 

Over

$13,427

 

Over

$15,140

 

Over

$16,854

 

Over

$1,714