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DE Healthy Children Program - DSS

The Delaware Healthy Children Program is a low cost health insurance program for Delaware's uninsured children administered by Division of Social Services (DSS). The Delaware Healthy Children Program features the same high-quality coverage you'd get with some of the best private insurance plans.

Eligibility

Your children may qualify if they...

·      Do not have comprehensive health insurance,

·      Are under the age of 19 and reside in the State of Delaware,

·      Are U.S. citizens or qualified non-citizens,

·      Are not dependents of a State of Delaware employee, and

·      Meet income eligibility (please see the 200% Federal Poverty Level chart); the number of people in your family (children and adults combined) and your total family countable income determine the eligibility and premium cost for your family.

NOTE: Income limits discussed above became effective January 1, 2006 for use of the 2006 Federal Poverty Level guidelines.

Benefits

The Delaware Healthy Children Program covers everything from routine checkups to eye exams to doctor and hospital services. Families covered by the Delaware Healthy Children Program enjoy an extensive list of services for a single low monthly rate and NO CO-PAYMENTS. Services covered include:

·      Well-baby and well-child checkups

·      Drug/alcohol abuse treatment

·      Speech/hearing therapy

·      Immunizations

·      Physical therapy

·      Eye exams

·      Ambulance services

·      Prescription drugs

·      Hospital Care

·      Physician services

·      X-rays

·      Lab work

·      Assistive technology

·      Mental health counseling

·      Limited home health and nursing care

·      Case management and coordination

·      Hospice care

Premiums

Families with eligible children are required to pay a premium in order to receive coverage. The premium is per family per month regardless of the number of eligible children in the family. The monthly premium will vary according to countable family income as follows:

Countable Family Income Premium

More than 100% FPL and less than or = 133% FPL $10

More than 133% FPL and less than or = 166% FPL $15

More than 166% FPL and less than or = 200% FPL $25

See Medicaid - Income Limits - FPL-Related for a table of the current income amounts.

Application

You can apply by calling the Delaware Healthy Children Program's toll-free number shown below for an application. The Health Benefit Manager will assist you with any help you may need filling out an application. Proof of family income (full month's pay stubs or latest tax-return if self-employed), proof of lawful alien status (copy of front and back of alien card or INS paperwork), and proof of pregnancy (if someone in the household is pregnant) also needs to be mailed in with your application.

Delaware Healthy Children Program
PO Box 950
New Castle, DE 19720-9914

1-800-996-9969

You can also print a copy of the Delaware Healthy Children Program application by going to the DSS Publications and Forms web page at:
http://www.dhss.delaware.gov/dhss/dss/pubs.html

Additional Information

The Delaware Healthy Children Program is the state's implementation of the Federal Medicaid State Children's Health Insurance Program (SCHIP), also known as Title XXI of the Social Security Act (PL 105-33, August 5, 1997). See the topics below for comprehensive information about SCHIP:

State Children's Health Insurance Program (SCHIP)

Title XXI of the Social Security Act

See also:

DE Medicaid - Overview

DE DSS - Change Reporting Requirements

DE DSS - Contact Information

Source:

http://www.dhss.delaware.gov/dhss/dss/dhcp.html

DSS Policy Manual (Sects. 18000 through 18800)

Administrative Notice DMMA-02-2006, January 27, 2006; DSS Administrative Notice A-06-2005, February 22, 2005

Back to:

DE Division of Social Services - Overview

DE Benefit Information System Overview

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