Child Health Plus Plan

Qualified children under the age of 19 can have their very own health insurance plan, New York State's Child Health Plus.

Eligibility

  • New York State residents residing within our 28-county service area
  • Under 19 years of age
  • Not eligible for Medicaid
  • Not covered by a comparable healthcare plan
  • Children are not eligible to enroll in Child Health Plus if a parent or family member is a public employee with access to family coverage through a state health plan that is paid for by the agency in whole or in part.

Benefits

Benefits are available for in-network services only with the exception of emergency room services. Covered services include:

  • Inpatient hospital services consisting of daily room and board, general nursing care, special diets, miscellaneous hospital services and supplies
  • Inpatient mental health, alcohol and substance abuse services
  • Emergency care provided in an emergency room of a participating or non-participating hospital
  • Pre-admission testing
  • Physician services provided by your child's primary care physician (PCP) or a network referral specialist with a valid referral from your child's PCP
  • Preventive healthcare and immunizations in accordance with the schedule established by the American Academy of Pediatrics
  • X-ray and laboratory services
  • Rehabilitative therapy
  • Radiation therapy and chemotherapy
  • Obstetrical and gynecological services
  • Outpatient visits for mental health and the treatment of alcoholism and substance abuse
  • Second surgical opinions
  • Speech and hearing services
  • Eye examinations and prescription corrective lenses
  • Home healthcare
  • Prescription and non-prescription drugs
  • Routine dental services

How to Enroll

  • Read the enrollment instructions
  • Print and fill out the application
  • Then submit the materials along with proof of income, proof of residence and age of your children and proof of immigration (when applicable)
  • Or contact customer service at 1-800-431-1914, Monday – Friday, 8:30 a.m. – 5:00 p.m. EST for more information.
  • A completed application received by the 20th of the month will be effective the first of the following month.

Your Cost

  • Your cost for the Child Health Plus program will be determined by your household's total gross (pretax) monthly income.
  • If you qualify for subsidized coverage, your coverage may be free or your premium may be reduced. You can estimate your premium using the information in the Child Health Plus Premium Chart.
  • If your income exceeds the subsidized limit, you may purchase CHP at the current monthly premium rate.
  • Final premium determination will be made based on the information supplied with your application and documentation.
  • Your first month's premium contribution must be included with your application.
 
 
 
Submitting your application

By Mail (USPS): We will receive your application in 5-10 business days

Mail all original documents to:

Empire BlueCross BlueShield
Attn: Child Health Plus
PO Box 1407 Church Street Station
New York, NY 10008-1407

OR Overnight Mail (USPS): We will receive your application in 1-3 business days.

Mail all original documents to:

Empire BlueCross BlueShield
Maildrop 6M
11 Corporate Woods Blvd
Albany, NY 12211

Shortly after we receive your application, we will send you a letter confirming receipt. We will review your application and supporting documents to determine if your child(ren) are eligible for CHPB. Please allow 3-5 weeks for processing.

  • If your child(ren) qualify for and are enrolled in the program, member materials will be mailed to you. Materials include an identification card, member handbook and premium bill (when applicable).
  • If your child(ren) do not qualify for coverage or if your application is incomplete, you will be sent a letter explaining why your application was denied or what information is missing.

If needed, Customer Service Representatives are available to answer your questions at 1-800-431-1914 Monday – Friday 8:30 a.m. – 5:00 p.m. eastern standard time. Thank you. We look forward to a long and lasting relationship with you.