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What is Empire's 360° Health® program?
A total health solution that helps members become more healthy, or live better with a condition, while lowering the cost of health care.
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Child Health Plus

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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.

 
 
 
©2014 Empire BlueCross BlueShield

Services provided by Empire HealthChoice HMO, Inc. and/or Empire HealthChoice Assurance, Inc., licensees of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans, serving residents and businesses in the 28 eastern and southeastern counties of New York State. All external sites will open in a new browser window. Please view our Website Privacy Policy for more information.