Child Health Plus provides no- or low-cost healthcare coverage for children under 19 who aren’t eligible for Medicaid. Children can qualify for the plan—sponsored by New York State—regardless of family income or immigration status.

Plan Highlights:

  • Hospital, emergency room, retail health clinic, and urgent care visits
  • Lab tests and X-rays
  • Prescription drug coverage
  • Vaccines (shots)
  • Hearing, vision, and dental coverage
  • Care Management programs
  • Physical, occupational, and speech therapy
  • 24/7 access to care with telemedicine (Teladoc)*
Call us for a premium quote Contact Us
Eligible Age
Under 19
Eligible Service Areas
Within New York City's five boroughs (the Bronx, Brooklyn, Manhattan, Queens, and Staten Island), on Long Island, and in Westchester, Orange, Rockland, and Sullivan counties
Deductible (individual)
Maximum Out-of-Pocket (individual)
Your Annual Checkup
$0 copay
Primary Care Provider (PCP) Visit
$0 copay
Dental Cleanings
$0 copay
Vision Exams
$0 copay
Telemedicine (Teladoc)
$0 copay
Specialist Visit
$0 copay
Retail Health Clinic
$0 copay
Urgent Care
$0 copay
Emergency Room
$0 copay
$0 copay
$0 copay
Outpatient Facility
$0 copay
Inpatient Hospital Stay
$0 copay per admission

Prescription Drug Benefits

Generic Drugs (Tier 1)
$0 copay
Brand Name Preferred (Tier 2)
$0 copay
Brand Name Non-Preferred (Tier 3)
$0 copay
90-Day Mail-Order Supply for Generic (Tier 1)
$0 copay

Additional Benefits

24/7 Access to Telemedicine with Teladoc

Talk to a doctor any time—for a $0 copay. Connect with board-certified doctors through video chat or phone for prescriptions, help diagnosing and treating non-emergency conditions, and more. Access to dermatologists is also available.

See Better with Healthfirst Vision Benefits

Taking care of your eyes doesn’t just mean having clear vision. An annual eye exam can help detect a number of health risks, such as diabetes, thyroid disease, high blood pressure, and other conditions. Healthfirst has made it easy for our members to take advantage of this often overlooked preventive service by providing access to comprehensive vision care.

Dental Care That Keeps You Smiling

Healthfirst believes that providing you with good dental care is important to your overall healthcare. Covered services include regular and routine dental services such as preventive dental checkups, cleanings, X-rays, fillings, and other services to check for any changes or abnormalities that may require treatment and/or follow-up care for you. You do not need a referral from your PCP to see a dentist.

Plan Documents

2024 Child Health Plus

General Plan Information
The Healthfirst Child Health Plus Plan is rated a 5-Star-Rated Plan in 2024
Ratings are based on a five-star scale from indicators chosen by the New York State Department of Health and are published in its 2014 through 2023 publications of A Consumer’s Guide to Medicaid Managed Care in NYC and on Long Island.
Covered Services
Full List of Approved Preventive Services
Prescription Drug Information
Comprehensive Formulary (List of Covered Drugs)
See all forms & documents

The benefit information provided is a brief summary, not a complete description, of benefits. For more information, contact the plan.

Coverage is provided by Healthfirst PHSP, Inc.
Plans contain exclusions and limitations.
Healthfirst complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-305-0408 (TTY 1-888-867-4132). 注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-866-305-0408 (TTY 1-888-542-3821)。

*Telemedicine (Teladoc) isn't a replacement for your primary care provider (PCP). Your PCP should always be your first choice for care (both in-person and virtual visits).

DentaQuest® is contracted with Healthfirst to provide dental benefits to its members.

EyeMed® is contracted with Healthfirst to provide vision benefits to its members.

Frequently Asked Questions

Child Health Plus is for children under 19 who aren’t eligible for Medicaid. Unlike Medicaid, children can qualify regardless of immigration status.

Yes! Child Health Plus covers dental care and exams—including braces if they are medically necessary.

Support When You Need It

We’re happy to answer your questions

Learn about enrollment 1-844-488-1486

Monday to Saturday, 9am—6pm

TTY English: 1-888-542-3821

TTY Español: 1-888-867-4132
Member Services 1-866-463-6743

Monday to Friday, 8am—6pm

TTY English: 1-888-542-3821
TTY Español: 1-888-867-4132

Need help enrolling in a health plan?

Request a call and our sales team will call you within one business day.

You can also visit our Virtual Community Office to connect with a local Healthfirst representative or to find a community office near you.

You can also go to the NY State of Health website to view your choices, or call the NY State of Health customer service center at 1-855-355-5777.