Child Health Plus

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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)*
  • 2023
Child Health Plus
Covered Services
Star Ratings
Comprehensive Formulary
Premium
Eligible Age
Under 19
Eligible Service Areas
Within New York City's five boroughs (the Bronx, Brooklyn, Manhattan, Queens, and Staten Island), Long Island, and Westchester, Orange, Rockland, and Sullivan counties
Dental Cleanings
$0 copay
Vision Exams
$0 copay
Telemedicine (Teladoc)
$0 copay
Costs & Benefits
Child Health Plus
Deductible (Individual)
$0
Maximum Out-of-Pocket (Individual)
$0
Your Annual Checkup
$0 copay
Primary Care Provider (PCP) Visit
$0 copay
Specialist Visit
$0 copay
Retail Health Clinic
$0 copay
Urgent Care
$0 copay
Emergency Room
$0 copay
Ambulance
$0 copay
Surgeon
$0 copay
Outpatient Facility
$0 copay
Inpatient Hospital Stay
$0 copay per admission
Prescriptions
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
Covered Prescription Drugs (Formulary) English

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.

Additional Benefits

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    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.

  • Additional benefit image

    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.

  • Additional benefit image

    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.

Additional Benefits

  • 24/7 Access to Telemedicine with Teladoc*

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  • See Better with Healthfirst Vision Benefits

    Additional benefits dropdown arrow
  • Dental Care That Keeps You Smiling

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Frequently Asked
Questions

See All
  • What is the difference between Child Health Plus and Medicaid? FAQ dropdown arrow
  • How do I apply for Child Health Plus? FAQ dropdown arrow
  • Does Child Health Plus cover dental and braces? FAQ dropdown arrow

Support When You Need It

We’re happy to answer your questions.

Learn about enrollment

1-844-488-1486

Monday to Saturday, 8am–8pm

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

Can’t talk right now?

Request a callback and we’ll get back to 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’s website to view your choices, or call the NY State of Health customer service center at 1-855-355-5777.