Individual & Family Plans Child Health Plus

Child Health Plus is a low-cost health insurance option for children who aren't eligible for Medicaid.

This plan helps make your child's healthcare more affordable. Depending on your family's income, you'll pay a $0 or low monthly premium and no copays for covered care.

Plan Year

Plan highlights

Star rating

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 Health®)*

Costs and plan details

Deductible (Individual)
$0
Eligible Age
Under 19
Eligible Service Areas
Reside within New York City’s five boroughs (The Bronx, Brooklyn, Manhattan, Queens, and Staten Island), or in Nassau, Suffolk, Orange, Rockland, Sullivan, and Westchester counties.
Maximum Out-of-Pocket (Individual)
$0
Your Annual Checkup
$0 copay
Primary Care Provider (PCP) Visit
$0 copay
Dental Cleanings
$0 copay
Vision Exams
$0 copay
Telemedicine (Teladoc Health®)
$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

Prescription drug benefits

View our comprehensive and up-to-date Child Health Plus prescription drug list (formulary).

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 Health

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 dental services include regular and routine 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

General plan information

•
  • Covered Services
Full list of approved preventive services

Prescription drug information

  • Comprehensive Drug List (Formulary)
See all plan documents Find member forms

Frequently asked questions

Child Health Plus is health insurance for children under age 19 whose families don’t qualify for Medicaid.

Medicaid is for people and families with lower incomes and has stricter income limits than Child Health Plus. If your family’s income increases and your child is no longer eligible for Medicaid, they may qualify for Child Health Plus instead.

No. Child Health Plus has no copays. Depending on your income, you may pay a monthly premium.

Child Health Plus gives you access to a network of doctors, dentists, specialists, and hospitals, so you can choose a provider that's right for your family. Find a doctor now.

No. Your child can visit any in-network dentist and switch to another in-network dentist at any time without notifying Healthfirst. To find a dentist, visit MyHFNY.org or call the Member Services number on the back of your child's Member ID card.

Yes! Child Health Plus covers dental exams and dental care, including braces when they’re medically necessary.

You have a few options:

Disclaimers

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.

ATENCIÓN: Dispone de servicios de asistencia lingüística y otras ayudas, gratis. Llame al 1-866-305-0408 (TTY: 1-888-867-4132).

请注意:您可以免费获得语言协助服务和其他辅助服务。请致电 1-866-305-0408 (TTY: 1‑888‑542‑3821)。

*Telemedicine (Teladoc Health) 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).

Last update October 16, 2026 @ 9:54 am

Plan highlights

Star rating

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)*

Costs and plan details

Deductible (Individual)
$0
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
Maximum Out-of-Pocket (Individual)
$0
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
Ambulance
$0 copay
Surgeon
$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

General plan information

•
  • Covered Services
Full list of approved preventive services

Prescription drug information

  • Comprehensive Formulary (List of Covered Drugs)
See all plan documents Find member forms

Frequently asked questions

Child Health Plus is for children under 19 who aren’t eligible for Medicaid.

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

Disclaimers

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.

ATENCIÓN: Dispone de servicios de asistencia lingüística y otras ayudas, gratis. Llame al 1-866-305-0408 (TTY: 1-888-867-4132).

请注意:您可以免费获得语言协助服务和其他辅助服务。请致电 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).

Last update October 16, 2026 @ 9:54 am

Learn about enrollment

Call to speak with a sales representative
1-844-434-7785

TTY English: 1-888-542-3821

TTY Español: 1-888-867-4132

Monday to Friday, 9am–6pm

Request a call

Our sales team will call you within one business day.

Request a call
Schedule an appointment

We can help you enroll by phone, video chat, or in person.

Schedule an appointment

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.

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