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Child
Health Plan
Eligibility
Benefits
Questions
Resources
Request enrollment kit
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Who
is eligible
Before requesting
an application, please read below to see if your children qualify.
Your children
may be eligible for Kaiser Permanente Child Health Plan if they:
- are under
19 years of age (birth through age 18) and not currently insured
- are not
eligible for public health care coverage such as Medi-Cal or Healthy
Families (see our Useful resources page
to get contact information for these programs)
- are not
eligible for health care coverage that is paid for, in any part,
by an employer
- are in a
family with an annualized income‡ between the ranges shown below
| |
$8 per child*† |
$15 per child* |
Family size
(parents & children)
|
Annualized income‡ before taxes is between: |
Annualized income‡ before taxes is between: |
| 1 |
$0 to $25,525 |
$25,526 to $30,630 |
| 2 |
$0 to $34,225 |
$34,226 to $41,070 |
| 3 |
$0 to $42,925 |
$42,926 to $51,510 |
| 4 |
$0 to $51,625 |
$51,626 to $61,950 |
| 5 |
$0 to $60,325 |
$60,326 to $72,390 |
| 6 |
$0 to $69,025 |
$69,026 to $82,830 |
| 7 |
$0 to $77,725 |
$77,726 to $93,270 |
| 8 |
$0 to $86,425 |
$86,426 to $103,710 |
For each
additional person |
add $8,700 |
add $10,440 |
Ranges shown above are subject to change.
In the chart above, a family size of one means a parent is requesting coverage for a child who does not live with him or her. A single parent who lives with one child counts as a family of two.
*Monthly premium per child, up to three children. Additional children are covered at no extra premium.
†If your income is within the ranges in this column and you are eligible for Medi-Cal or Healthy Families, please apply to those plans first before you apply for our plan.
‡Annualized income is your projected income for one year, based on the total monthly household gross income information you submit with your application.
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