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Eligibility and Cost:  Photo of child

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IMPORTANT!  When your child is enrolled in Florida KidCare, be sure to pay your premium on time every month to avoid a cancellation penalty.  There is no charge for Medicaid for children.

Eligibility

Florida KidCare is for children, not adults. To qualify, a child must:

  • Be under age 19,
  • Be uninsured,
  • Meet income eligibility requirements,
  • Not be the dependent of a state employee eligible for health insurance, and
  • Not be in a public institution.

State law also requires information about:

  • Child’s access to employer health insurance. For each child who is applying for Florida KidCare, parents must tell Florida KidCare if the child could be covered under a health insurance plan offered by your employer, even if the child is not covered by the employer’s health insurance now, and how much it would cost each month to add the child.
  • Pre-existing health condition. For each child who is applying for Florida KidCare, parents must tell Florida KidCare if the child has a pre-existing health condition that keeps him or her from getting your employer health insurance. A child with a pre-existing health condition may still qualify for Florida KidCare.
  • Voluntary cancellation of employer health insurance. A child whose employer health insurance was voluntarily cancelled within 6 months of applying will not qualify for subsidized MediKids, Healthy Kids, or Children’s Medical Services Network coverage.

The requirements for MedicaidThis link opens a new window may be different than for other Florida KidCare programs.

Cost

  • There is no charge for Medicaid for children (KidCare Medicaid).
  • For other Florida KidCare programs, monthly premiums depend on your household’s size and income. Most families pay $15 or $20 a month. If you need to pay more, Florida KidCare will let you know. Make checks or money orders payable to Florida KidCare. Do not send cash. If your child (or children) is approved for Medicaid or denied coverage, your premium payment will be refunded.
  • You may have to pay small charges or co-payments for some services.

Information for Grandparents

Are you raising grandchildren who need health insurance?

If you are raising your grandchildren, one of your biggest worries may be how to keep them healthy and strong. Having health insurance can make it possible for you to get health care for your grandchildren before they are seriously ill.

Grandchildren that live with you may be eligible for Florida KidCare. When you apply for Florida KidCare, your income will only be considered if it will help your grandchildren become eligible for one of the Florida KidCare programs. The grandchildren you are applying for must live in your home, but it does not matter how long they have lived with you. You can print a Florida KidCare application from this web site, or call 1-888-540-5437 toll-free and one will be sent to you.

Grandparents can bring their grandchildren to the doctor’s office.

Florida Statute Chapter 743.0645 allows a grandparent to consent to medical care on behalf of a child: (1) after the treatment provider has made a reasonable attempt to contact the child’s parent or legal guardian and that person cannot be contacted; and (2) if the parent or legal guardian has not given the treatment provider notice that they oppose the treatment.

If your uninsured grandchildren do not live with you...

As a grandparent, you are concerned about your grandchildren's health even if they are not living with you. If you are a grandparent whose uninsured grandchild does not live with you, you can still access health insurance information from the state that your grandchild lives in.

Go to www.insurekidsnow.gov/This link opens a new window and from the drop-down menu click on the state that your grandchild resides in. You can then contact their state to have an application sent to their parents.

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American Indian or Native Alaskan Eligibility

Children who are members of federally recognized American Indian or Native Alaskan tribes may not be required to pay monthly premiums or co-payments once enrolled in Florida KidCare.

If your children are members of federally recognized American Indian or Native Alaskan tribes, please call 1-888-352-5437, Extension 6119 toll-free to find out if they are eligible for free health insurance coverage.

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Non-Citizen Information

QUESTION: What is a qualified non-citizen?
ANSWER: In general, children eligible for Florida KidCare must be U.S. citizens. However, the federal government classifies some non-citizen children as "qualified aliens". These children are eligible. Also remember that some persons born outside the United States may be citizens.

Examples of Non-Citizen Children Who May Be Eligible

  • Children who have been legal permanent residents for at least five (5) years
  • Refugees, asylees, and those whose removal has been withheld
  • Cuban and Haitian entrants
  • Amerasians
  • Dependents of veterans or active-duty military
  • Persons certified by Office of Refugee Resettlement (ORR)
    as Victims of Trafficking
  • Battered spouse and/or child

QUESTION: Is a parent's immigration status part of eligibility?
ANSWER: No. The Florida KidCare application does not ask about parents' status.

QUESTION: Does Florida tell the United States Citizenship and Immigration Services (USCIS) I am applying to Florida KidCare?
ANSWER: No. The state of Florida cannot provide any information to the USCIS about people applying for Florida KidCare or medical benefits. (However, people who apply for cash assistance or food stamps can be reported if they reveal they're under a final order of deportation or not lawfully present.) Remember, the child's immigration status — not the parent's — is considered for Florida KidCare eligibility.

QUESTION: Will enrolling a child in Florida KidCare harm me in adjusting my status through USCIS?
ANSWER: No. Regulations state that health care cannot be used to deny individuals admission to the U.S., to bar legal permanent residence, or to deport. (May 25, 1999, Administration Policy Announcement directed to all federal agencies.)

QUESTION: Does Children's Medicaid give my social security and income data to the USCIS or the U.S. Department of State?
ANSWER: No. A 1997 federal decision requires this information to be confidential.

QUESTION: Is my Social Security number required?
ANSWER: No. A parent’s social security number is not required; however, Healthy Kids may continue to ask for your social security number to verify income and for use in other data matches. Inability to give a social security number will not affect your child’s eligibility for Florida KidCare. A 1997 federal decision requires this information to be confidentially handled.

QUESTION: Is my child's Social Security number required?
ANSWER: To be eligible for Florida KidCare, your child's Social Security number is required unless your child does not have one. If your child does not have a Social Security number, you have to provide a date that you applied or attempted to apply for a Social Security number. If your child is eligible for Medicaid, you have to provide a letter confirming your application for the Social Security number.

QUESTION: How do I complete the Social Security number section on the Florida KidCare application?
ANSWER: If your child has a Social Security number, write it on the application in the spaces provided. If you have applied for a Social Security number for your child but have not yet received a number, write the date you applied for the number on the line where it says "Date SSN applied for."

If your child is not eligible for a Social Security number or you tried to get one and weren't allowed to apply, write the date that you tried to apply for a Social Security number on the line where it says "Date SSN applied for."

If your child is not eligible for a social security number but IS eligible for Medicaid, the Social Security Administration will give your child a number so that he or she can get health insurance. Call your local Department of Children and Families office to provide you with a letter to take to the Social Security Administration office so your child can receive a number.

QUESTION: If I enroll my child in the Florida KidCare program, can I later be asked to pay back the money?
ANSWER: No. Neither the state of Florida nor the Immigration and Naturalization Service can require you to repay a lawfully received benefit. They will not accept it even if you want to pay it back.

Definitions of Some Immigration Terms

  • Alien - Foreign national; any person not a citizen or national of the United States (a non-citizen)
  • Amerasian - Certain children fathered by U.S. citizens in certain Southeast Asian countries during the years of armed conflict in those regions. Spouses, children, and parents or guardians may sometimes accompany the alien child.
  • Asylee - An alien in the United States or at a port of entry unable or unwilling to return to his or her country of nationality, or to seek the protection of that country because of persecution or a well-founded fear of persecution, based on the alien's race, religion, nationality, membership in a particular social group, or political opinion. One who has been granted humanitarian permission to remain in the United States.
  • Cuban/Haitian Entrant - An individual as defined in Section 501 of the Refugee Education Assistance Act, including any person granted parole status as a Cuban/Haitian entrant, regardless of the status of the individual at the time of assistance; also any other national of Cuba or Haiti who has an application for asylum pending with USCIS, was paroled into the U.S., or is the subject of removal proceedings.
  • Legal Permanent Resident - An alien admitted to the United States as a lawful permanent resident. LPRs are those persons lawfully accorded the privilege of residing permanently in the United States. They may have been issued immigrant visas by the Department of State overseas or adjusted to permanent resident status by the United States Citizenship and Immigration Services.
  • Refugee - Any person outside of the U.S. and his or her country of nationality who is unable or unwilling to return to his or her country because of persecution or a well-grounded fear of persecution on account of race, religion, nationality, political opinion, or membership in a particular social group. Refugees may be paroled into the United States.
  • Victim of Trafficking - A person who through use of force, fraud, or coercion, has: Performed a commercial sex act; or been recruited, harbored, transported, provided or obtained for labor or services for the purpose of subjection to involuntary servitude, peonage, debt bondage or slavery.

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