Child Health Plan Plus (CHP+)

Child Health Plan Plus (CHP+) is public low-cost health insurance for certain children and pregnant women. It is for people who earn too much to qualify for Medicaid, but not enough to pay for private health insurance.

In July 2015 there were 51,272 Coloradans enrolled in Child Health Plan Plus (CHP+).

Who Qualifies?

  • Children age 18 and under and pregnant women age 19 and over
  • Applicants with household income under 260% of the Federal Poverty Level (FPL)
  • Colorado Residents
  • Permanent legal residents who have had an Alien Registration number for at least 5 years, a refugee or asylee
  • Applicants not eligible for Medicaid
  • Applicants who do not have other health insurance

Benefits and Services

CHP+ covers:

  • Primary Care
  • Emergency Care and Urgent Care
  • Hospital Services
  • Dental Care (for children only)
  • Prescriptions
  • Immunizations
  • Maternity Care (prenatal, delivery and postpartum care)
  • Mental/Behavioral Health Care

See the Child Health Plan Plus Comparison Chart for details on

the plans available in your area.

What Does It Cost?

CHP+ costs vary depending on your household size and income. CHP+ members may have to pay an annual enrollment fee. This fee is due within 30 days of your CHP+ approval. Some CHP+ clients may also have to pay co-payments to their health care provider at the time of service. Prenatal women, Native American and Alaskan Natives do not have to pay annual enrollment fees or co-payments.

Fees & Co-Payments

Annual Enrollment Fees

The standard fees are:

  • $0 for an adult pregnant woman in the CHP+ Prenatal Care Program
  • $25 to enroll one child
  • $35 to enroll two or more children

Co-Payments

You may also have to pay small co-payments when you or your child receives CHP+ services. There are no co-payments for preventative care, such as prenatal care and check-ups. Other services may require co-payments that vary based on your income. Native Americans and Alaskan Natives do not have to pay co-payments.

The chart below is a summary of copayments -- not an all-inclusive list.

Source: www.colorado.gov

Category: Credit

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