| Q: |
What is DC Healthy Families? |
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A: |
DC Healthy Families is a free
health insurance program. |
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| Q: |
How can DC Healthy Families be
free? |
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A: |
DC Healthy Families is funded
by the District of Columbia and federal governments. DC
Healthy Families is part of a national initiative, the
Children's Health Insurance Program (CHIP), to ensure that every
child has access to health care. |
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| Q: |
Who is eligible for DC Healthy
Families? |
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A: |
DC Healthy Families is for
families with children under age 19 and pregnant women who live
in the District of Columbia. Family income must be at or
below the following:
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New
Income Levels for Children Only |
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Persons In Family
or Household |
Monthly
Income |
Yearly
Income |
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1 |
$2,552.50 |
$30,630.00 |
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2 |
$3,422.50 |
$41,070.00 |
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3 |
$4,292.50 |
$51,510.00 |
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4 |
$5,162.50 |
$61,950.00 |
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5 |
$6,032.50 |
$72,390.00 |
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6 |
$6,902.50 |
$82,830.00 |
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7 |
$7,772.50 |
$93,270.00 |
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8 |
$8,642.50 |
$103,710.00 |
For each additional
person, add |
$870.00 |
$10,440.00 |
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300% of
FPL |
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Income Levels for
Entire Family |
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Persons In Family
or Household |
Yearly
Income |
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1 |
$20,420.00 |
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2 |
$27,380.00 |
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3 |
$34,340.00 |
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4 |
$41,300.00 |
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5 |
$48,260.00 |
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6 |
$55,220.00 |
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7 |
$62,180.00 |
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8 |
$69,140.00 |
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200% of
FPL |
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| Q: |
Where can I get an
application? |
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A: |
Applications are available at
all CVS, Safeway, Rite Aid, and Giant stores; Department of
Motor Vehicles and Department of Employment Services offices;
and libraries in the District. You can also call the
1-(888)-557-1116 help line to have an application mailed to you.
You can also download an application
here. |
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| Q: |
Whom do I call if I need
assistance with completing my application? |
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A: |
You can call the
1-(888)-557-1116 help line between the hours of 8:30 AM and 5
PM, Monday - Friday. |
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| Q: |
What do I do with my
application when it is complete? |
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A: |
A self-addressed, stamped
envelope is enclosed with your application. You need to
include the following with your application:
- Proof of DC residency
- Copies of Social Security
cards for children and parents who are applying
- Proof of one month's
income
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| Q: |
How do I know if I am
eligible? |
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A: |
You will receive a letter
within 45 days informing you if you are eligible. |
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| Q: |
If I am eligible, when can I
go to a doctor? |
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A: |
Once you receive your
eligibility letter, you can go to a participating doctor. |
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| Q: |
Will I get an insurance card? |
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A: |
You will receive a second
letter asking you to choose your health plan and physician.
When you have chosen your health plan and physician, you will
receive your insurance card. |
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| Q: |
Once I am approved, what do I
do next? |
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A: |
Once approved, you will have
to select a health plan. But first you will receive an
enrollment package. Once you have reviewed the materials,
you can contact the enrollment broker to select a health plan
you will receive a enrollment package. You can contact the
enrollment broker to select a health plan. |
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| Q: |
How long does my eligibility
last? |
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A: |
Your eligibility lasts for 12
months. At least 60 days before your eligibility runs out,
you will receive a letter asking you to update changes in your
residency, income, and family size. If your residency,
income, or family size changes during the 12 months, you must
report the change within 10 days. To report a change,
contact: Income
Maintenance Administration Change Center
(202)-727-5355
Enrollment Broker
(202)-639-4030 |
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Q: |
Who does DC Healthy Families
cover? |
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A: |
- District of Columbia
resident
- US Citizen or “Qualified
Immigrant”
- Gross family income at or
below 200% FPL (Dependent Care Expenses can be considered)
- Child under 19
- Children at or below 300%
FPL
-
Parents/Grandparents/Caretaker/Relatives/LEGAL guardians of
Medicaid or DC Healthy Families eligible child who live with
the child/pregnant women
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Q: |
What benefits does DC Healthy
Families offer? |
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A: |
- Physician visits and
checkups (physicals, mammograms, etc.)
- After-hours care - 24
hours a day, 7 days a week
- In-patient care
- Dental services - full
routine care for children, emergency care for adults
- Emergency care
- Well-child services
(EPSDT/Health Check)
- Lab and x-ray services
- Prescription drugs (not
for Medicare Dual Eligibles with the exception of certain
drugs)
- Home health care
(including durable medical equipment)
- Vision care
- Transportation for
emergencies or when medically needed
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