What is MediKids ( Medicaid plan)?

MediKids is a health insurance program for children age one to five years old that is administered by the Agency for Health Care Administration. MediKids is a component of the Florida KidCare Program enacted by the 1998 Florida Legislature. MediKids provides health insurance to children age one to five who are U.S. citizens or qualified aliens and who are ineligible for Medicaid. MediKids is not an entitlement program. Families must pay low monthly premiums
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MediKids Eligibility

MediKids eligibility is determined by the Florida Healthy Kids Corporation. A family may obtain an application by calling 888-FLA-KIDS (352-5437). Applications are also available at county health departments and Department of Children and Families service centers.

In counties where there are two or more Medicaid HMOs, the child’s family must select an HMO. In counties where there is one Medicaid HMO, the family must select the HMO or a MediPass provider. In counties with no HMO coverage, the family may select a MediPass provider.


Covered Services 


MediKids enrollees are eligible for all Medicaid benefits except home and community-based waiver services. They receive services from Medicaid providers or providers contracted with Medicaid HMOs.

MediKids Program codes


Children eligible for the MediKids program are assigned program codes of MKA, MKB, or MKC.

Florida KidCare Overview

Florida KidCare is the State of Florida’s health insurance program that covers children ages 0-18. The program is made up of Florida Healthy Kids, Medicaid, MediKids and Children’s Medical Services Network. Families can call 1-888-540-KIDS (5437) or complete an online application to begin the application process. All Florida KidCare programs are applied for with one application. Florida KidCare will place your child in the program that best meets your child’s needs. Florida KidCare is for children, not adults. To qualify for low-cost coverage, a child must be under age 19, must meet income eligibility requirements, must be a U.S. citizen or qualified non-citizen, and must not be in a public institution.

Premiums/Copays https://www.healthykids.org/cost/premiums/

Most Florida Healthy Kids families pay just $15 or $20 per month. Monthly premiums depend on your household’s size and income. If you do not qualify for subsidized coverage, you may be eligible for the full-pay option. The non-reduced monthly premium is $121/child without dental benefits and $133/child with dental benefits. You may have to pay small charges or co-payments for some services.

Florida Healthy Kids covers only children 5-18. If your children are older, younger, have special needs or have a lower income, your family may be served by other Florida KidCare partners (Medicaid, MediKids and Children’s Medical Services).

Enrollment in Florida KidCare and Medicaid closed when open enrollment for the federally facilitated marketplace  (FFM) ended on March 31, 2014.

FACT: Enrollment in Florida KidCare and Medicaid is open all year. Enrollment in the FFM closed on March 31, 2014. However, if they get an application that looks like the person might qualify for Florida KidCare or Medicaid, the FFM will refer the application to Florida to determine eligibility, even if FFM enrollment is closed.

If eligible for Florida KidCare or Medicaid, the person can be enrolled at any time during the year.

The ACA created a “no wrong door” application process. There are multiple ways to apply:

1. Online at State Web Sites (Florida KidCare or the Department of Children & Families/DCF) 

www.floridakidcare.org
http://www.myflorida.com/accessflorida/

2. Print a paper application from the state web sites or call Florida KidCare to request a paper application: 1-888-540-5437 (toll-free)

3. Online at Federal Web Site: https://www.healthcare.gov/ or call 1-800-318-2596 to apply by phone




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