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Benefit Package • Healthy Families, C-CHIP and AIM members receive similar benefits to those provided to California's State employees under the California Public Employees Retirement System (CalPERS). The State also provides enhanced services beyond the CalPERS package, including comprehensive dental and vision coverage and screening and initial treatment services though the Child Health and Disability Prevention (CHDP) program. In addition, Healthy Families and AIM children with complicated medical conditions will receive treatment of those conditions through the California Children’s Services (CCS). Unborn children receive prenatal care and associated health care services.

Cost Sharing • Children up to 250% FPL or 300% FPL enrolled in both Healthy Families and C-CHIP pay premiums. Premium amounts depend on the health plan selected, the family’s income level and the county of residence for C-CHIP enrollees. Families who prepay 3 months of premiums do not have to pay for the fourth month (except in the Alameda C-CHIP).

• Children enrolled in both Healthy Families and C-CHIP pay co-payments. Co-payments range from $5 to $15 for all services other than well-baby, well-child and other preventive services. There is an annual cap on co-payments for health services of $250 per family.

• Children enrolled in the AIM program prior to July 1, 2004, pay premiums equal to 2 percent of the family's annual income. No co-payments are charged for AIM services. For children enrolled in AIM on or after July 1, 2004, premiums and co-payments are the same as for children in Healthy Families.

• Unborn children in families up to 200 percent of the FPL will not be charged cost sharing. Unborn children in families from 200 percent to 300 percent FPL enrolled in AIM will be charged 1.5 percent of family income.

State Action to Avoid Crowd-out Families are ineligible for Healthy Families or C-CHIP if they have been covered under employer-sponsored coverage within the 3 months prior to application, or if they are eligible for Medi-Cal or Medicare coverage. To participate in AIM, infants must not have employer- sponsored coverage or no-cost Medi-Cal at the time of application.

Outreach Activities California has taken a multifaceted approach to outreach that includes a media campaign, the use of community-based organizations, health brokers, and insurance agents to directly identify and assist potential enrollees in filling out the joint application form for the Medi-Cal and the Healthy Families programs. California is also conducting provider education and school-based outreach campaigns.