Page 2

Program Eligibility Overview Ages 0 to 1 200% 133% Medicaid for Children No monthly premium Florida Healthy Kids $15 or $20 monthly premium Florida Healthy Kids Full Pay $276.00 monthly premium with dental /child MediKids Full Pay $248.21 monthly premium /child MediKids $15 or $20 monthly premium Federal Poverty Level Ages 1 through 4 Ages 5 through 18 CMS Plan* *133% to 200% of the FPL have $15 or $20 monthly premiums. ** For a family of four, 133% of the FPL’s annual income is $42,760.00 and 200% is $64,300.00 as of April 2025