All Kids Costs

Some families get All Kids for free. Some families have to pay premiums and co-payments for All Kids health insurance. What you pay will depend on your income.

Monthly Premiums - You may have to pay a monthly premium for your children to get All Kids. A premium is a monthly amount that some families must pay even if they do not use any health care that month.

Co-Payments - You may also have to pay a part of the cost of the healthcare your child gets from a doctor, dentist or hospital. You may have to pay part of the cost of prescription drugs. These costs are called co-payments.

You will never have to pay a co-payment when your child gets a regular check-up or shots. These are called well-child visits and they are free for all children enrolled in All Kids.

The amount of premiums and co-payments you will have to pay depends on your income, the size of your family and how many of your children get All Kids.

What will All Kids premiums and co-payments cost an average family?

Here are some examples of what All Kids will cost. If you apply for All Kids and qualify, we will send you a notice telling you how much All Kids will cost your family. We will send you a bill every month if you have to pay a premium.

Example - A family of four that makes up to *$36,168 of gross income each year does not have to pay any premiums or co-payments for their children.

Example - A family of four that makes about *$36,180 to $38,628 of gross income each year does not have to pay any premiums. A family like this pays a $3.90 co-payment for each doctor visit, and $2 or $3.90 for each prescription. This family would pay a maximum of $100 in total co-payments in a year.

Example - A family of four that makes about *$38,640 to $51,420 of gross income each year pays premiums of $15 per month for one child, $25 for two children or $30 for three children. A family like this pays co-payments of $5 for a visit to a doctor, and $3 or $5 for each prescription drug. This family would pay a maximum of $100 in total co-payments in a year.

Example - A family of four that makes about *$51,432 to $78,228 of gross income a year pays a premium of $40 per month for one child and $80 a month for two children. A family like this would pay $10 for each doctor visit, and $3 or $7 for each prescription drug. This family would pay $100 if a child was hospitalized and 5 percent of the cost of any hospital outpatient service.

Remember, no family ever has to pay for their children's regular check-ups and immunizations.

*The income standards may increase each year. For more detailed information about All Kids costs see the Income Standards & Cost Sharing Chart .

Do I have to pay my first premium to start All Kids coverage?

Coverage for new families enrolled in All Kids Premium Levels 1 and 2 may start before you pay the first month's premium. If you get an approval letter and do not want the coverage, you must contact 1-866-255-5437 right away to cancel the coverage. If you do not cancel the coverage, you may still owe money for premiums even if you don't use the All Kids card.

What happens if I do not pay my All Kids premiums?

If you do not pay All Kids premiums that you owe, we will cancel your child's All Kids health insurance. You will still owe premiums for the time your child was covered by All Kids even if you do not use the card. If you decide later that you want All Kids for your child, you will have to reapply and pay any premiums you owe. However, even if you owe premiums, you may reapply at any time.

What happens if I do not pay my All Kids co-payments?

If you do not pay your co-payments, your doctor may refuse to treat your child, and pharmacies will not fill your prescriptions. If you owe a co-payment, doctors and hospitals have the right to collect it from you.