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Child Health Plus 2009 Contributions

July 1, 2009

Child Health Plus Final 2009 Family Contributions by Income and Household Size
(For Enrollment Effective On or After July 1, 2009) 

 Premium Categories

Monthly Income by Family Size*

 Each Additional Person, Add:

1

2

3

4

5

6

7

 8

Free Insurance

$1,443

$1,942

$2,441

$2,939

$3,438

$3,937

$4,435

$4,934

$499

$9 per child per month (Maximum of $27 per family)

$2,004

$2,696

$3,388

$4,080

$4,772

$5,464

$6,155

$6,847

$692

$15 per child per month(Maximun of $45 per family)

$2,257

$3,036

$3,815

$4,594

$5,373

$6,153

$6,932

$7,711

$780

$30 per child per month (Maximum of $90 per family)

$2,708

$3,643

$4,578

$5,513

$6,448

$7,383

$8,318

$9,253

$935

$45 per child per month (Maximum of $135 per family)

$3,159

$4,250

$5,341

$6,432

$7,523

$8,613

$9,704

$10,795

$1,091

$60 per child per month (Maxiumu of $180 per family)

$3,610

$4,857

$6,104

$7,350

$8,597

$9,844

$11,090

$12,337

$1,247

Full Premium* per child per Month

Over $3,610

Over $4,847

Over $6,104

Over $7,350

Over $8,597

Over $9,844

Over $11,090

Over $12,337

 

*The full premium varies, depending on the health plan chosen by the family.

 


 

Medicaid and PCAP Final 2008 Income Eligibility Levels (Effective 2/1/2009)

 Age Categories for Children

Monthly Income by Family Size

Each Additional Person, Add:

1

2

3

4

5

6

7

8

Children under 1 year, Pregnant Women*

$1,805

$2,429

$3,052

$3,675

$4,299

$4,922

$5,545

$6,169

$624

Children 1-5 year

$1,201

$1,615

$2,030

$2,444

$2,859

$3,273

$3,688

$4,102

$415

Children 6-18 year

$903

$1,215

$1,526

$1,838

$2,150

$2,461

$2,773

$3,085

$312

*Pregnant women count as two

 



Download PDF:

2009 Child Health Plus Contributions

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