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Details of the Florida Healthy Kids Corporation's Experience

Rose M. Naff shared Florida Healthy Kids Corporation’s globe cost-sharing experience both at the SCHIP Workshop held Sanibel Island, Florida, June 29-July 1, 1998, and Portland, Oregon, September 14-16, 1998. Eligibility in Florida's Healthy Kids Program versus eligibility in New York's Child Health Plus Program was as follows:

Child Characteristics Healthy Kids Title XXI
Age 19 or younger 18 or younger
Other Coverages Uninsured Uninsured
Subsidy < 185% of FPL < 200% FPL

In addition, in Florida's Healthy Kids, family contributions, based on Federal Poverty Level (FPL), were as follows:

Income Level Monthly Premium
Up to 130% FPL $10 - $15/household
131% - 200% FPL $15/household
201% FPL $48 -$62/child
  • Families up to 130 percent of FPL are charged $10-15 per household.
  • Families between 131-200 percent of FPL are charged $15 per household.
  • Families with income above 200 percent of FPL are charged $48-62 per child.

According to Ms. Naff, cost-sharing affected enrollment in two ways:

  • When monthly premiums were increased for all families, 39 percent of participants disenrolled from the program.
  • A greater proportion of those disenrolling after the premium increase were from the participant population that was previously fully subsidized (80 percent) rather than those families who were already paying some premium (20 percent).

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