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Details of New York State's Program

In New York's Child Health Plus Program, globe policymakers determined the following premium contribution schedule as shown below:

Percent of Poverty Primary Care Benefit Package Only 1996 Expansion Title XXI Approved Plan Governor's Legislative Proposal
0%-120% 0 0 0 0
120%-150% 0 $9/month/child 0 0
150%-160% 0 $9/month/child $9/month/child 0
160%-222% $25/year/child $13/month/child $13/month/child $9/month/child
+222% Full premium Full premium Full premium Full premium

The premium schedule in New York's Child Health Plus Program was summarized as follows:

  • No cost-sharing for families with income up to 150 percent of the Federal poverty level (FPL).
  • Families between 150 percent and 160 percent of FPL are charged $9 per month per child (pmpc).
  • Premiums are capped at $136 for families up to 160 percent of FPL.
  • Families between 160 percent and 222 percent of FPL pay $13/pmpc.
  • Families above 222 percent of FPL pay the full premium ($84/pmpc with a maximum charge of four children).
This image consists of two pie charts, they show the relationship between Age and the corresponding Family Income Level of children enrolled in New York's Child Health Plus Program or the level of participation. Less than 1 year of age had no corresponding Family Income Level. Ages 1 to 5 years corresponds to 160 to 222 percent of the Family Income Levels. Ages 6 to 12 corresponds to less than 120 percent of the Family Income Levels. Ages 13 to 14 corresponds to 120 to 160 percent of the Family Income Levels. Ages 15 to 18 corresponds to ove 222 percent of the Family Income Levels. Children enrolled in New York's Child Health Plus or the level of participation, based on age and family income level, is shown to the right. Family income levels refer to the percentage of FPL.

 

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