Do You Qualify for Child Health Program?
Your child/children are able to participate in the Kaiser Permanente Child Health Program if they are uninsured and:
- live in a Kaiser Permanente service area
- are under the age of 19
- live in a household with an income no more than 3 times the federal poverty level (for example, up to $36,420 for an individual or $75,300 for a family of 4 per 2018 guidelines), and
- do not have access to other health coverage like Medi-Cal, Medicare, a job-based health plan, or coverage through Covered California. (Children under 19 years of age living in households with income between 0 – 266% of the federal poverty level are eligible for Medi-Cal).
Your children don’t need to be U.S. citizens to qualify for the Child Health Program.
Kaiser Permanente service areas in Southern California
Your child/children must live in a Kaiser Permanente service area to qualify for the Child Health Program. Explore our service areas below.
Please note: the program is open in all Kaiser Permanente Southern California service areas except: Kern, Ventura, and Antelope Valley.
We review each member’s eligibility for the Child Health Program by regularly sending you a form to confirm income and other information. If your child/children stop meeting these eligibility requirements, they won’t be able to stay in the Child Health Program. Enrollment in the Kaiser Permanente Platinum 90 – HMO plan will continue, but you will be required to pay the full monthly premium and your child/children’s out-of-pocket costs, unless you ask us to terminate your child/children’s membership.
Other Kaiser Permanente coverage options
If you do not meet the requirements for the Child Health Program, financial help from the government could help you get affordable health coverage for you and your family. Other Kaiser Permanente health coverage options include:
If your family’s total annual household income is less than 267% of the federal poverty level or $67,017 for a family of 4 per 2018 guidelines, you and your family may be eligible for Medi-Cal..
Medi-Cal coverage is provided to all children under the age of 19 with limited incomes, regardless of immigration status. Medi-Cal coverage offers a broad set of benefits for children comparable to those available to Child Health Program members.
Medi-Cal enrollment is year-round.
Health insurance plans from Covered California
You can buy health care coverage on California’s Health Insurance Marketplace, Covered California. Covered California has Kaiser Permanente plans as well as other health plans for purchase. If you meet certain income guidelines, you may be able to get help paying for premiums and copays, but only if you purchase coverage through Covered California’s website.
Click here to see which Kaiser Permanente plan fits your income and needs, or you can call Covered California at 1-800-300-1506 (English), 1-888-889-4500 (TTY), or 1-800-300-1533 (Chinese).
A range of other plans are available
If you don’t qualify for Medi-Cal or Covered California plans, we offer plenty of other choices to help you find the best plan for your family. Click here to find out which Kaiser Permanente Individual & Family Plan best fits your needs. You can also call our National Consumer Sales Center at 1-866-329-3468, or 711 (TTY). Please note, you will have to pay a monthly premium for these plans (a health plan’s monthly payment amount).
* Continued eligibility for the Child Health Program is not guaranteed. We reserve the right to close enrollment or change the Child Health Program’s eligibility requirements at any time.