Child Health Plan Plus (CHP+)
CHP+ update as of October 23: Congress has not yet funded CHP+ for 2018. If they do not pass the measure to fund CHP+, children in Colorado who are covered by CHP+ will lose their coverage at the end of January 2018. If you don’t want your child to have a gap in coverage then you need to have them enrolled on a private or Marketplace plan by January 31, 2018 for your coverage to begin February 1, 2018. (We highly recommend you be enrolled by January 20 just to be safe).In Early January, we recommend you ask your employer if you and family are eligible for employer insurance. Contact Human Resources as soon as possible to ensure that you don’t miss your SEP (Special Enrollment Period). SEP’s with an employer are sometimes 30 or 60 days.
March 31, 2018, is the last day you can enroll in Marketplace plans or else face penalties and you may not enroll until next year, unless you become eligible for Medicaid.
If you have children 18 or younger, call FIRC at 970-455-0225. If you are pregnant, call Summit County Public Health at 970-668-9161.
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What is the difference between CHP+ and Medicaid? The major difference between the two is that CHP+ is for children and pregnant women whose households earn too much to qualify for Medicaid. In some cases there is a small co-pay for CHP+, while Medicaid has none. When you apply you are screened for both programs and enrolled into the one you qualify for based on your income, as long as you do not earn more than the maximum for CHP+. Also, for families earning 100% of federal poverty level or less (for example, $1,838 per month for a family of four), Medicaid provides coverage for parents as well as children. Otherwise, both CHP+ and Medicaid cover only children and pregnant women.
Immediate Care Needed:
If your child needs to see a doctor right away, we can pre-screen your application and if we are certain that you qualify provide a card that grants “presumptive eligibility,” which gives your child temporary coverage for 45 days while your application is being processed. We are only able to do this when we are very sure that you will qualify and when you have a child with an urgent medical need. FIRC is available and happy to answer any questions you may have regarding CHP+ or Medicaid.
Items to Bring to your Appointment (please bring as much as possible)
- Birth certificates or passports for all applicants
- Applicant/non-applicant address information (Document has to have the address on it, PO Boxes will not be considered.
- Social security number for all applying
- Government Identification – Driver’s license, etc.,
- Pay stubs of all dependents, spouse and applicant (at least the last 3 months)
- W-2 forms (if self employed you should bring your W-9)
- Verification of other income (pension, retirement, investments, etc.)
- Information about current health insurance (if applicable)
- Information about job-related insurance you may qualify for (even if you’re not enrolled for it.)
FIRC can help by verifying your citizenship and identity documents so that you do not have to send the originals in with your application. We can also check your application for common mistakes to make sure that if you qualify, your application is accepted the first time. Once we have done this we can send in your application for you to the CHP+/Medicaid program and then help you with any problems that may arise during the process. It takes 30-45 days for a CHP+/Medicaid application to be processed, so it’s critical to have everything right the first time.