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Child Health Plan
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Headline: Who is eligible
Before requesting an application, please read below to see if your children qualify.

Your children may be eligible for Kaiser Permanente Child Health Plan if they:

  • are under 19 years of age (birth through age 18) and not currently insured
  • are not eligible for public health care coverage such as Medi-Cal or Healthy Families (see our Useful resources page to get contact information for these programs)
  • are not eligible for health care coverage that is paid for, in any part, by an employer
  • are in a family with an annualized income‡ between the ranges shown below

 

$8 per child*†

$15 per child*†

Family size
(parents & children)

Annualized income‡ before taxes is between:

Annualized income‡ before taxes is between:

1

$0 to $27,075

$27,076 to $32,490

2

$0 to $36,425

$36,426 to $43,710

3

$0 to $45,775

$45,776 to $54,930

4

$0 to $55,125

$55,126 to $66,150

5

$0 to $64,475

$64,476 to $77,370

6

$0 to $73,825

$73,826 to $88,590

7

$0 to $83,175

$83,176 to $99,810

8

$0 to $92,525

$92,526 to $111,030

For each
additional person

add $9,350

add $11,220


Ranges shown above are subject to change.

In the chart above, a family size of one means a parent is requesting coverage for a child who does not live with him or her. A single parent who lives with one child counts as a family of two.

*Monthly premium per child, up to three children. Additional children are covered at no extra premium.

†If your income is within the ranges in this column and you are eligible for Medi-Cal or Healthy Families, please apply to those plans first before you apply for our plan.

‡Annualized income is your projected income for one year, based on the total monthly household gross income information you submit with your application.

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