Healthy Kids Buy-In

What is Healthy Kids Buy-In?

Healthy Kids Buy-In is health and dental coverage for eligible uninsured children in families whose income is above the limit for Healthy Kids Silver. 

Coverage is provided through a managed care plan from Harvard Pilgrim Health Care. The Harvard Pilgrim network of health care providers is available to your child. Dental services are available through the Northeast Delta Dental network of dentists. Benefits are the same as Healthy Kids Silver; however, some co-payments may differ.

HOW MUCH DOES IT COST?


Monthly premiums are $237 per child beginning with July 2011 coverage. This amount is subject to change annually. Unlike the Healthy Kids Gold and Silver programs, the Buy-In program receives no state or federal funding and there is no maximum cost-sharing on the family premiums.

WHO QUALIFIES?

To qualify for Healthy Kids Buy-In, a child must be:

  • Under the age of 19
  • A New Hampshire resident
  • Have had no other health insurance in the past three months
  • His/her family’s income falls within the Healthy Kids Buy-In income guidelines
  • In addition, children who are not U.S. citizens, but are legal residents of New Hampshire, may be able to enroll in the Buy-In program
  • Individuals over the age of 19 who are still enrolled full-time in high school may also be eligible

*Note: Babies under the age of one are not covered under Healthy Kids Buy-In.

CAN I APPLY FOR MY CHILD IF HE/SHE HAS OTHER INSURANCE?


Children applying for the Healthy Kids Buy-In program must be uninsured for three consecutive months prior to enrolling. This rule may not apply for certain reasons. For example, if the child lost their coverage because their parent was laid off, this requirement may be waived.

WHEN DOES COVERAGE BEGIN?

Once your child is determined eligible for Healthy Kids Buy-In, we will send you an enrollment packet. If we receive your enrollment form and first payment by the last business day of the month, your child’s coverage will begin on the first day of the next month. For example, if we receive your enrollment form and payment by March 31st, coverage will begin on April 1st.

*Note: Medical and dental services received before enrolling in Healthy Kids Buy-In are not covered.

WHAT'S COVERED?

For information about benefits covered by Healthy Kids Buy-In, select from the following:

Healthy Kids Buy-In Summary of Medical Benefits
Healthy Kids Buy-In Benefit Handbook
Healthy Kids Buy-In Summary of Dental Benefits 

HEALTHY KIDS BUY-IN INCOME GUIDELINES

Income Guidelines
2012*

Healthy Kids Buy-In
Ages 1-18

  Family Premium

$237 per child/per month
Harvard Pilgrim
and Delta Dental

  # of Family Members

  Monthly Income up to:

 1

$2,793.01 - $3,724.00

 2

$3,783.01 - $5,044.00

 3

$4,773.01 - $6,364.00

 4

$5,763.01 - $7,684.00

 5

$6,753.01 - $9,004.00

 Foreach additional
person add:

$990 - $1,320

                      *Effective for coverage beginning 3/1/2012


LOW COST & FREE HEALTH COVERAGE FOR UNINSURED KIDS & TEENS IN NEW HAMPSHIRE