Florida Healthy Kids

Medicaid


Not all Florida Children's Health Insurance Program (CHIP) plans are alike. With ours, your child gets extras that other plans don't offer. View the list of benefits below to see all that our plan covers. Our FL Healthy Kids plan is for children and young adults up to age 19 whose families meet income requirements.

Baker, Clay, Duval, Flagler, Nassau, St. Johns, and Volusia.

Mga Pakinabang at Feature

Pangangalaga Habang Walang Sakit at Kapag May Sakit

Get the care your child needs to grow up healthy, or to get better if he or she is injured or sick. That includes:

  • Pagpili ng Doktor. Find a doctor you trust in our network.
  • Mga gamot. Fill your child's prescription at local pharmacies.
  • Shots and Vaccines. Routine shots can help keep your child healthy.
  • NurseLineSM. Speak with a registered nurse 24/7.
  • Laboratoryo at mga X-ray. Ang mga pagsusuri sa laboratoryo, x-ray at diagnostic imaging ay sinasaklaw.

If your child has a special health care need, you can count on us. Our plan will provide the extra care and services he or she needs. Kabilang sa mga benepisyo ang:

  • Kalusugan ng pag-iisip. Counseling and other treatments are available.
  • Pamamahala sa Pangangalaga. Personal support from an experienced professional.
  • Asthma and Allergy Care. Exams, testing and supplies are covered.
  • Diabetes Support. Needles, supplies, plus classes on managing diabetes.

Get the medical care and equipment you need to manage your child's health. For example, your child's care provider might recommend:

  • Kagamitan at Mga Supply. In-home medical equipment is covered.
  • Nurse Visits. Medical care to help your child safely recover at home.
  • Care Coordinator. Someone to get your child the services he or she needs to recover safely.

Kung minsan, maaaring kailanganin mo ng kaunting karagdagang tulong sa paggamit ng iyong planong pangkalusugan. Para sa mga pagkakataong iyon, maaari kang umasa sa:

  • NurseLineSM. Speak with a registered nurse 24/7.
  • Nutrition Coaching. Helpful advice to improve your child's diet and meals.
  • Tulong sa Wika. Translated medical materials are available at no cost.
  • Florida Quit for Life. Coaches and supplies to help break a tobacco habit.

Asthma and Allergy Care

Does your child have asthma or respiratory allergies? Then you may be on the watch for a breathing emergency.

Your child can be assigned a nurse with special knowledge of childhood breathing problems. Your child's nurse will:

  • Get to know your child.
  • Learn his or her triggers and activities.
  • Develop a customized treatment plan.

So your child will have:

  • Reduced symptoms.
  • Less need for emergency care.

Care Management

Does your child have a serious health problem? Then our case managers are in your corner. They will:

  • Explain medical terms in plain language.
  • Coordinate doctor appointments.
  • Provide your child's care team with his or her medical records.

Your case manager will stay with your child throughout the medical journey. He or she will:

  • Think beyond immediate medical needs.
  • Make sure you or your child has support at home.

So you can focus on helping your child get better.

Pagpili ng Doktor

Your child gets a primary care physician (PCP), who is his or her main doctor. Use the Doctor Lookup tool to see if your child's doctor is in our network.

If your child doesn't have a doctor or if this doctor is not in our network, we can help you find a new one close to you.

Ang iyong PCP ay ang iyong pangunahing doktor para sa:

  • Pampigil na pangangalaga.
  • Panggagamot kung mayroon kang sakit o pinsala.
  • Mga referral sa mga espesyalista para sa ilang partikular na kundisyon.

Diabetes Support

If your child has diabetes, we'll make life a little easier for him or her. Your child will get needed medicine, supplies and education.

Our diabetes program includes self-care tips for your child and classes to help your child manage diabetes. The content is focused on:

  • Planning healthy meals.
  • Managing medications.
  • Living a healthy lifestyle.

Pangangalaga sa Pandinig

Trouble hearing can affect your child's everyday life in many ways. Our plan includes services and support to help protect your child's hearing.

Sinasaklaw namin ang:

  • Exams.
  • Therapy.
  • Tests.

Pagkakaospital

This plan pays for all your child's expenses related to a hospital stay, so you can focus on helping your child rest and heal.

Sinasaklaw ng aming plano ang:

  • Pangangalaga ng isang nurse.
  • Kwarto at matutuluyan.
  • Mga supply at kagamitan.
  • Panggagamot at mga therapy.
  • Mga diagnostic na pagsusuri at eksaminasyon.

And after leaving the hospital, we make sure your child gets follow-up care to continue healing at home.

Laboratoryo at mga X-ray

Knowing what's wrong and finding it early can make all the difference for your child. Sinasaklaw ng aming plano ang:

  • Mga laboratoryo at pagsusuri.
  • Mga x-ray, scan at iba pang imaging.

We'll help you get the information needed to improve your child's health or be at his or her best.

Tulong sa Wika

You can receive information in your preferred language. Magtanong lang. We also have people at our customer service who speak more than one language. Chances are, we have someone who speaks your language.

Medicines

There are no copays for covered drugs.

Your child's prescriptions and refills are provided by our plan.

You can fill prescriptions at:

  • In Network Local pharmacies.
  • Services that deliver right to your door.

Mga Serbisyo para sa Miyembro

Sometimes you might need a little help understanding your health care options. With us, you have someone you can call. We’ll answer your questions simply and completely.

Maaari ka rin naming tulungang humanap ng:

  • Primary Care Physicians and Specialists.
  • Local pharmacies.

Kalusugan ng Pag-iisip

Mental health is as important as physical health. That's why we have coverage for both.

NurseLine℠

Medical questions and situations sometimes happen at inconvenient times. When you have questions about your child's health, you can call a trained nurse 24 hours a day, 7 days a week.

Our NurseLine nurses will:

  • Listen to symptoms.
  • Guide you on caring for your child.
  • Papayuhan ka tungkol sa pagkuha ng pangangalaga sa pagpapatingin sa isang doktor o sa isang center ng agarang pangangalaga.
  • Tutulungan kang malaman kung kailan dapat pumunta sa emergency room.

Quitting Tobacco

You know the bad health effects of smoking. You know you need to quit. We support members who want to quit tobacco with coaches and supplies. The only thing they won't get from us is a lecture.

Shots and Vaccines

Routine shots help keep your child healthy.

So, our plan covers:

  • Recommended shots and vaccines.
  • Influenza shots.

Mga Pagpapatingin Habang Walang Sakit

Well visits with your doctor can help your child stay healthy. These visits can catch health problems early, so they can be treated.

Kabilang sa mga serbisyong pang-iwas sa sakit ang:

  • Annual checkups for children.
  • Well-baby care, ages 5-17
  • Hearing screening.
  • Routine shots and tests.

There are no copayments for preventive care.

Mga Mapagkukunan ng Miyembro

Mga Mapagkukunan ng Miyembro

Matuto Nang Higit Pa

Florida Healthy Kids

Suriin ang Pagiging Karapat-Dapat

Pag-enroll

Call to enroll today.

8 a.m. to 7 p.m. EST

1-888-216-0015
TTY: 711

Mga Tanong

Miyembro na?

Miyembro na? Mayroon kang access sa aming website na para lang sa miyembro. Mag-print ng mga ID card, makipag-chat sa isang nurse online at higit pa.

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