Opening Doors to Health Care in San Mateo County
Call Us: 650-616-2002

Children’s Health Coverage

Children’s Health Coverage

We encourage families from different income levels to contact us, including families that may have private insurance but are unable to get coverage for children. A Certified Application AssistorCall 650-616-2002 (CAA) will advise them of their options based on eligibility requirements for different health coverage programs. A CAA will also help with the application process.

Programs for uninsured children, 19 and under

  • Children who do not qualify for “no-cost” Medi-Cal
  • Undocumented children can apply
  • Families with middle income can apply

Healthy Families

Healthy Families provides comprehensive health insurance for children and teens who do not qualify for “no cost” (free) Medi-Cal. Examples of covered services are:

  • Annual check-ups
  • Annual pap screening
  • Dental services
  • Doctor visits
  • Hospital services
  • Immunizations
  • Prescription medicines
  • STD testing
  • Vision services

What are the costs for Healthy Families insurance?

Families pay a monthly premium between $4 and $21 per child, depending on family income.  The maximum monthly amount a family pays in premiums for all children enrolled is $63.  Co-payments for covered services range from $5 to $15, and $0 for preventive services

Healthy Kids

Healthy Kids provides comprehensive health insurance for children and teens who do not qualify for the Medi-Cal and Health Families insurance programs. Undocumented children and teens can apply for Healthy Kids.

  • Annual check-ups
  • Dental services
  • Doctor visits
  • Family planning for teens
  • Hospital services
  • Immunizations
  • Prescription medicines
  • Mental health services
  • Vision services

What are the costs for Healthy Kids insurance?

Families pay a family contribution every 3 months for each child’s coverage which ranges from $0 to $90, depending on income. Co-pays for doctor visits, prescription drugs, and eye exams, and other services range from $5 to $15. Co-pays for check-ups, immunizations, annual dental exams and other preventive services are $0.

Kaiser Child Health Plan

This is Kaiser Permanente’s low-cost program for families whose children are not eligible for public coverage programs. Families pay a monthly premium between $8 and $15 per child, depending on income. Some services require $5 co-pay. This program provides comprehensive medical, vision and dental coverage.

For more information and questions about this program, call Kaiser’s Member Services at 1-800-464-4000 (TTY: 1-800-777-1370) or visit Kaiser’s Child Health Plan website: (www.kp.org/childhealthplan)

To apply, families can contact Kaiser directly or they can apply through the Health Coverage Unit.