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Applying For Healthy Kids Insurance
Information About Healthy Kids/Healthy KidsConnect
Oregon has a new health care program for children called Healthy Kids. Created by House Bill 2116 during the 2009 Legislative Session, Healthy Kids provides access to health coverage for all Oregon's uninsured children age 18 and younger. Healthy Kids comprehensive health care coverage includes medical, dental, vision, mental health care, and prescription benefits.
There is one application for the Healthy Kids program, but three avenues of coverage: 1) Oregon Health Plan (OHP) Plus (Medicaid); 2) Employer Sponsored Insurance (ESI) insurance; or 3) Healthy KidsConnect, a private market insurance option. Plan placement depends on a family's income and circumstances. A family will be told what insurance plan offerings are available through Healthy Kids once eligibility is determined by the Department of Human Services.
The Office of Private Health Partnerships (OPHP) is administering the private market insurance component, Healthy KidsConnect. The Healthy KidsConnect plan is for families that earn too much to qualify for the Oregon Health Plan, but can't afford private health insurance. Uninsured children between 201 through 300 percent of the Federal Poverty Level (FPL) who are found eligible can receive a premium subsidy for the contracted insurance carriers in the HKC program. Uninsured children above 300 percent of the FPL can purchase coverage through the insurance carriers contract with the HKC program by paying the full premium cost. OPHP also administers a Employer Sponsored Insurance (ESI) component. Those with access to ESI through 300 percent of the FPL can receive premium assistance in the form of a reimbursement, as long as the employer plan meets federal guidelines.

How To Apply For Healthy Kids Healthy Insurance
  1. Apply online now or
  2. Call the Office of Healthy Kids at 800-359-9517 or
  3. Call an application assister near you.