Florida KidCare Coverage for Dependents of State Employees

Beginning July 1, 2012, children of state employees may be eligible for subsidized Florida KidCare coverage, provided they meet all of the Florida KidCare eligibility requirements. If a family’s income is less than 200% of the federal poverty level (FPL), then the Florida KidCare family premium will be $15 or $20 per month. The chart below shows the income limits based on family size.

 

Families should be aware that there are some differences between state employee coverage and Florida KidCare. The Florida KidCare monthly premium is due a month in advance, so coverage for August would have been due July 1st. Failure to pay the Florida KidCare monthly premium on time will result in the child’s termination of coverage for 30 days. Suspension of coverage due to nonpayment of premium is not a qualifying event to enroll your child under your state health coverage. There are several ways to pay the Florida KidCare premium and families can pay the premium in advance. Please visit www.healthykids.org to see the premium payment options.

 

Florida KidCare eligibility is redetermined each year, and the family must provide all requested information needed to complete the redetermination to avoid termination of coverage.

 

The Florida KidCare programs have provider networks that may include your current providers, but there is no guarantee that you will be able to remain with your current providers. There are no co-payments for children enrolled in MediKids (children ages 1 through 4) and Children’s Medical Services Network (children with special health care needs). There are $5 and $10 co-payments for children enrolled in Healthy Kids (children 5 through 18).

 

A family wishing to make a change from state employee family coverage should complete the following steps:

 

1. Submit a Florida KidCare application and provide all requested information. Applications may be submitted online  at www.floridakidcare.org or request an application by calling (888) 540-5437


2. When the family receives an approval notice, they now meet a qualifying event and can change their state employee coverage without waiting for open enrollment. The family has 60 days from the date of notification to contact People First and request a prospective change to their state employee coverage. 


3. The family should contact People First and by calling (866)663-4735. 


4. The state employee coverage change will take effect the first of the month following the request to change coverage. Since state employee coverage is paid in advance, the family may be entitled to a refund and should ask People First. The parent must remember to retain their individual coverage.


5. Pay your Florida KidCare family premium for Florida KidCare coverage to start the next month. Families should be able to transition their children from state employee coverage without a gap or overlap in coverage provided People First is notified timely.