All Kids Premiums and Out-of-Pocket Costs Vary by Monthly ...



|All Kids 2006 Monthly Income Standards |

|Family Size |

Co-Pay for Physician Office Visit |None |$2 |$5 |$10 |$15 |$20 |$25 |$25 |$25 |$25 | |Monthly Premium |None |None |$15 - 1 child

$25 - 2 children

Add $5 per additional child |$40 per child |$70 per child |$100 per child |$150 per child |$200 per child |$250

per child |$300 per child | |Max Monthly Premium |N/A |N/A |$40 for 5 or

more children |$80 for 2 or

more children |$140 for 2 or

more children |$200 for 2 or more children |No Cap |No Cap |No Cap |No Cap | |Max per Child per Year Co-Payments |No copayments |$100 per Family |$100 per

Family |$500 per child |$750 per child |$1,000 per child |$5,000 per child |$5,000 per child |$5,000 per child |No Max | |*Effective July 1, 2006, undocumented noncitizen children can qualify for All Kids at any income level.

Effective July 1, 2006, any child whose household income is more than 200% of the FPL (Premium Level 2 or higher) can qualify for coverage.

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