Out-of-Pocket Costs

 All Kids Out-of-Pocket Costs vary by Monthly Income and Family Size

    

Type of Service
All Kids Assist
All Kids Share
All Kids Premium Levels 1
All Kids Premium Level 2
Doctor Visits
 
$0.00
 
$3.90
 
$5.00
 
$10.00
Rx Brand/ Generic Meds
 
$0.00
$3.90 – Brand
$2.00 – Generic
$5.00 – Brand
$3.00 – Generic
$7.00 – Brand
$3.00 – Generic
 
ER Visits
 
$0.00
$0 – ER Visit
$0 - Non-
Emergency
$5.00 – ER Visit
$25.00 – Non-
Emergency
$30.00 – ER Visit
$30.00 – Non-Emergency
Hospital Admission
 
$0.00
 
$3.90/Admission
 
$5.00/Admission
 
$100/Admission
Hospital Outpatient Services
 
$0
 
$3.90 Visit
 
$5.00 Visit
 
5% of HFS Rate
Max Co- Pays/Yr
No Max
 
$100 per family (all services)
$100 per family (all services)
 
$500 per child
 
No Co-pay for American Indians and Alaska Natives
 
Co-pays apply for American Indians and Alaska Natives
***NO CO-PAYS FOR WELL BABY CARE, WELL CHILD CARE, PREVENTATIVE DENTAL, IMMUNIZATIONS, OR FLU SHOT*** CO-PAYS MAY APPLY IF CLIENT IS SEEN FOR AN UNRELATED REASON.

 

All Kids Hotline 1-866-ALL-KIDS (1-866-255-5437)
TTY: 1-877-204-1012



All Kids

 

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