All Kids Income Standards & Cost Sharing Chart
All Kids Premiums and Out-of-Pocket Costs vary by Monthly Income and Family Size.
To find out how much All Kids may cost you, follow these simple steps:
Look only at your family size row. Read across that row to the box where your family's total monthly gross income falls.
Read down that column to the cost box below. The cost box shows the Monthly Premium per child, along with the maximum Monthly Premium for your family, and the Maximum Co-Payments per child, per year.
The income levels in this chart only apply to children. Please see the FamilyCare income guidelines for coverage available to parents and caretaker relatives.
Income Box
Family Size |
All Kids Assist |
All Kids Share |
All Kids Premium Level 1 |
All Kids Premium Level 2 |
|---|
1 |
Up to $1,530 per month |
$1,531 - 1,634 per month |
$1,635 - 2,175 per month |
$2,176 - 3,310 per month |
2 |
Up to $2,071 per month |
$2,072 - 2,212 per month |
$2,213 - 2,945 per month |
$2,946 - 4,481 per month |
3 |
Up to $2,613 per month |
$2,614 - 2,791 per month |
$2,792 - 3,715 per month |
$3,716 - 5,652 per month |
4 |
Up to $3,154 per month |
$3,155 - 3,369 per month |
$3,370 - 4,485 per month |
$4,486 - 6,824 per month |
5 |
Up to $3,696 per month |
$3,697 - 3,947 per month |
$3,948 - 5,255 per month |
$5,256 - 7,995 per month |
Cost Box
|
All Kids Assist |
All Kids Share |
All Kids Premium Level 1 |
All Kids Premium Level 2 |
|---|
Monthly Premium per child |
None |
None |
1 child $15
2 children $25
Each add'l child: $5 |
$40 per child |
|---|
Max Monthly Premium |
N/A |
N/A |
$40 for 5 or more children |
$80 for 2 or more children |
|---|
|
No co-payments |
$100 per family for all services |
$100 per family for all services |
$500 per child for hospital services |
|---|
*Maximum amount of co-payments is subject to change pending rule-making HFS 3711AK (R-04-19)
All Kids Hotline 1-866-ALL-KIDS (1-866-255-5437)
TTY: 1-877-204-1012
