All Kids Income Standards & Cost Sharing Chart
All Kids Income Standards & Cost Sharing Chart - Printer Friendly (pdf)
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 $1,477 per month |
$1,478 - 1,578 per month |
$1,579 - 2,100 per month |
$2,101 - 3,196 per month |
2 |
Up to $1,989 per month |
$1,990 - 2,125 per month |
$2,126 - 2,828 per month |
$2,829 - 4,304 per month |
3 |
Up to $2,501 per month |
$2,502 - 2,672 per month |
$2,673 - 3,556 per month |
$3,557 - 5,411 per month |
4 |
Up to $3,014 per month |
$3,015 - 3,219 per month |
$3,220 - 4,285 per month |
$4,286 - 6,519 per month |
5 |
Up to $3,526 per month |
$3,527 - 3,765 per month |
$3,766 - 5,013 per month |
$5,014 - 7,627 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 rulemaking.
HFS 3711AK (R-2-17)
All Kids Hotline 1-866-ALL-KIDS (1-866-255-5437)
TTY: 1-877-204-1012
