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The New York State Child Health Plus program offered through UnitedHealthcare is simply great health care coverage. It's for children and young adults up to age 19 who are residents of the State of New York and are not eligible for Medicaid or enrollment in or access to NYSHIP. View the list of benefits below to see all that our plan covers.
Albany, Bronx, Broome, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Columbia, Essex, Fulton, Genesee, Herkimer, Jefferson, Kings, Lewis, Madison, Monroe, Nassau, New York, Niagara, Oneida, Onondaga, Ontario, Orange, Oswego, Queens, Rensselaer, Richmond, Rockland, Seneca, St. Lawrence, Suffolk, Tioga, Ulster, Warren, Wayne, and Westchester.
UnitedHealthcare continues to partner with state and local public health departments, following guidance and protocols appropriate to our members that are provided by the U.S. Centers for Disease Control and Prevention (CDC), and state and local public health departments that are appropriate for our members. Please review the UnitedHealthcare Coronavirus (COVID-19) Information. To learn more, go to CDC.gov.
COVID-19 NY State PPE Fee Guidance
The New York State Department of Financial Services (DFS) recently issued guidance stating that care providers should not charge members additional fees for items such as personal protective equipment (PPE). DFS expects New York care providers to refund any of these charges paid by the member that were more than the member’s financial responsibility on a claim. If you have questions, please contact your provider.
Does your child have asthma or respiratory allergies? If so, you are on watch for a breathing emergency.
Your child can be assigned a nurse with special knowledge of childhood breathing problems. Your child's nurse will:
So your child may have:
Does your child have a serious health problem? If so, and your child qualifies, we offer case managers that can:
Your case manager will stay with your child throughout the medical journey. He or she will:
So your child can focus on getting better.
Your child gets a primary care physician (PCP), who is his or her main doctor. Use the Doctor Lookup tool to see if your child's doctor is in our network.
If your child doesn't have a doctor or if this doctor is not in our network, we can help you find a new one close to you.
Your PCP is your main doctor for:
Your child can see a specialist without a referral.
Checkups and emergency care are covered.
Exams and cleanings every six months help your child develop strong and healthy teeth and gums. If there is a dental problem that needs to be fixed, that's covered as well.
If your child has diabetes, you may need insulin, needles, wipes and glucose strips.
Our plan also steps up with services to help you manage your child's diabetes, including:
Your child's health and safety at home are important.
Our plan covers medical equipment ordered by your doctor or case manager for your child. This can include supplies like:
A loss can take many different forms. And you may get lots of suggestions on how to help your child. Grieving is part of the healing process.
If a recent loss has made your child sad or unhappy, help is available. Our plan offers counseling and support to your child during the grieving process. Our team will work with you to find a counselor or program to help your child adjust to the loss.
Trouble hearing can affect your child's everyday life in many ways. Our plan includes services and support to help protect your child's hearing.
Our plan covers:
This plan pays for all your child's expenses related to a hospital stay.
Hospitalization coverage includes:
And after your child leaves the hospital, we watch over his or her care. We make sure your child gets follow-up care to continue healing at home.
After surgery or a serious illness your child may need extra care and services to recover. This may include an in-home medical visit to check on how well your child is healing.
With approval, our plan covers:
There are no copays for covered drugs.
We also cover over-the-counter medicines with a written order from your child's doctor.
And we make getting your child's medicine easy. You can fill his or her prescriptions at:
Sometimes you might need a little help understanding your health care options. With us, you have someone you can call 24/7. We’ll answer your questions simply and completely.
We can also help you find:
Mental health is as important as physical health. That's why we have coverage for both.
Required care is 100% covered with no copay. This includes:
You will not have a copayment for your child's care and services covered by our plan.
That means you will pay nothing for covered services, including:
Your child may need continued care after leaving the hospital or urgent care.
If your child's health is at risk after a serious illness, surgery or injury, a nurse will visit your child to:
Healthy eating goes a long way to helping your child grow and stay at his or her best. A nutritionist can meet with you to review your child's eating habits and food choices.
You'll come away with new ideas to:
Knowing what's wrong and finding it early can make all the difference for your child.
Our plan covers:
We'll help you get the information needed to help improve your child be his or her best.
Caring for a child with special health needs is an act of love.
It can also be physically and emotionally exhausting. We can provide respite care to give you a rest.
Routine shots help keep your child healthy.
So, our plan covers:
See life more clearly with routine eye exams and glasses, if needed.
We also include:
This benefit is offered by March Vision Care.
Well visits with your doctor can help your child stay healthy. These visits can catch health problems early, so they can be treated.
Preventive services include:
There are no copayments for preventive care.
Medicaid Managed Care
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