The Benefits

All Healthy Kids Programs encourage the use of preventive care services and offer a broad range of benefits based on medical need. A summary of benefits follows. This is not a complete list of every service covered. If you are not enrolled and would like more information about covered benefits, please call us toll-free at 1-877-464-2447.

For families enrolled in Healthy Kids Gold, call 1-800-852-3345, press 1 and extension 4344.

For families enrolled in Healthy Kids Silver or the Buy-In program, click here for ways to obtain more information about benefits.

Summary of Health Benefits

• Physician Services
• Office visits & specialist visits
• Well child checkups & physical exams
• Immunizations
• Prescription Drugs
• Emergency Room
• Inpatient Hospital Services
• Outpatient Services
• Lab, X-Ray and other services
• Home Health Services
• Physical, Speech and Occupational Therapy
• Outpatient and Inpatient Mental Health Care
• Eyeglasses (Limited Selection of Frames)
• Hearing Aids
• Early Intervention Services

Summary of Dental Benefits

• Regular Dental Check-ups
• Cleaning and Fluoride Treatments
• X-Rays
• Sealants
• Fillings
• Simple Extractions
• Extensive services such as oral surgery, crowns and braces are covered by Healthy Kids Gold only, with prior approval.