1. NC State Children’s Health Insurance Program  Covers families up to 200% of Federal Poverty Level (FPL)  Benefits package provided by NC Teachers and State Employees Comprehensive Major Medical Plan plus dental, vision, and hearing

2. NC State Plan (cont) Families above 150% pay co-payments  $6 for prescription  $5 for physician, clinic, dental, and optometry visits  $5 for outpatient hospital visit  $20 co-payment for unnecessary emergency room use

3. NC State Plan (cont) Enrollment fee for those above 150% of FPL  $50 per child per year  $100 maximum for 2 or more children Allows families whose income increases above 200% of FPL to buy into the program for 1 year at full cost

4. Income Limits: Health Choice for Children (Effective April 2009) Family Size200% FPL Monthly Income 200% FPL Annual Income 150% FPL Monthly Income 150% FPL Annual Income 1$1,805$21,660$1,354$16,245 2$2,429$29,140$1,822$21,855 3$3,052$36,620$2,289$27,465 4$3,675$44,100$2,757$33,075 5$4,299$51,580$3,224$38,685 6$4,922$59,060$3,692$44,295 7$5,545$66,540$4,159$49,905 8$6,169$74,020$4,627$55,515