My Healthy Families
This program is administered
by the Managed Risk Medical Insurance Board (MRMIB).
How do I keep my child's coverage in Healthy Families?
Sometimes children are disenrolled (taken out of the program). When this happens, they will lose their health, dental and vision coverage. Here are ways to keep your child's coverage in Healthy Families:
- Send us papers requested when they are due, including birth certificates or papers from the Citizenship and Immigration Services (CIS), formerly Immigration and Naturalization Service (INS).
- Make sure the declarations you made about your child's eligibility are correct.
- Pay your total monthly premium every month.
- Send us all the information we ask for with your child's Annual Eligibility Review Form.
- Return your Annual Eligibility Review Form by the due date.
YOUR CHILD WILL BE DISENROLLED (TAKEN OUT OF THE PROGRAM) IF:
- At your Annual Eligibility Review, your child is not eligible for Healthy Families anymore. For example, your income might be higher or lower than Healthy Families guidelines. If it is lower, your child may qualify for no-cost Medi-Cal.
- At your Annual Eligibility Review, your child is enrolled in no-cost Medi-Cal or has health insurance through someone's job. A child who had health insurance through someone's job in the last 3 months may not qualify for Healthy Families.
- You wrote a letter to Healthy Families asking to end the coverage.
- You did not pay your total monthly premium for 2 months in a row.
- You did not return papers that we asked for by the due date. For example, the Annual Eligibility Review Form and income papers.
- Also, a child is disenrolled when he/she turns 19 years old. Coverage ends the last day of the month when he/she turns 19.
You will receive a written disenrollment notice before the health, dental and vision coverage ends for a child.
The letter gives the reason and the date of the disenrollment. If you disagree with the decision, see the Appeals Process Section.