Disenrollment

How do I keep my children’s coverage in the Healthy Families Program?

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 the Healthy Families Program:

• 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 your declarations about your child's eligibility are correct.
• Pay your total monthly premium every month.
• Send us all the information we ask for with your children's Annual Eligibility Review Form.
• Return your Annual Eligibility Review Form by the due date.

YOUR CHILDREN WILL BE DISENROLLED (TAKEN OUT OF THE PROGRAM) IF:

• At your Annual Eligibility Review your children are not eligible for Healthy Families anymore. For example, your income might be higher or lower than the Healthy Families Program allows. If it is lower, your child may qualify for Medi-Cal.
• At your Annual Eligibility Review your child is enrolled in no-cost Medi-Cal or Employer Sponsored Insurance.
• You wrote a letter to the Healthy Families Program asking to end the enrollment.
• You did not pay your total monthly premium for 2 consecutive months.
• 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 or she turns 19 years old. Coverage ends the last day of a child's 19th birthday month.

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 .

How do I re-enroll my child in Healthy Families?

If your child is disenrolled, you must complete the Re-Enrollment Form and mail it in within 60 days of the disenrollment.

If you join Healthy Families again, you must pay any past due premiums that you owed during the past 12 months before re-joining.

For information about any required payment for reenrollment or to request a Re-Enrollment Form or an application , please call 1-866-848-9166.

You will need to send in with your completed application or Re-Enrollment Form, proof of income and deductions, and any past due premiums. To re-enroll after 60 days, you must complete a new Healthy Families Program application and submit all required papers, again.

If you have questions, call 1-866-848-9166, Monday to Friday, 8 a.m. to 8 p.m., or on Saturday, 8 a.m. to 5 p.m. The call is free.

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