HUSKY - Qualify

How Do Your
Children Qualify?

	Children must be under age 19 and reside in Connecticut.
	The number of people in your family (children and adults combined) and your total family income determine which part of the HUSKY Plan is for your child.
	NEW: Parents, Relatives, Caregivers and Pregnant Women included

HUSKY Family Income Guidelines (effective April 1, 2008 – March 31, 2009)

Overview (Versión en Español)

Family of 2	Family of 3	Family of 4	Family of 5	Family of 6	HUSKY Plan features
under $25,900	under $32,560	under $39,220	under $45,880	under $52,540	Free health care for children under 19; their parents or a caretaker relative like a grandparent who lives with the children [HUSKY A]
under $35,000	under $44,000	under $53,000	under $62,000	under $71,000	Free health care for pregnant women. (note: for eligibility of pregnant women, unborn child is also counted as a family member). [HUSKY A]
from $25,900 to $32,899	from $32,560 to $41,359	from $39,220 to $49,819	from $45,880 to $58,279	from $52,540 to $66,739	Health care for children under 19; some co-payments. * Eligible for HUSKY Plus Physical.** [HUSKY B]
from $32,900 to $42,000	from $41,360 to $52,800	from $49,820 to $63,600	from $58,280 to $74,400	from $66,740 to $85,200	Health care for children under 19; monthly premium of $30 for first child; maximum monthly premium of $50, regardless of number of children; some co-payments. * Eligible for HUSKY Plus Physical.** [HUSKY B]
over $42,000	over $52,800	over $63,600	over $74,400	over $85,200	Health care for children under 19: Group premium rate, currently ranging from $158 to $230 monthly per child; some co-payments. [HUSKY B]

For More Information – Visit www.huskyhealth.com

Call 1-877-CT-HUSKY for information and to apply. Child care expenses are deducted from income. HUSKY B coverage may not be available if a child has been covered by health insurance through a parent’s employer during the past two months; exceptions to this waiting period include loss of employment and financial hardship.

* HUSKY B co-payments - $5 for some medical office visits, $3 generic prescription, $6 brand-name prescription.

**HUSKY Plus Physical - supplemental coverage for special physical health needs is available to children who meet the HUSKY Plus criteria.

CTDSS 03.04.08