I have a question...
How do I know if my children are eligible?
Review the eligibility information on this website. For more eligibility information, contact the eligibility toll-free number at 1-888-474-8275, Monday through Friday from 8 a.m. until 4:30 p.m.
What if my children currently receive Medicaid benefits? Do I need to apply again?
No. Your children already are receiving the benefits provided under ARKids A.
Does ARKids First provide insurance for adult parents or caregivers?
No. The insurance coverage (ARKids A and B) applies only to children younger than 19. However, the parents or caregivers do count as part of the total number of family members in determining eligibility. Medicaid-eligible adults (age 19 and older) are covered separately from their children under regular Medicaid.
Are there any deductibles, premiums or copayments involved with ARKids First?
There are no deductibles, premiums or copayments for ARKids A coverage for children under 18; children who are 18 will have nominal cost sharing at the pharmacy, at the hospital on the first Medicaid covered day of a hospitalization, and for prescription services for eyeglasses. For ARKids B coverage, there are no deductibles or premiums, but you may be asked to make a small copayment–usually $10–when you visit the doctor. For cost sharing information, see “What does ARKids Pay?” Complete details are available through the toll-free hotline at 1-888-474-8275, Monday through Friday from 8 a.m. until 4:30 p.m.
Is there a limit on the amount of a family’s cost-sharing?
Yes. Effective July 1, 2006, DHS will set an annual cap on cost-sharing (co-payments and coinsurance) for ARKids B families. The annual cost-sharing cap is 5% of the family’s annual gross (before taxes) income. For example, if a family of four (4) has annual gross income of $40,000.00: $40,000.00 x 5%=$2,000.00. Therefore, the family’s maximum amount of cost-sharing is $2,000.00 for the year.
Does the ARKids First program cover dental services?
Yes. Both ARKids A and ARKids B cover dental services. ARKids B requires a $10 copayment. Orthodontic services are covered, upon approval. ARKids B requires a co-pay orthodontic services.
Is the application process complicated?
No. We have streamlined the application to make it quick and easy. You don’t even have to leave your home. Get information and application materials here at our website. If you’re viewing the website from a public library, the librarian can assist you. And you can always call or visit your local DHS office.
More questions? For more information, call
Monday through Friday from 8 a.m. until 4:30 p.m.