Plans include:
• Comprehensive Medical Care
• Dental coverage
• Vision
• Mental Health

Children are eligible if they:
• live in Santa Cruz County
• are under 19 years of age
• have not been covered by employer paid insurance in the last 3 months
• have a family income of no more than 300% of the federal poverty level

IMMIGRATION STATUS MAY NOT MATTER FOR SOME PROGRAMS

What you will need to enroll:

Proof of income
• Copy of most recent pay stub, covering one month of gross income dated within 45 days of application
• Signed letter from employer with gross amount and time period it covers
• Employer statement of gross monthly income and the time period it covers
• Copy of last year’s tax return
• Self-employed persons can include last year’s federal income tax return. Including schedule C or use three month’s three month net profit and loss statement
• Explanation of cash aid benefits

Proof of Age
• Birth certificate

Proof of Santa Cruz County residency
• Utility bill to child/applicant/household member at child’s address dated within the last 45 days
• Rent receipt for child/applicant/household member at child’s address dated within the last 45 days
• Official(non-personal) postmarked mail to child/applicant/household member
• Pay stub or copy of pay stub with applicant’s address printed on it
• Letter from a shelter
• Signed letter from landlord or person providing housing for applicant. The letter must be accompanied by postmarked mail/bill addressed to the person who has written he letter


Proof of deductions – child care, alimony and child support
• Signed letter from recipient of payment dated within the last 45 days
• Document showing the amount of child support paid, self reported or court ordered
• Other reliable documentation consistent with Healthy Families guidelines

Social Security cards only US citizens and legal residents (optional)

Proof of citizenship or legal residence

FOR MORE INFORMATION CALL
763-8568 OR 454-2515

For additional information about the health plans, please visit the Central Coast Alliance for Health website.

Home | About Us | Support Us | Enroll | Press | Contact Us | FAQ | Our Stories

©2008 Healthy Kids of Santa Cruz County