What is Healthy Start?
Healthy Start is a Medicaid Program that pays for medical care for pregnant women, babies, and children under 19 years of age. It covers most babies until they are one year of age, even if the family's income increases. Families with health insurance may apply.
Am I Eligible for Healthy Start?
Eligibility is based on the family's gross (before taxes and deductions) income (see federal poverty level chart below). This includes income from all sources. There is no asset test. Families with higher incomes may qualify if they pay for child care or have high medical expenses.
Federal Poverty Guidelines (FPL) Effective March 2003
Family Size
(Pregnant Woman counts
as 2) | Pregnant Women and
Children Under Age 6
(Monthly Income) | Children between 6-18
years of age
(Monthly Income) |
| 1 | $1,384.42 | $748.33 |
| 2 | $1,868.50 | $1,010.00 |
| 3 | $2,352.58 | $1,271.67 |
| 4 | $2,836.67 | $1,533.33 |
| 5 | $3,320.75 | $1,795.00 |
| 6 | $3,804.83 | $2,056.67 |
| Each Additional Person | $484.08 | $261.67 |
What Services are Covered under Healthy Start?
Healthy Start pays for:
-
Doctor visits and hospital costs
-
Prescription drugs
-
Delivery of the baby
-
Health Care (including medical, dental, vision, and counseling) for pregnant women up to 60 days following delivery and for children up to age 19.
Where Can I Apply?
You can apply at your local county/tribal social or human services department, W-2 agency or the Medicaid outstation site.
For More Information
-
Call Medicaid Recipient Services at 1-800-362-3002 (TTY and translation services are available).
-
Call the Maternal and Child Health (MCH) Hotline at 1-800-722-2295, a statewide, comprehensive 24-hour service. The MCH Hotline also provides information related to the following MCH Programs: Birth-to-Three, Children with Special Health Care Needs, Family Planning, HealthCheck, Prenatal Care, Prenatal Care Coordination, Presumptive Eligibility, Well Child Care, and Women, Infants and Children Supplemental Nutrition Program (WIC).
-
See the "Applying for Medicaid in Wisconsin" Fact Sheet; and "Presumptive Eligibility for Pregnant Women" Fact Sheet at
http://www.dhfs.state.wi.us/medicaid1/recpubs/recppub.htm.
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