Your child, covered.
No matter how much
income you make.
And, with no copays or deductibles.
*A family of 4 with an annual income of $100,000 a year
can receive subsidized coverage through New York
TIMESLEDGER | QNS.COM | MARCH 27-APRIL 2, 2020 7
(1-888-343-3547) TTY: 711
*See monthly income guidelines below.
(New York State-sponsored health insurance)
• Medical, dental, and vision coverage for kids up to 19
• Checkups, sick visits, emergency care, and more
• Free or low-cost monthly premium, depending on income (no limit!)
• No copays for prescription drugs
• No out-of-pocket costs
!
We can help. Talk with your Fidelis Care Representative today.
"#"#
%
&
!%'!!(( Each
Additional
! ' 1 2 3 4 5 6 7 8 )
$1,701 $2,298 $2,895 $3,493 $4,090 $4,687 $5,285 $5,882 $598
!"
(Maximum of $27 per family)
$2,361 $3,190 $4,019 $4,847 $5,676 $6,505 $7,334 $8,163 $829
$ !"
(Maximum of $45 per family)
$2,659 $3,592 $4,525 $5,459 $6,392 $7,325 $8,259 $9,192 $934
%& !"
(Maximum of $90 per family)
$3,190 $4,310 $5,430 $6,550 $7,670 $8,790 $9,910 $11,030 $1,120
'$ !"
(Maximum of $135 per family)
$3,722 $5,029 $6,335 $7,642 $8,949 $10,255 $11,562 $12,869 $1,307
(& !"
(Maximum of $180 per family)
$4,254 $5,747 $7,240 $8,734 $10,227 $11,720 $13,214 $14,707 $1,494
)) !" Over
$4,254
Over
$5,747
Over
$7,240
Over
$8,734
Over
$10,227
Over
$11,720
Over
$13,214
Over
$14,707
Over
$1,494
**Household size calculation includes all expected children.
To learn more about applying for health insurance, including
"
visit www.nystateofhealth.ny.gov or call 1-855-355-5777.
/www.nystateofhealth.ny.gov
/QNS.COM
/www.nystateofhealth.ny.gov
