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Common Questions and Answers
1. Is Hawaii Covering Kids a separate health insurance program? No. Hawaii Covering Kids helps children and families enroll in QUEST and Medicaid Fee-for-Service.
2. Why is it important for kids to have health insurance? Kids with health insurance can go to their doctor or dentist regularly for preventive and primary care. This not only helps them avoid unnecessary emergency room visits, but also makes them healthier and less likely to miss school and activities.
3. What are the state programs? There are two state programs: QUEST and Medicaid Fee-for-Service. More information is available at Children's Health Insurance Programs.
4. How much does it cost the family? The programs are free!
5. Who is eligible? Children and youths who are 0 to 19 years old and Hawaii residents in households within family income levels can get free health insurance.
6. Is there an asset test? No. Household assets are not counted for children.
7. How can I apply? Go to our Library of Forms to download the "Medical Assistance Application for Children and Pregnant Women Only" (1DHS1108.pdf ). The application has a complete list of Med-QUEST office addresses and telephone numbers on the last page.
Please note: if you need health insurance for adults 19 years old and older who are not pregnant, do not complete form 1108. Download and use the "Medical Assistance Application" which is DHS1100.pdf.
8. How long does it take for the application to be approved? Med-QUEST has up to 45 days from the date it gets your application to approve or deny it. However, if the person who needs health insurance is blind or disabled, they have 60 days to review it. Applications for pregnant women are processed within 5 business days.
9. Who decides if someone is eligible? The Med-QUEST office.
10. How soon can my child get health care? If the application is approved, benefits begin on the date Med-QUEST received the completed application.
11. If my child gets sick before the application is approved, what should I do? Please call a doctor! Private physicians and community health centers can help you. Tell them you have an application pending with Med-QUEST. If you cannot get help because you don't have health insurance, download the medical emergency form (1149) from our Library of Forms page. You can also call your local Med-QUEST office and ask to have it mailed to you. Their office telephone numbers are listed on the last page of the application. After your doctor completes the form, bring it to the Med-QUEST office and an eligibility worker will review your application.
12. Where can families get help to complete the application? There are many outreach workers in the community to help parents and guardians complete the application. Call Aloha United Way's hotline service for someone in your area. The telephone number is 211 and it is a free call from any island.
13. Will enrolling in QUEST or Medicaid Fee-for-Service affect my immigration status? No. It will not affect your child's or family's immigration status. You can call the U.S. Citizenship and Immigration Services' customer hotline center at 1-800-375-5283 for more details.
14. Is the Children's Health Insurance Program (CHIP) a separate health insurance program? No. It is an expansion of the QUEST and Medicaid Fee-for-Service programs. Children in families with working parents who meet family income levels can get free health insurance.
15. Is the Immigrant Children's Program a separate health insurance program? No. It is an expansion of the QUEST and Medicaid Fee-for-Service programs. Children who are lawful permanent residents, refugees, or from the Marshall Islands, Federated States of Micronesia, and Republic of Palau can get free health insurance if their household is within the family income levels.
16. If my child is an immgrant but does not have a "green card," what health insurance is available? Keiki Care has a limited benefit package for free and does not have have citizenship or immigration status requirements. More details are at Children's Health Insurance Programs.
17. What medical plans are available through QUEST? AlohaCare, HMSA, Kaiser, and Summerlin have QUEST plans. Click here for the telephone numbers.
18. What dental plans are available through QUEST? Free services are provided through participating dentists. To find one in your area, call the Dental Care Coordinators on Oahu at 486-8030 or free from the Neighbor Islands at 1-866-486-8030.
19. What services are provided? Regular check-ups, emergency care, immunizations, prescription medicines, doctor visits, eyeglasses, counseling, and dental care.
20. Is there a pre-existing condition rule? No.
21. Once a child is enrolled, how often do the parents or guardians need to reapply? The child is covered for one year if she or he stays in the household and doesn't get other health insurance. At the end of one year a letter is sent to the family to renew their QUEST or Medicaid Fee-for-Service health insurance.
22. Who pays for the programs? The state and federal governments share costs: * Regular QUEST and Medicaid is 58% federal funding and 42% state money, * CHIP is 69% federal funding and 31% state money, and * Immigrant Children's Program is 100% state money.
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