Delaware Health Care Benefit Plan Agreement
Description
How to fill out Health Care Benefit Plan Agreement?
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FAQ
If DSS cannot verify your information electronically, you may be asked to provide: proof of citizenship and identity, proof of immigration status, social security number for each applicant who has an SSN, proof of all income you receive from the last 30 days or your latest tax return for self-employed applicants.
A group health plan is an employee welfare benefit plan established or maintained by an employer or by an employee organization (such as a union), or both, that provides medical care for participants or their dependents directly or through insurance, reimbursement, or otherwise.
Adults must have family income at or below 133% of poverty. Children in the Delaware Healthy Children Program must have income at or below 212% of poverty. A QMB must have income at or below 100% of poverty. A SLMB must have income at or below 120% of poverty.
Parents of Dependent Children: Eligibility levels for parents are presented as a percentage of the 2023 FPL for a family of three, which is $24,860. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2023 FPL for an individual, which is $14,580.
Ing to the Department of Health and Human Services' Federal Poverty Guidelines, the poverty threshold for a family with one parent and two children was $23,030 in 2022.
Delaware contracts with two managed care plans ? AmeriHealth Caritas and Highmark Health Options. The Medicaid MCO provides almost all of the care for Medicaid members who join their plan. Prescription and non-emergency medical transportation services are covered directly by Medicaid, not through the MCO.
The expansion is retroactively effective as of July 2022. Delaware is one of 35 states to extend Medicaid and Children's Health Insurance Program (CHIP) coverage to 12 months following the end of pregnancy.
Information 2023 Monthly IncomeFamily Size100% FPL QMB200% FPL QDWI & DPAP1$1,215$2,4302$1,643$3,286
