Iowa - Healthy and Well Kids in Iowa (hawk-i)

Program Description
Healthy and Well Kids in Iowa (hawk-i) is a program that provides free or low-cost health care coverage for Iowa children in families with limited incomes. The amount you pay is based on the income of the family, but no family pays more than $20 per month.
A child who qualifies for hawk-I health insurance will get all of his or her health care services through a health plan provider that has agreed to participate in the program. Beneficiaries receive a comprehensive package of health care benefits including vision, dental, and mental health services.

General Program Requirements
In order to qualify for this benefit program, you must be a resident of the State of Iowa, under 19 years of age, not covered by health insurance (including Medicaid), a US national, citizen, legal alien, or permanent resident, and you must have an annual household income before taxes of less than $17,961 if one person lives in the household; $24,241 if two people live in the household; $30,521 if three people live in the household; $36,801 if four people live in the household; $43,081 if five people live in the household; $49,361 if six people live in the household; $55,641 if seven people live in the household; $61,921 if eight people live in the household; $68,201 if nine people live in the household; $74,481 if 10 people live in the household; $80,761 if 11 people live in the household; $87,041 if 12 people live in the household; and $93,321 if more than 12 people live in the household.

Application Process
For more information, see the Program Contact Information below.

Contact Information (Register above for free access!)

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If you have questions about the hawk-i program or about the application, you can send an e-mail. Fill in all the fields at the following URL, then click on submit:

http://www.hawk-i.org/English/Questions_/questions_.html

Or, Call us, Mon to Fri, 7am to 7pm at
1-800-257-8563

TDD: 1-515-457-8051 or 1-888-422-2319

You can download the application form by clicking on:

http://www.hawk-i.org/English/Application_Forms/51625_EComplete.pdf

(This form requires the Adobe Acrobat Reader), or you can call hawk-i Customer Service at 1-800-257-8563 and ask that an application be mailed to you.

Be sure to sign the application and attach proof of income. Please note: The form should be mailed to

PO Box 71336
Des Moines, IA 50325-9958

Managing Agency
Iowa
http://www.iowa.gov/state/main/index.html

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