Are my children eligible?
Can I choose my child's doctor?
What does it cost?
What is covered?
How do I enroll?
What about in an emergency?
Need help with your yearly
renewal process?

Resources

Univera Community
Health brochure - PDF
Available in English.

CHP Dental Brochure - PDF
Available in English and Spanish.

Member Guidebook
Available in English and Spanish.

Member Guidebook in English

Guía para el Miembro en Español

Member Facts
Could you be taking too much Tylenol?

Are my children eligible?
Children under the age of 19 may join the Univera Community Health - Child Health Plus program
if they meet the following New York State Guidelines:

• Must be a resident of Allegany, Cattaraugus, Chautauqua or Erie county.
• Must have little or no health insurance and can not be Medicaid eligible
• Meet specific family income guidelines defined by the New York State Department of Health to determine if your child will be eligible for free or low cost coverage. Coverage is available for the full premium if household income exceeds the guidelines.

Can I choose my child’s doctor?
Yes. Select a primary care doctor from the Univera Community Health provider directory. This provider becomes your child’s primary care doctor who will provide or arrange for all of your child’s care needs. Care is by appointment except in emergencies.

Children who enroll in Child Health Plus through Univera Community Health will have access to all Univera Community Health affiliated health centers, offices, and doctor practices located throughout the arera.

What does it cost?
There are no copayments for covered benefits. Depending on your family income, you may have to pay a contribution toward the premium. The contributions are $0, $9, $15, $30, $45 or $60 per child per month based on your household size and gross family income. If your household income exceeds the New York State Department of Health's income guidelines, you can enroll your child for the full premium of $161.76 per month.

Premium payment is required on a monthly basis. If your children qualify for one of the reduced premium levels ($9, $15, $30, $45 or $60) based on your household size and gross family income, the monthly contribution is capped at three children. If you are required to pay full premium, the cap does not apply.

What is covered?
The coverage includes:

• All routine visits to the doctor's office for checkups, sickness or minor injury
• Visits to specialists
• Prescription drugs and non-prescription drugs:
  • View a List of Covered Drugs in Our Formulary Guide (PDF)
  • Find a Pharmacy Near You
  • Fill Prescriptions by Mail with PrimeMail
  • Fill Specialty Medications with CuraScript
  • Print a Drug Claim Form (PDF)
• Lab work, x-rays and other diagnostic services
• Emergency services including emergency ambulance
• Inpatient hospital services for medical or surgical care
• Outpatient surgery
• Durable medical equipment, prosthetics, orthotics
  Short-term outpatient services (chemotherapy and hemodialysis)
• Speech and hearing services including hearing aids
• No limitations for inpatient and outpatient for mental health, diagnosis
  and treatment of alcoholism and substance abuse.
• Diabetic supplies and equipment
• Dental care - CHP Dental Brochure
• Vision services including lenses and frames
• Rehabilitation services: physical / occupational therapy

This is only a summary of benefits.

How do I enroll?
Call Univera Community Health at (716) 504-0560 or toll free at 1 (800) 494-2215 to request an application or download and print a copy: English or Spanish

You may mail your completed application and documentation, along with a check to Univera Community Health (if your income and household size indicate a payment is required) to:

Univera Community Health
PO Box 23000
Rochester NY 14692

Applications received on or before the 20th of the month may be eligible (if application complete and approved) for coverage beginning the first of the next month.

The parent or guardian will need to complete an application and submit proof of the child's birth date (copy of the birth certificate; passport; or hospital, school or religious record), proof of residency (copy of a phone or utility bill), and proof of household's income level (copy of W-2 forms, paycheck stub of last 4 consecutive weeks, or signed income tax return - If dated after March 31 of a given year, must be accompanied by another form of documentation)

If you need assistance, a Univera Community Health staff member will explain the Child Health Plus program and help complete the application. Call Univera Community Health at (716) 504-0560 or toll free at 1 (800) 494-2215 for locations and to schedule an appointment.

If you need to renew your Child Health Plus insurance
Call Univera Community Health at (716) 504-0560 or toll free at 1 (800) 494-2215 to request an application or download and print a copy. Renewal is required on a yearly basis.

Reneweal Help for Child Health Plus
https://www.brainshark.com/excellus/UCH_Child_Health_Plus_Renewal

• Access New York application (ANY) (PDF)

What about in an emergency?
If you believe you have an emergency, call 9-1-1 or go to the nearest emergency room.
BUT, call your primary care doctor as soon as you can.

If you’re not sure, call your primary care doctor.

Tell the person you speak with what is happening, Your primary care doctor will:
• tell you what to do at home, or
• tell you to come to the primary care doctor’s office, or
• tell you to go to the nearest emergency room.

If you are out of the area when you have an emergency:
Go to the nearest emergency room.
Call Child Health Plus as soon as you can (within 48 hours if you can)

Stay healthy at every age

Univera Community Health is a strong supporter of preventive health services. We also recommend an active lifestyle, weight management and tobacco free homes. These are the recommendations for the average person in good health. Please discuss these recommendations with your physician. Depending on your health and family history, your physician may advise you to have more frequent examinations and/or additional tests.