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Visit www.AllKids.com
AllKids Premiums and Out-OfPocket Costs Table
To find out how much All Kids may cost you, follow these 4
simple steps:
First, find your family size in the column "Family Size." Be sure to count
yourself.
1) Look only at your family size row. Read across that row to the box where
your family’s total monthly gross income falls.
2) The box will be in the column of the All Kids plan that matches your
income.
3) Read down that column to the cost box at the bottom. The cost box shows
the Monthly Premium per child, along with the maximum Monthly Premium for your
family, and the Maximum Co-Payments per child, per year.
| Family Size
|
All Kids Assist |
All Kids Share
|
All Kids Premium Level 1 |
All Kids Premium Level 2 |
All Kids Premium Level 3 |
All Kids Premium Level 4
|
All Kids Premium Level 5-7 |
All Kids Premium Level 8
|
| 1 |
Up to $1,153 per month |
$1,154 to 1,300per month |
$1,301 to 1,733 per month |
$1,734 to 2,600 per month |
$2,601 to 3,467 per month |
$3,468 to 4,333 per month |
$4,334 to 6,933 per month |
$6,934 or more per month |
| 2 |
Up to $1,552 per month |
$1,553 to 1,750 per month |
$1,751 to 2,333 per month |
$2,334 to 3,500 per month |
$3,501 to 4,667 per month |
$4,668 to 5,833per month |
$5,834 to 9,333 per month |
$9,334 or more per month |
| 3 |
Up to $1,951 per month |
$1,952 to 2,200 per month |
$2,201 to 2,933 per month |
$2,934 to 4,400 per month |
$4,401 to 5,867 per month |
$5,868 to 7,333 per month |
$7,334 to 11,733per month |
$11,734 or more per month |
| 4 |
Up to $2,350 per month |
$2,351 to 2,650per month |
$2,651 to 3,533 per month |
$3,534 to 5,300 per month |
$5,301 to 7,067 per month |
$7,068 to 8,833 per month |
$8,834 to 14,133 per month |
$14,134 or more per month |
| 5 |
Up to $2,749 per month |
$2,750 to 3,100 per month |
$3,101 to 4,133per month |
$4,134 to 6,200 per month |
$6,201 to 8,267 per month |
$8,268 to10,333per month |
$10,334 to 16,533 per month |
$16,534 or more per month |
Cost Box
|
|
Monthly Premium per Child |
None |
None |
1 child: $15
2 children: $25
Ea. add’l child: $5 |
$40 per child |
$70 per child |
$100 per child |
$150 – 250
per child |
$300 per child |
|
Max Monthly Premium |
N/A |
N/A |
$40 for 5 or more children |
$80 for 2 or more children |
$140 for 2 or more children |
$200 for 2 or more children |
No cap |
No Cap |
|
Max Co-Payments per Year
|
No
co-payments |
$100
per family for all services |
$100
per family for all services |
$500
per child for hospital services |
$750
per child for hospital services |
$1,000
per child for hospital services |
$5,000
per child for hospital services |
No Max |
|