KidzPartners Benefits Overview
We provide CHIP coverage for a wide range of health services, including, but not limited to:
Primary care visits
Your children’s PCP will provide direct care, including well child visits, immunizations and sick visits, and refer your children for specialist services when needed.
Visits to KidzPartners participating specialists are covered when referred by your children’s PCP. Prior authorization (approval by Health Partners Plans) may be required for certain services.
Preventive, routine and emergency services are covered, with no referrals required. Braces are covered when medically necessary. Certain services may require prior authorization.
Preventive and routine services are covered, with no referrals required. Up to two pairs of eyeglasses or contact lenses are covered yearly.
Prescribed drugs on our formulary (plan-approved list) are covered when obtained from a KidzPartners participating pharmacy.
Emergency care is covered in and out of network. The ER copay is waived if hospital admission occurs within 24 hours.
Your children are covered for up to 90 days of inpatient hospital care yearly.
Out of network care
Except for emergency care, all services provided by non-KidzPartners participating providers (out-of-network care) must have prior authorization by Health Partners Plans.
For more information
Refer to our member handbook for more details, including limitations and restrictions, and information about other covered benefits.