NY Child Health Plus (CHPlus) benefits

As an Anthem Blue Cross and Blue Shield HP CHPlus member in New York, your child gets many benefits with little to no costs or copays.

Who’s eligible for CHPlus in New York?

 

Your child(ren) may be eligible for CHPlus through Anthem if they:

 

  Are younger than age 19.

 

  Aren’t eligible for Medicaid.

 

  Don’t have other health insurance coverage.

 

  Live in the Bronx, Brooklyn (Kings), Manhattan (New York), Queens, Staten Island (Richmond), Dutchess, Nassau, Orange, Putnam, Rockland, Suffolk, Ulster, or Westchester County.
 

Your child does not have to be a citizen or legal resident to qualify for CHPlus. Participation in this program will not affect any future immigration status.

Your child’s medical care is just the beginning

 

With an Anthem CHPlus plan, your child will have access to a wide range of services including dental and vision care, prescription drug coverage, and our Healthy Rewards program.

What you get with Anthem


Doctor visits
 

 


Dental checkups
 

 


Eye exams and glasses
 

 


Low-cost prescriptions
 

 


$0

 

 

$0

 

 

$0

 

 

$0

 


Doctor visits 
 

 


$0

 


Dental checkups 
 

 


$0

 


Eye exams and glasses

 


$0

 


Low-cost prescriptions

 


$0

 

There are no copays for covered medical services, including:

  • Primary care provider (PCP) visits
  • Immunizations and wellness visits
  • Specialist visits
  • Urgent care
  • Emergency care
  • Lab and X-ray services
  • Pregnancy services
  • Family planning
  • Hospital care
  • Physical therapy
  • Speech and hearing services
  • Behavioral healthcare
  • Autism spectrum disorder services

 

Check your member handbook for a full list of benefits in your child’s plan.

 

Find care 

Dental benefits are provided through LIBERTY Dental. There are no copays for covered dental services, including:

  • Dental exams
  • Teeth cleaning (twice a year)
  • X-rays
  • Extractions
  • Fillings
  • Emergency care
  • Dentures (removable or partial)
  • Orthodontics

 

Check your member handbook for a full list of dental benefits in your child’s plan. To find or change your child’s dentist, call LIBERTY Dental at 833-276-0847, or visit their website.

 

Find a dentist 

There are no copays for covered vision services, including:

  • One eye exam each year
  •  Prescription glasses each year
  • Contact lenses (if medically necessary)

 

Check your member handbook for a full list of vision benefits in your child’s plan.

 

 Provider Directory – Vision Plan

Your child’s benefits include coverage for a wide range of prescription and over-the-counter (OTC) drugs in New York. We work with CarelonRx to provide these benefits. There are no copays for covered drugs.

 

Visit the pharmacy page to find a pharmacy near you and check if your child’s medicine is on the Preferred Drug List (PDL).


 

Go  to Pharmacy Page   

Some services need a referral from your child’s primary care provider (PCP) such as:

  • Going to a hospital for nonemergency care
  • Getting medicine from another doctor in your child’s plan 

 

You do not need a referral for:

  • Women’s healthcare
  • Pregnancy services
  • Family planning services
  • Emergency services
  • School-based health center services
  • Behavioral health and substance use disorder services
  • Certain doctors for children with special healthcare needs

Some services need preapproval or prior authorization. This means you or your child’s doctor must ask Anthem to approve those services or benefits before getting them. These services include:

 

  • Ambulance transportation (emergency air and nonemergency)
  • Chiropractic services
  • Diagnostic testing
  • Durable medical equipment
  • End-stage renal disease services
  • Home health extended services (age 20 and younger)
  • Hospice services
  • Inpatient acute care hospitalization
  • Certain medicines
  • Mental health rehab services
  • Nurse-midwifery services
  • Organ transplant services
  • Outpatient hospital services including physical therapy, occupational therapy, speech therapy, and surgical procedures
  • Physician services, such as medical assessments, treatments, and surgical services
  • Podiatry services
  • Post-stabilization care services
  • Radiology services
  • Rehabilitation services: physical therapy, occupational therapy, and speech therapy

Healthy Rewards is a no-cost optional program for eligible Anthem members. It pays you for helping your child complete healthy activities like:

  • Yearly well-child visits. 
  • Yearly childhood dental visits. 
  • Immunizations such as flu shots.

 

To redeem your Healthy Rewards, visit the Benefit Reward Hub. To learn about other value-added benefits, visit the Extra Benefits page.

New York never sleeps, and neither do we. Get 24-hour phone advice from a registered nurse anytime, day or night.

 

Call 800-300-8181 (TTY 711).

Not yet a member? Choose Anthem.

We can help you apply. Call 844-430-1699 (TTY 711), or visit us in person.
Find a Community Service Center near you.

Already a member? We’re glad you chose Anthem.


We want you to understand your benefits and receive the best possible care. Here are some resources to help.

The member handbook: 
Everything you need to know 
 

Your member handbook is your go-to guide for health services. It contains complete benefit information about your child’s plan. Read it to find out about: 

 

  How to use your child’s benefits

 

  How to choose your child’s PCP

 

  How to get help if your child’s doctor’s office is closed

 

  How to reach Member Services if you have questions

 

  Your rights and responsibilities as an Anthem member

 

 CHPlus Member Handbook (English)
 

 CHPlus Member Handbook (Spanish)

You can request a handbook via live chat with Member Services