Why the Children’s Medical Services (CMS) Health Plan (Medicaid)?
CMS Health Plan is a plan for children with serious, chronic conditions.
Children's Medical Services Health Plan, operated by Sunshine Health on behalf of the Florida Department of Health, understands your child's unique needs. The CMS Health Plan is specially designed to bring extra benefits to children and their families. CMS Health Plan care managers help families understand and get the most from their child's benefits.
Who is eligible?
The Medicaid CMS Health Plan is for children who:
- Are under age 21 and eligible for Medicaid or
- Have special healthcare needs that require extensive preventive and ongoing care
There are two versions of the CMS Health Plan. How do I know which version my child would be enrolled in?
- If you do not pay a monthly premium for your child's health insurance, your child is enrolled in the Medicaid CMS Health Plan.
- If you pay a monthly premium for your child's health insurance, your child is enrolled in the KidCare CMS Health Plan.
Children's Medical Services Health Plan has benefits to help your child and your family:
Complete healthy behaviors to earn dollars in the My Healthy Pays® Program.
24-Hour Nurse Advice Line
Our Nurse Advice Line is ready for questions on your child’s health.
We can provide rides to your child’s medical appointments at no cost. Call for help to schedule rides.
Your child’s medicines can be delivered to your home.
HAVE QUESTIONS ABOUT CHILDREN'S MEDICAL SERVICES HEALTH PLAN?
To enroll your child in Children’s Medical Services Health Plan, you must be eligible for Florida Medicaid. You can call Medicaid Choice Counseling at 1-877-711-3662 (TTY 1-866-467-4970), Monday-Thursday, 8 a.m.-8 p.m., and Friday, 8 a.m.-7 p.m. You can also visit the SMMC website. A Medicaid Choice Counselor will help you select a plan.CHOOSE CMS HEALTH PLAN
THE BENEFITS YOUR CHILD NEEDS
Take care of your child with full coverage, programs and services.BENEFITS (MEDICAID)
FIND A DOCTOR
CMS Health Plan is proud to partner with doctors in your area. See the list of network providers.SEARCH NOW
The CMS Health Plan is a Managed Care Plan with a Florida Medicaid contract. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact Sunshine Health. Limitations and/or restrictions may apply. Benefits, formulary, pharmacy network and/or premium may change.
Children’s Medical Services Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex.
This information is available for free in other languages and formats. Contact Member Services at 1-866-799-5321 (TTY 1-800-955-8770) Monday-Friday, 8 a.m. to 8 p.m.
Esta información está disponible en otros idiomas y formatos. Contáctese con Servicios al Afiliado llamando al 1-866-799-5321 (TTY 1-800-955-8770), de lunes a viernes de 8 a.m. a 8 p.m.
Enfòmasyon sa yo disponib nan lòt lang ak fòma. Kontakte Sèvis Manm yo nan 1-866-799-5321 (TTY 1-800-955-8770) sòti lendi rive vandredi, de 8è nan maten jiska 8è nan aswè.
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