Idaho CareLine: Dial 2-1-1 or 800-926-2588
EPSDT Idaho's Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program emphasizes early assessment of children's health, dental, vision, and hearing needs with free periodic screening. Health problems are diagnosed and treated as early as possible — before they become more serious. The program is managed through Medicaid. Up to the month that they turn 21, children who are eligible for Medicaid also qualify for EPSDT. There is no charge for EPSDT check-ups. For more information on CHIP or EPSDT, contact the Health and Welfare office nearest you, or call 2-1-1 Idaho CareLine at 2-1-1, 1-800-926-2588, or 208-332-7205 (TDD). The Caring Foundation for Children, in affiliation with Regence BlueShield of Idaho, administers an oral health insurance program for low-income children. The program is statewide. The Caring Foundation for Children provides a complete dental treatment plan, at no cost, to children whose families cannot afford private dental insurance and do not qualify for any government-sponsored program. Caring Foundation benefits cover both preventive and restorative care. This includes oral examinations, x-rays, cleanings, fluoride treatment, sealants and resins, space maintainers and fillings, stainless steel crowns, extractions and therapeutic pulpotomy. Children who qualify for the Caring Foundation live in families with total annual incomes of 200 percent or below federal poverty guidelines. For example, for a family of four, total annual income would be in the range of $17,050 to $34,100. Qualified children must be between the ages of birth through 18 years of age. They are no longer eligible after their 19th birthday. Each child on the Caring Foundation is eligible to receive a complete dental treatment plan up to $1,000 in a calendar year. A family can receive enrollment information in Idaho by calling (888) 589-5437. Private Insurance The Individual Health Insurance Availability Act promotes health insurance coverage for persons not covered by employment-based insurance regardless of their health status or previous claims. The Act also prevents abusive rating practices, requires disclosure of rating practices to purchasers, establishes rules regarding renewability of coverage, and establishes limitations on the use of pre-existing conditions. Basic, Standard and Catastrophic health benefit plans must be offered to all individuals. Beginning January 1 and July 1 each year and continuing for a 45 day period, Idaho residents who were previously without insurance and wanting to buy an Individual Health Insurance plan have an opportunity to do so during the "Open Enrollment Period." "Open Enrollment Periods" are applicable to those individuals who are without qualifying previous coverage. Individual carriers are required to provide enrollment to persons with qualifying coverage during all months of the year. The Department of Insurance maintains a list of companies that have met the statutory requirements to offer health plans to individuals under the Individual Health Insurance Availability Act. A statewide toll-free number is available. Speak directly to department staff about health insurance, small group reform, or any other health insurance topic by calling 1-800-721-3272.
EPSDT
Idaho's Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program emphasizes early assessment of children's health, dental, vision, and hearing needs with free periodic screening. Health problems are diagnosed and treated as early as possible — before they become more serious. The program is managed through Medicaid.
Up to the month that they turn 21, children who are eligible for Medicaid also qualify for EPSDT. There is no charge for EPSDT check-ups.
For more information on CHIP or EPSDT, contact the Health and Welfare office nearest you, or call 2-1-1 Idaho CareLine at 2-1-1, 1-800-926-2588, or 208-332-7205 (TDD).
The Caring Foundation for Children, in affiliation with Regence BlueShield of Idaho, administers an oral health insurance program for low-income children. The program is statewide.
The Caring Foundation for Children provides a complete dental treatment plan, at no cost, to children whose families cannot afford private dental insurance and do not qualify for any government-sponsored program. Caring Foundation benefits cover both preventive and restorative care. This includes oral examinations, x-rays, cleanings, fluoride treatment, sealants and resins, space maintainers and fillings, stainless steel crowns, extractions and therapeutic pulpotomy.
Children who qualify for the Caring Foundation live in families with total annual incomes of 200 percent or below federal poverty guidelines. For example, for a family of four, total annual income would be in the range of $17,050 to $34,100. Qualified children must be between the ages of birth through 18 years of age. They are no longer eligible after their 19th birthday. Each child on the Caring Foundation is eligible to receive a complete dental treatment plan up to $1,000 in a calendar year. A family can receive enrollment information in Idaho by calling (888) 589-5437.
Private Insurance
The Individual Health Insurance Availability Act promotes health insurance coverage for persons not covered by employment-based insurance regardless of their health status or previous claims. The Act also prevents abusive rating practices, requires disclosure of rating practices to purchasers, establishes rules regarding renewability of coverage, and establishes limitations on the use of pre-existing conditions. Basic, Standard and Catastrophic health benefit plans must be offered to all individuals.
Beginning January 1 and July 1 each year and continuing for a 45 day period, Idaho residents who were previously without insurance and wanting to buy an Individual Health Insurance plan have an opportunity to do so during the "Open Enrollment Period." "Open Enrollment Periods" are applicable to those individuals who are without qualifying previous coverage. Individual carriers are required to provide enrollment to persons with qualifying coverage during all months of the year.
The Department of Insurance maintains a list of companies that have met the statutory requirements to offer health plans to individuals under the Individual Health Insurance Availability Act. A statewide toll-free number is available. Speak directly to department staff about health insurance, small group reform, or any other health insurance topic by calling 1-800-721-3272.