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:
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
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Doctor visits
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Dental checkups
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Eye exams and glasses
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Low-cost prescriptions
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$0
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$0
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$0
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$0
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Doctor visits
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$0
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Dental checkups
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$0
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Eye exams and glasses
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$0
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Low-cost prescriptions
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$0
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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.
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.
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.
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).
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:
Member Handbook - Child Health Plus (English)
Member Handbook - Child Health Plus (Spanish)
You can request a handbook via live chat with Member Services