Maryland Children's Health Program (MCHP)
MCHP: Health Care for children age 19 and under

Program Benefits

Dental Care ER Visits Healthcare Provider Visits Hospital Care Immunizations Medical Bills from 3 months prior Mental Health

OB/GYN Care Prescriptions Specialist Care Substance Abuse Vision Care X-rays and Labs

Qualifications
Must be:

• Age 19 or younger
• Maryland Resident
• Meet the below income requirements
• US Citizen, permanent resident, or Refugee / Asylee

Income Requirements for MCHP Free (Income Guidelines Effective March 1, 2012)

Limit	2-Person Family	3-Person Family	4-Person Family	5-Person Family	6-Person Family
Yearly Income Limit	$30,260	$38,180	$46,100	$54,020	$61,940

If you do not qualify for the free MCHP program, you may qualify for these subsidized programs:(Income Guidelines Effective March 1, 2012)

Plan	Income Limit	2-Person Family	3-Person Family	4-Person Family	5-Person Family	6-Person Family
MCHP Premium 1 Low Cost $50/ month per family	Yearly	$37,825	$47,725	$57,625	$67,525	$77,425
MCHP Premium 2 Low Cost $63 / month per family	Yearly	$45,390	$57,270	$69,150	$81,030	$92,910

 
MCHP Premium Programs: (866) 269-5576

How to Apply

• Print an MCHP Application Form

        In English
        En Espanol

• Call toll-free at 1-800-456-8900 and ask for a MCHP application form, or
• Apply online at www.marylandsail.org
• Make sure to put your phone number on your form so someone can contact you if they have questions.
• Mail in your completed application form to:
  Frederick County Health Department
  The Health Care Connection
  350 Montevue Ln.
  Frederick, MD 21702

Information Needed to Apply

• Proof of US citizenship or residence (Birth certificate; passport; naturalization papers; affidavits)
• State-issued photo identity card (Driver's license or MVA ID)
• Sources & amount of income
• Names, birth dates, social security numbers of family members (The guardians and their dependants)
• List other health insurance coverage

Once You Have Been Approved
Review the letter provided to recipients of MA.

For more information, visit the Maryland Department of Health and Mental Hygiene website or call The Health Care Connection at FCHD at (301) 600-8888.