Paul Sanchez
Hawki, or Healthy and Well Kids in Iowa, is a low-cost health insurance program for children in Iowa. It covers children from families who earn too much to qualify for Medicaid but not enough to afford private insurance. The cost of coverage depends on the family's income, with some families paying nothing at all and no family paying more than $40 per month. To apply for Hawki insurance, you can submit an application online or fill out a paper application and turn it into your local HHS office.
| Characteristics | Values |
|---|---|
| Cost | Depends on family size and income. Some families pay nothing, and the maximum any family pays is $40 per month. |
| Eligibility | Child must not be covered by other insurance, must be an Iowa resident, and a U.S. citizen or a lawfully-admitted permanent resident alien. |
| Application Process | Apply online with the HHS benefits portal or fill out a paper application form and turn it into your local HHS office. |
| Payment Methods | Pay your child's premium online using the account number, case number, and invoice number. |
| Dental Coverage | Covered by Delta Dental of Iowa. |
| Contact | Hawki: 1-800-257-8563 |
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What You'll Learn
Eligibility requirements
To be eligible for the Hawki program, a child must not be covered by other insurance. If a child is currently enrolled in a health plan, they may not be eligible for Hawki. However, if they have health insurance but not dental insurance, they can still receive dental insurance through Hawki.
There are further eligibility requirements for children: they must be Iowa residents, and either US citizens or lawfully-admitted permanent resident aliens. If a child is eligible for Medicaid, they are not eligible for Hawki. When Hawki receives an application, they screen it for Medicaid eligibility, and if the child is eligible, they refer the family to HHS.
Hawki covers children whose household income is as high as 300% of the federal poverty level. The monthly cost of the program depends on the family's yearly countable income, with some families paying nothing at all and no family paying more than $40 per month.
To apply for Hawki, you can use the HHS Benefits Portal online application, or fill out a paper application form and turn it into your local HHS office.
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Application methods
To apply for Hawki insurance, you must be a resident of Iowa. Hawki, or Healthy and Well Kids in Iowa, is a program that provides health coverage for uninsured children of working families. The program is designed for those who earn too much to qualify for Medicaid but not enough to afford private health insurance.
There are several ways to apply for Hawki insurance:
- Online: You can apply online via the HHS Benefits Portal Hawki application.
- By Phone: You can call the HHS Contact Center to request an application form to be mailed to you.
- In-Person: You can pick up an application form from your local HHS office or Health and Human Services office.
- By Mail: You can request a paper application by visiting the Health and Human Services website and printing the form or asking for it to be mailed to you.
Once you have completed the application form, you can return it to your local HHS office, email it to a specified email address, or fax it. After submitting your application, a representative will contact you to ask additional questions and walk you through the application process. It can take up to 45 days to process an application.
Eligibility
To be eligible for the Hawki program, a child must not be covered by other insurance. The child must be an Iowa resident and a US citizen or a lawfully admitted permanent resident. Additionally, the family's income will determine the monthly cost of coverage, with some families paying nothing at all and a maximum monthly cost of $40 per family.
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Cost of coverage
The cost of coverage for Hawki insurance is based on a family's size, income, and the number of children they have. The monthly premium is determined based on income, with a maximum cap of $40 for any family, regardless of the number of children. For many eligible households, there is no premium, so the cost is zero. For others, the cost is $10 per child per month with a cap of $20 per month. For other households, the cost is $20 per child per month with a cap of $40 per month.
Additionally, there is a $25 co-payment for an emergency room visit if the child's medical condition does not meet the definition of an emergency medical condition. However, this co-payment does not apply to children from low-income families (less than 181% of the federal poverty level) or to children who are eligible American Indians or Alaskan Natives.
Hawki offers two types of plans: a medical and dental plan, and a dental-only plan. Dental benefits for those who qualify for Hawki are covered by Delta Dental of Iowa.
The monthly cost of Hawki insurance varies depending on a family's yearly countable income. Some families may be eligible for free coverage under Medicaid, while others may pay $5, $10, $15, or $20 per child per month, with a maximum cap of $10, $20, $40, or $50 per month for the family.
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Managed Care Organisations (MCOs)
- Amerigroup Iowa, Inc.
- Delta Dental of Iowa
- Iowa Medicaid
Delta Dental of Iowa is the administrator of the dental program. When a child enrols in the program, they are assigned to an MCO and can request to change to a different plan within 90 days of initial enrollment for any reason. After 90 days, a change of plan can only be requested if there is a good reason, such as poor quality of care or lack of access to covered services under the plan.
Under the Hawki program, MCOs provide insurance, and enrollees receive an insurance card with the program's name and information on coverage. Each plan must cover the following:
- Doctor visits
- Immunisations
- Hospital care
- Prescriptions
- Vision and hearing services
- Medical equipment
- Mental health care
- Substance abuse treatment
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Application processing time
The application processing time for Hawki insurance varies. It can take up to 45 days to process an application. During this period, applicants may receive requests for additional information (RFIs) in the mail. It is important to respond to these RFIs by the given due date to ensure timely processing. Once the application has been processed, a Notice of Action will be sent in the mail, informing the applicant of the outcome.
To initiate the application process, individuals can apply online through the HHS Benefits Portal Hawki application or submit a paper application. The paper application can be obtained by visiting the Health and Human Services website to print it, requesting to receive it by mail, or picking it up from a local HHS office.
For those who require assistance with the application process, EveryStep offers free help to uninsured and underinsured children and pregnant women. They provide support in signing up for health insurance and finding a suitable doctor and dentist. Interpreters are also available for languages other than English and Spanish.
It is important to note that eligibility requirements for Hawki include being an Iowa resident, a U.S. citizen, or a lawfully admitted permanent resident alien. Additionally, the child must not be covered by other insurance, including dental insurance, as this can be obtained through Hawki if health insurance is already provided elsewhere.
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Frequently asked questions
Hawki Insurance, or Healthy and Well Kids in Iowa, is a program that provides health coverage for uninsured children of working families.
You can apply for Hawki Insurance online via the HHS Benefits Portal or by filling out a paper application and submitting it to your local HHS office.
To apply for Hawki Insurance, you will need your family size and income information, as well as your child's residency and citizenship status.
The cost of Hawki Insurance depends on your family's yearly countable income. Some families may be eligible for free coverage, while others may pay up to $40 per month per child, with a maximum of $40 per month for the entire family.
