Children's Health Insurance Expansions: State Experiences in Developing Benefit Packages and Cost-Sharing Arrangements. Attachment A: Sliding Scale Examples

02/17/1998

Table 6: TennCare Premium Sliding Scale

Family Monthly Premium $0 $24.50 $32.25 $47.50 $70.50 $183.50 $200.75
Percentage of Poverty 0-100% 101-119% 120-139% 140-169% 170-199% 200-209% 210-219%

Source: http://170.142.16.205/health/tenncare/premiums.htm

Table 7: NY Child Health Plus Premium Sliding Scale

Monthly Premium $0 $9 per child up to family maximum of $36 $13 per child up to family maximum of $52 Full premium:
$58-99 per member
Percentage of Poverty 0-120% 120-159% 160-222% +222%

Table 8: MA Children's Medical Security Plan Premium Sliding Scale

Monthly Premium $0 $10.50 per child up to family maximum of $31.50 Full premium
$52.50 per child
Percentage of Poverty 0-200% 201-400% +400%

Table 9: FL Healthy Kids Corporation Premium Sliding Scale

County Volusia Dade Santa Rosa Hardee
Free Lunch $10 $10 $5 $5
Reduced Lunch $25 $20 $15 $13
Not on Lunch Program $48 $51 $53 $49

Table 10: PA BlueCHIP Premium Sliding Scale

Grantee and Region Free Subsidized State Share Subsidized
Central
CBC/KHPC
CBC/KHPC
KHPC & USHC
$63
46.44
52.23
$81.90
60.37
67.90
$40.95
30.19
33.95
Northeast
BCNEPA
First Priority Health
$59.14
59.14
$76.88
76.88
$38.44
38.44
Southeast
USHC & KHPE
$52.23 $67.90 $33.95
Western
KHPW
USHC & KHPW
BCWPA
$64.25
51.77
62.50
$83.53
67.30
81.25
$41.77
33.65
40.63

Abbreviations: BCNEPA, Blue Cross Northeast PA (Caring Foundation of Northeastern PA); BCWPA, Blue Cross Western PA (Western PA Caring Foundation); CBC, Capital Blue Cross (Caring Foundation of Central PA); First Priority Health, Caring Foundation of Northeastern PA; KHPC, Keystone Health Plan Central (Caring Foundation of Central PA); KHPE, Keystone Health Plan East (Independence Blue Cross & PA Blue Shield); KHPW, Keystone Health Plan West (Western PA Caring Foundation); USHC, U.S. Healthcare.

Table 11: MinnesotaCare Premium Sliding Scale

Percentage of Poverty Premium Contribution by Number Covered
1 2 3
0-62% $4 $8 $12
62-89 5-7 10-14 15-21
89-115 9-12 18-23 28-35
115-142 16-19 32-39 48-58
142-168 24-28 49-57 73-85
168-195 36-41 73-83 109-124
195-221 52-58 103-116 155-174
221-248 74-82 147-163 221-245
248-275 98-128 196-255 294-383

Table 12: Oregon Health Plan Premium Sliding Scale

Percentage of Poverty

Number of Non-Exempt HPNs in the Benefit Group

0 1 2 3 4 or More
0-50% 0 $6 $6.50 $7 $7.50
50-65% 0 15 18 20 22
65-85% 0 18 21 24 26
85-100% 0 20 23 26 28