STAR Kids

Asthma and COPD Care

One hypoallergenic mattress cover and one hypoallergenic pillowcase for qualifying members with a diagnosis of severe asthma.

Panangimaton iti Kaso

Does your child have a serious health problem? If so, our case managers are in your corner. They will:

• Explain medical terms in plain language.
• Coordinate your doctor appointments.
• Provide your care team with your medical records.

Your case manager will stay with you on your child's medical journey. He or she will:

• Think beyond your medical needs.
• Make sure you have support at home.

So you can focus on helping your child get better.

Ti Panagpili ti Doktor

Your child gets a primary care physician (PCP) who is his or her main doctor. Use the Doctor Lookup tool to see if your child's doctor is in our network.

If your child doesn't have a doctor or if their doctor is not in our network, we can help you find a new one close to you.

Iti PCPim ket iti kangrunaam nga doktor para:

• Managlapped a taripato.
• Treatment if your child is sick or injured.
• Kadagiti reperal kadagiti espesyalista para ti maipadung nga kondisyon. 

Pannakaaywan ti Ngipen

Checkups, routine and emergency care are covered.

Exams and cleanings every six months help keep teeth and gums strong and healthy. If there is a dental problem that needs to be fixed, that's covered as well.

Makinarya ken dagiti Suplay

Our plan covers medical equipment ordered by your doctor or case manager. Mairaman ditoy ti:

• Hospital bed.
• Oxygen tank.
• Walker or wheelchair.

Extra Benefits

Sports and school physicals at no cost to you.

Our plan covers up to two free physicals each year so your child can:

• Go to camp.
• Join a team.
• Play a school sport.

Dagiti Gunggona iti Salun-at

Ti maysa nga onsa ti panangliklik ket kas kapateg ti maysa a libra ti panagagas. Adda pay kaibatoganna a napipintas a gunggona. Your child can earn great gifts for things like getting his or her yearly wellness exam.

Pannakaospital

This plan pays for all expenses related to a hospital stay, so your child can rest and heal.

Mairaman ditoy ti:

• Ti Nursing care.
• Ti kwarto ken makan.
• Dagiti suplay ken makinarya.
• Panagagas ken dagiti therapy.
• Dagiti eksamen a diagnostic.

After your child leaves the hospital, you are not alone. We make sure your child gets follow-up care to continue healing at home.

Dagiti mangipatarus ti pagsasao

Your child's doctor and you need to understand each other. Narigat daytoy no saanka a makasao ti Ingles a nalaing. We can arrange for a medical interpreter to be at your child's appointment.

We have people at our phone centers that speak more than one language. A service lets us connects with others that speak hundreds of languages.

Tulong ti Lenggwahe

You can ask to receive information in another language. Then anything we write to you will only be in that language. Maipaay daytoy nga awan bayadna.

Dagiti Agas

Palakaenmi ti panangala iti agas ti anakmo.

There are no copays for covered drugs. You can fill your child's prescriptions at:

• Local pharmacies.
• Services that deliver routinely right to your door.

We also cover over-the-counter medicines with a written order from your child's doctor.

Dagiti Serbisyo para ti Kameng

Sometimes you might need a little help understanding your child's health care options. With us, you have someone you can call 24/7. Masungbatan mi dagiti saludsodmo iti simple ken kumpleto a wagas.

Mabalin mi pay sika a tulongan a mangsapul:

• Mangipapaay pannaripato iti pagtaengan.
• Dentists and vision providers.

Salun-at ti Panagpampanunot

Ti salun-at ti panunot ket kas kapateg ti salun-at a pisikal. That's why we have the same coverage for both.

Required care is 100% covered with no copay. Mairaman ditoy ti:

• Therapy ti Tig-tignay.
• Ag-agas.

Awan pulos ti bayadam kadagiti serbisyo a masakupan.

No Copays

While your health care is low-cost or free, the care quality is high. Makaalaka:

• Care from highly skilled and compassionate doctors.
• Treatments at respected hospitals and clinics.
• Home medical equipment and supplies to help your child be at his or her best.

NurseLine℠

Dagiti medikal a saludsod ken sitwasyon ket sumangbay kadagiti tiempo a saan mo a namnamaen. When you have questions about your health or your child's health, you can call a trained nurse 24 hours a day, 7 days a week.

Our NurseLine nurses will:

• Agdengngeg kadagiti sintomas.
• Igiya naka para ti bukod mo a taripato.
• Balakadan naka maipapan ti panangalam ti taripato iti panagbisitam iti doktor mo wenno iti urgent care center.
• Suggest you go right to the emergency department.

Personal Visits

No kasapulam, mangipaay kami iti maysa a tao a tumulong iti:

• Panagsukat ti bago.
• Panagdigos.
• Pannangan.

Programs for Kids and Teens

We provide free memberships to local youth organizations, like the Boys & Girls Clubs or Neighborhood Centers, Inc. (NCI) in your area.

Along with fun and games, these clubs offer help with:

• Homework.
• Mentoring.
• Coaching.

Taripato iti Temporaryo nga Institusyon (Respite Care).

We provide respite care to give caregivers a rest. Respite care offers caregivers time away from their loved one who has special care needs to run errands or just relax.

Para Koordinar iti serbisyo.

Every STAR Kids member gets a service coordinator. Your child’s service coordinator will visit with your family in person to go over your child’s health care needs. At these visits you will talk about the services your child is getting and other services your child may need. 

Together you will create a care plan that works best for your family. Your care plan may include:

• Acute medical services.
• Behavioral health services.
• Primary care services.
• Special care services.
• Value-added services.

Your service coordinator can also help you.

• Arrange care with your primary care provider and with specialists.
• Connect your family with community programs and additional services.
• Answer questions about benefits.
• Help coordinate benefits with other providers.

Transition Specialist

What is a Transition Specialist? What will a Transition Specialist do for me?

For children with special health care needs, the transition to adulthood often brings many changes. A Transition Specialist can help you understand and plan for these changes. All STAR Kids members have access to a Transition Specialist.

How can I talk to a Transition Specialist?

If you want to speak with a Transition Specialist or have a Transition Specialist as part of your Care Team, let your Service Coordinator know and he or she can help you.

Pagluganan

Whether you live in the city or in the country, rides are available. Our plan provides up to round trips to and from plan locations. This includes trips to and from the pharmacy to fill your prescriptions.

Vaccines and Immunizations

All of the immunizations your child needs are covered.

Taripato ti Panagkita

Your child can get the care, eyeglasses and treatment that lets him or her see life more clearly. Coverage includes $105 each year toward frames or contact lenses.

This benefit is offered by certain stores and retailers