WAG 06-08-01-b

There are no copays for well-baby care, well-child care, or immunizations. Copays are not required for families whose members are American Indian or Alaska Native under Share or Premium Level 1. revised textCopays are required for American Indian and Alaska Native families under Premium Level 2.

The most a family receiving All Kids/FamilyCare Share or Premium Level 1 has to pay in copays during their 12-month eligibility period is $100.

Families receiving Premium Level 2 have an out of pocket maximum per child for hospital services only. deleted text

It is up to the provider to collect the copay or choose not to charge the copay. Copays do not affect the payment HFS makes to the provider. A provider can refuse to accept a patient who refuses to pay their copay.

All Kids Share Copays

Service Copay
doctor/office visit revised text$3.90
home health care visit revised text$3.90
inpatient hospitalization $2 deleted text
outpatient visit revised text$3.90
30-day supply drugs  revised text$2 for generic or over-the-counter prescription; $3.90 for brand name
emergency room visit revised text$0
maximum copays per year $100 per family

All Kids Premium Level 1 Copays

Service Copay
doctor/office visit $5deleted text
home health care visit $5 deleted text
inpatient hospitalization $5 per daydeleted text
outpatient visit $5 deleted text
30-day supply drugs for children $3 for generic and $5 for brand namedeleted text
emergency room visit revised text$0
maximum copays per year $100 per family

All Kids Premium Level 2 Copays

Service Copays
doctor/office visit $10 deleted text
home health care visit no copays 
inpatient hospitalization $100 per admission dekleted text
outpatient visit 5% of total cost deleted text
30-day supply drugs for children $3 for generic and $7 for brand namedeleted text
emergency room visit $30 deleted text
maximum copays per year $500 per child for hospital services

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