information: dhs.iowa.gov/ 800-257-8563 · can i fill out the application myself? no. your parents...

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IDPH Iowa Department of Public Health ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-257-8563 (TTY: 1-800-735-2942). The Iowa Department of Human Services (DHS) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. 注意:如果您使用繁體中文,您可以免費獲得語言援 助服務。請致電 1-800-257-8563 (TTY: 1-800-735-2942). Hawki offers free or low-cost health insurance for kids and teens. Your family might qualify even if both of your parents work. Updated April 2019 For more information: dhs.iowa.gov/ hawk-i 800-257-8563 What is Hawki?

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Page 1: information: dhs.iowa.gov/ 800-257-8563 · Can I fill out the application myself? No. Your parents need to fill out the application in one of the two ways: Online at dhs.iowa.gov/hawk-i

IDPHIowa Departmentof Public Health

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-257-8563 (TTY: 1-800-735-2942).

The Iowa Department of Human Services (DHS) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex.

注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電1-800-257-8563 (TTY: 1-800-735-2942).

Hawki offers free or low-cost health insurance for kids and teens. Your family might qualify even if both of your parents work.

Updated April 2019

For more information: dhs.iowa.gov/ hawk-i 800-257-8563

What is Hawki?

Page 2: information: dhs.iowa.gov/ 800-257-8563 · Can I fill out the application myself? No. Your parents need to fill out the application in one of the two ways: Online at dhs.iowa.gov/hawk-i

If your family’s income (before taxes) is in this chart, you may be able to get FREE

coverage under Hawki.2

Family Size(include family members who will be included in your tax

household)

Family Income(before taxes)

1 $20,859 to $22,4822 $28,241 to $30,4383 $35,622 to $38,3944 $43,004 to $46,3505 $50,385 to $54,3066 $57,766 to $62,2627 $65,148 to $70,2188 $72,529 to $78,174

*If your family’s income is below the income levels in these charts, you may be eligible for FREE coverage under Medicaid.

Can I fill out the application myself?No. Your parents need to fill out the application in one of the two ways: Online at dhs.iowa.gov/hawk-i Call 1-855-889-7985

Questions? Your local Hawki outreach coordinator can help. Find your coordinator at dhs.iowa.gov/hawk-i under “outreach.”

I have health insurance but not dental insurance. Can I get just dental coverage through Hawki?Yes. Hawki offers dental-only coverage through Delta Dental of Iowa. Income guidelines for dental-only coverage are the same as regular Hawki. Some families don’t pay anything, and no family pays more than $20 per month for dental-only coverage.

How do I find out if I have health insurance?Ask your parents.

I’m healthy - do I really need health insurance?Yes! Anyone can get sick or have an accident, and medical care can be super expensive. Without insurance, medical bills for a broken arm can be $3,000 – enough for a new car down payment or a new computer and tablet!

What if I need health insurance, but I don’t want my friends to know I’m on Hawki?Your insurance is private. Hawki coverage is provided by one of these two Managed Care Organizations : Amerigroup Iowa, Inc. Iowa Total Care (coverage begins July 1, 2019)

Effective April 1, 2019

If your family’s income (before taxes) is in this chart, you may be able to get Hawki for $20 per child per month. No family pays more than $40 per month.

Family Size(include family members who will be included in your tax

household)

Family Income(before taxes)

1 $22,483 to $37,7202 $30,439 to $51,0683 $38,395 to $64,4174 $46,351 to $77,7655 $54,307 to $91,1136 $62,263 to $104,4627 $70,219 to $117,8108 $78,175 to $131,159

Frequently Asked Questions About Hawki