Find the size of your family in the first column. Be sure to count yourself. Read across the row to see where your monthly gross income falls. That will tell you which FamilyCare plan you may be able to get.
Parents & Caretaker Relatives
Family
Size
FamilyCare
Assist
FamilyCare
Share
FamilyCare
Premium
Level 1
FamilyCare
Rebate
FamilyCare
Premium Level 2
FamilyCare
Premium Level 3
1
$0-1,153
$1,154-1,300
$1,301-1,733
$1,154-1,733
$1,734-2,600
$2,601-3,467
2
0-1,552
1,553-1,750
1,751-2,333
1,553-2,333
2,334-3,500
3,501-4,667
3
0-1,951
1,952-2,200
2,201-2,933
1,952-2,933
2,934-4,400
4,401-5,867
4
0-2,350
2,351-2,650
2,651-3,533
2,351-3,533
3,534-5,300
5,301-7,067
5
0-2,749
2,750-3,100
3,101-4,133
2,750-4,133
4,134-6,200
6,201-8,267
6
0-3,148
3,149-3,550
3,551-4,733
3,149-4,733
4,734-7,100
7,101-9,467
For each additional person add
$399
$450
$600
$600
$900
$1,200
FamilyCare Hotline 1-866-ALL-KIDS (1-866-255-5437)
TTY: 1-877-204-1012