HUSKY Medicaid Program

HUSKY Health is the public health insurance program for children, parents, relative caretakers, persons with disabilities, pregnant women, elderly individuals, and adults without children in Connecticut. Children of any income level up to age 19 are able to qualify for HUSKY coverage. The HUSKY program expanded as of January 1, 2012, adding what was formerly Medicaid for adults referred to as Medicaid fee-for-service or Title 19 (Medicaid for the Aged, Blind, and Disabled), now considered HUSKY C. The program also now includes HUSKY D, previously Medicaid for Low-Income Adults.

The new HUSKY Health program coordinates all medical services, eliminating the need for HUSKY Primary Care and separate health plans. This coverage is available for no cost or a small fee for qualifying individuals. As with other State Children’s Health Insurance Programs, HUSKY for children is offered at a group rate for families with income over the limit for subsidized coverage. Now including the whole family of Medicaid eligible persons, HUSKY is the main source for public health benefits in Connecticut.

 

 

HUSKY Health Plans

HUSKY A and HUSKY B

HUSKY A covers children and their parents or relative caretaker living in Connecticut whose income is less than or equal to 185 percent of the Federal Poverty Level (FPL). Pregnant women may also qualify for HUSKY A in the same household income guidelines.

HUSKY B is the Children’s Health Insurance Program in Connecticut, and covers uninsured children up to age 18 with a family income between 185 and 300 percent of the FPL. Based on the income level indicated for each family, cost-sharing such as premiums, copayments, and coinsurance may be necessary for certain services.

HUSKY A and HUSKY B Income Guidelines

HUSKY Plus provides supplemental coverage of goods and services for children who have intensive physical health needs. Medical problems that are not covered through basic HUSKY B benefits will be available to those who qualify. HUSKY Plus benefits are available only to children in HUSKY B Band 1 and Band 2, which excludes those enrolled in HUSKY B Band 3, or families who pay a full premium for unsubsidized coverage.

No copays, deductibles, or additional premiums are collected for care under HUSKY Plus.

 

HUSKY C

Also referred to as Medicaid for the Aged/Blind/Disabled or Title 19, HUSKY C provides health insurance coverage to residents of Connecticut age 65 or older, or adults between the ages of 18 and 64 who are blind or disabled in another way. In order to qualify for HUSKY C, you must be a resident of Connecticut, a U.S. citizen or an eligible non-citizen.

Financial requirements for the program include asset limits of $1,600 for single persons and $2,400 for married couple. Your home property, non-home property, life insurance policies valued at less than $1,500, a motor vehicle used for work or medical treatment, and certain burial fund amounts are not counted towards your assets.

Monthly income up to $610.61 in Region A (Southwestern CT), and $506.22 in Regions B and C (Northern, Eastern, and Western CT) qualify a single person for HUSKY C. Married couples with an income of $777.92 per month in Region A, and $672.10 in Regions B and C will be eligible.

 

HUSKY D

Adult residents of Connecticut between ages 19 and 64 who are ineligible for HUSKY A, are not pregnant, and do not receive Supplemental Security Income benefits or Medicare may be eligible for HUSKY D. Also referred to as Medicaid for Low-Income Adults, HUSKY D covers non-disabled, childless single adults with a monthly income of $623.77 living in Southwestern Connecticut, and $512.05 for those who live in the Northern, Eastern, and Western parts of the state. The program is also open to married persons with a monthly income of $844.87 in Region A, and $693.55 in Regions B and C. There are not asset limits for HUSKY D at the present time.

 

HUSKY Health Services

A full set of benefits are offered to members of HUSKY Health, and certain additional services are only available to members of HUSKY A, C and D. All recipients of HUSKY Health will have access to the following types of care:

  • Doctor’s office visits
  • Preventive care
  • ¬†Family planning
  • Maternity care
  • Women’s health care
  • Hospitalization
  • Outpatient hospital services
  • Ambulatory surgery
  • Dental and vision care
  • Laboratory, X-ray, and other Radiology
  • Orthotic and prosthetic devices
  • Emergency care
  • Pharmacy
  • Physical, occupational, and speech therapy
  • Durable medical equipment
  • Home health care
  • Behavioral health services
  • Home health care

The benefits available to HUSKY A, C, and D members only include:

  • Non-emergency transportation to medical care appointments
  • Smoking cessation services including counseling and medications
  • Early and Periodic Screening, Diagnosis and Treatment (EPSDT), children under 21 can receive medically necessary services, whether or not they are covered.

 

HUSKY B Cost Sharing

Though most services are free, some types of care require HUSKY B members to provide a copay at the time of service. Here is a chart listing the basic types of care covered by HUSKY B and the coinsurance or copayment needed to obtain the service.

 

Resources

HUSKY Health

HUSKY Program Information: 877-CT-HUSKY (877-284-8759)

Apply for HUSKY: 800-656-6684

HUSKY Plus: 877-743-5516

CHNCT Member Services: 800-859-9889