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FAMIS Select

FAMIS-Select-children-health-coverageWhat is FAMIS Select?

FAMIS Select helps families pay for employer-sponsored health insurance. The FAMIS Select program allows families to choose between covering their children through an employer-sponsored health plan or through FAMIS.

What are the benefits of FAMIS Select?

  • FAMIS Select may allow your child to see a special health care provider. Employer plans may have different doctors. Enrolling in the employer plan through FAMIS Select may allow your child to see a doctor or dentist who does not take FAMIS.
  • Families enrolled in FAMIS Select get up to $100 each month for each enrolled child to help pay the family health insurance premium (monthly cost). The total monthly payment cannot be more than the total amount of the family premium.

Who qualifies for FAMIS Select?

Once your child is approved for FAMIS, you should complete the FAMIS Select online application. You must include proof of insurance payment with the application.

How do you choose a program?

To help you decide if FAMIS or FAMIS Select is the right choice for your family, use this [PDF] Worksheet.

Two examples of costs for FAMIS Select families:

  1. Family with 3 children enrolled in FAMIS Select:
  • Monthly family health plan premium = $350
  • Monthly FAMIS Select premium payment = $300
  • Monthly cost to family = $50 in health insurance premiums plus the cost of any co-pays, co-insurance, and deductibles
  1. Family with 4 children enrolled in FAMIS Select:
  • Monthly family health plan premium = $350
  • Monthly FAMIS Select premium payment = $350
  • Monthly cost to family = $0 in health insurance premiums plus the cost of any co-pays, co-insurance, and deductibles

Compare health plans carefully and choose the best plan for your family!

Which program is right for you and your family?

If you choose FAMIS Select
  • Your child must first be enrolled in FAMIS
  • You also enroll your child in an employer health insurance plan
If you choose FAMIS
  • Your child is enrolled in FAMIS only


     

 

FAMIS Select benefits
  • Health benefits provided through employer health plan's network of providers
  • Only services covered are those under the employer plan
  • Immunizations are covered by FAMIS only if your employer plan does not cover them
FAMIS benefits
  • Health benefits provided through FAMIS and the FAMIS network of providers
     
  • All FAMIS covered services are available. For a list of covered services visit our FAMIS page

     

 

 

FAMIS Select cost
  • Parents pay monthly premiums for employer's plan 
  • Parents are reimbursed $100 per month per child enrolled in FAMIS Select. The total cannot be more than the family premium.
  • Parents pay any deductibles, co-pays, or co-insurance amounts set by the private or employer health insurance plan
  • Look at total out-of-pocket maximum
     
FAMIS cost
  • Parents pay no monthly premiums




     
  • Parents pay $2 - $5 co-pays for most services
  • There are no deductibles or co-insurance
  • $350 max co-payment for the year

 

 

FAMIS Select coverage
  • In some cases the FAMIS Select payment may be enough to help families afford insurance for the entire family
FAMIS coverage
  • Only eligible children under age 19 are covered

     


Questions?

For help, call the FAMIS Select / Health Insurance Premium Payment (HIPP) Unit at 1-800-432-5924.

Where to learn more

FAMIS Select Brochure

[PDF] FAMIS Select Brochure (English)
[PDF] FAMIS Select Brochure (Spanish)

FAMIS Select Policy and Procedure Manual

[PDF] FAMIS Select Policy and Procedure Manual

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