Is there a co-payment?
There are no co-payments for covered services. However, each Title 21 (CHIP) member must make premium payments on time to Florida KidCare. Our Title 19 (Medicaid) members do not have premium payments.
I have Title 21 (CHIP) benefits. How do I pay my premium?
It is very important that you pay your monthly premium on time, to KidCare. If you miss the payment deadline you may lose your health insurance and your Ped-I-Care coverage. It takes at least 60 days to get it back. Please remember that your KidCare premiums are due on the 1st of the month for the following month’s coverage. You must make your payment even if you have not received your coupon book.
You can make your payment by either of the following methods:
- Mailing a check or money order with payment coupon to:
PO Box 31105
Tampa, FL 33631-3105
Remember to write your child’s member number on your check or money order.
- By telephone, 24 hours a day, 7 days a week at 1-800-821-5437. This is a free call. Select the prompt to “make an automated payment.” VISA, MasterCard and Discover are accepted. You also can make payments directly from your checking or savings account. The system will let you know if a fee will be charged.
If you are having trouble with your monthly payments, talk to your CMS Nurse Care Coordinator right away. Don’t lose this great opportunity to provide your children good quality health care!
I received a bill. How do I get this paid?
Call our Claims Manager at 352-627-9100. To call for free, dial 1-866-376-2456.
Can I get reimbursed for out-of-pocket expenses?
No. There are no out-of-pocket expenses for covered and authorized services. If you go outside our network without prior authorization, Ped-I-Care will not pay. You will be responsible for payment. You may call CMS to ask about funding options.
I want to get a different piece of equipment (such as eyeglasses, wheelchair, etc.) than what Ped-I-Care covers. Can I upgrade and pay the difference?
No. If you request an upgrade from a covered item to a non-covered item, we will not pay for any part of it. If your doctor thinks the upgrade is necessary, they can request an authorization for it. Our Medical Directors will listen and decide if it will be covered.