FREQUENTLY ASKED QUESTIONS

Can my children get hawk-i even if I own my home or a car?

Yes, if your children qualify and your family income is within the hawk-i limits. See costs.
 

My friend applied to hawk-i for her children. She was told her children had to have Medicaid. What happened?

Federal law requires that we check all applications to see if the income of the children’s family fits Medicaid income limits, which are a little lower than the hawk-i limits.  If they do, those children can have Medicaid, but not hawk-i.

What’s the difference between Medicaid and hawk-i services?

Medicaid allows children to have more health services, and for a longer time (up to age 21, or as long as the child qualifies.)
hawk-i services are limited (see Services) and hawk-i only covers children through age 19.

Where will I take my child for health care if she gets hawk-i?

You must choose one of the health plans in your county that serves hawk-i children.  See health plans.

How can I find out more about the hawk-i health plans that serve my county?

If your child qualifies, the hawk-i program will send you some information about all of the health plans in your county. You can also call the health plan’s customer service number (see health plans.)

I have 5 children. How much will I have to pay?

It depends on your income. You may pay nothing, or you may have to pay up to $20 each month if your children qualify. Click here to see costs.

Are there co-payments for hawk-i services?

Most of the time there are no co-payments. But if you take your child to the emergency room when it is not an emergency, you will be charged a co-payment of $25.

What is a real emergency?

An emergency means that you think the child’s condition or injury is life-threatening, or that the child would be harmed without immediate medical care.

Do not take the child to the emergency room for routine care.

If you have time, call your health plan before taking your child to the emergency room.

How and when can I find out if my child can get hawk-i?

Fill out an application, sign it, attach proof of income, and mail the application to hawk-i. You will find out if your children qualify usually within two weeks after we get your complete application.

What is a complete application?

A complete application is a signed application, with all the questions answered correctly and all necessary proof of income attached.

What do I need to send as proof of income?

Income from a job: Send copies of all pay stubs for the last 30 days.  If you do not have pay stubs or if you have a new job, we can take a signed statement from your employer verifying your pay.

Income from self-employment: Send a copy of your most recent tax return (include Schedule C or F). If your self-employment business is new or your earnings are not the same as what is on your tax return, send a copy of the most recent business records; tell us what has changed.

Unearned Income (such as child support, social security, benefits, VA benefits, unemployment insurance, etc.): Send a copy of the award letter, divorce decree, or other proof that shows how much you get.

IMPORTANT:  Make sure to tell us if the income is going to change.  For example, tell us if your last 30 days pay checks show that you worked more overtime than usual.  If you work only part of the year, such as construction worker or school teacher, tell us how much you earn for the entire year.

Should I send copies or originals?

Whenever possible, send copies. (If you send originals, we will copy them and send them back to you.)

Where can I get a hawk-i application?

Call hawk-i customer service at 1-800-257-8563 and ask for one or go to applications and download one.

My neighbor speaks a foreign language that I have never heard. How can she apply for hawk-i?

She can call hawk-i  customer service at 1-800-257-8563 and the person who answers will talk to her using a special translation service.