By
MICHAEL DOYLE
BEE WASHINGTON BUREAU
(Published: Thursday, August 10, 2000)
WASHINGTON -- San Joaquin Valley parents soon
will be hearing about less-expensive health insurance for children, thanks
to a multimillion-dollar campaign designed to boost enrollment.
The privately funded, three-year effort targeting six cities nationwide
is supposed to draw working families into an inclusive federal program.
Potentially, tens of thousands of additional valley families could claim
the free or low-cost insurance.
"There are an awful lot of children out there who are eligible and
who need to be contacted so they know they can be covered," Education
Secretary Richard Riley said at a District of Columbia elementary school
Wednesday. "We can't properly educate children unless they're healthy."
Working parents are prone to shunning coverage offered through the relatively
new State Children's Health Insurance Program, a survey released Wednesday
said. Three out of five parents whose children qualify for the coverage
thought they weren't eligible, the survey found.
So starting next week, the nation's largest health philanthropy will
be running English- and Spanish-language ads in Fresno as part of a larger
campaign ultimately expected to cost upward of $26 million.
"The need is so great, and the problem of the uninsured is growing,
despite our prosperity," said Dr. Steven Schroeder, president of
the Robert Wood Johnson Foundation. "The real tragedy is that of
the 11 million children (nationwide) who are uninsured, 7 million could
be receiving insurance today. ... We must make parents more aware."
The Stanislaus County Health Services Agency currently counts about 4,120
children enrolled in the insurance program, agency spokesman David Jones
said. Based on earlier surveys, officials estimate thousands more in the
county are uninsured even though they're eligible.
"We're thrilled to see more advertising and promotion for this,"
Jones said. "One of the biggest (obstacles) continues to be awareness
among the families that these programs actually exist."
The Fresno-area campaign is slated to include television, radio and print
ads, as well as enrollment efforts during back-to-school events and during
the winter's cold and flu season.
"I think it's helpful," said Margaret Wing, deputy director
of the Fresno County Child Health and Disability Prevention Program. "Whenever
we see a blitz of advertising, we get a lot more calls about the program,
and if one person knows, he'll tell others."
Wing said there are now about 7,500 Fresno County children covered by
the insurance program, but she estimated that "there are probably
three times as many" who are eligible but uncovered.
Officials with the Robert Wood Johnson Foundation also want to make it
easier for parents to endure the application process. The original application
for coverage was 28 pages long; it's since shrunk to four pages, which
Jones characterized as better but not perfect.
"Too many of these forms are too complicated," conceded Health
and Human Services Secretary Donna Shalala. "We have to find these
kids, and we have to help their parents fill out these application forms."
The insurance is offered by the federal government through either Medicare
or the newer State Children's Health Insurance Program. Established in
1997, the children's insurance program matches state and federal funds
to cover children from families that make more than the federal poverty
level. For a relatively low monthly premium, eligible families obtain
coverage comparable to that offered state employees.
Roughly 280,000 children are enrolled in California's version of the
plan, dubbed the Healthy Families Program. As many as 2 million California
children, however, remain uninsured. Of these, more than half a million
are estimated to be eligible for the Healthy Families Program.
The problem is particularly severe among Hispanic families. Separate
state surveys have found many families with at least one undocumented
parent have avoided the insurance, while many others don't apply for programs
they associate -- incorrectly, in this case -- with welfare.
Eligibility varies by state and age of children. In California, a family
of four with an income of under $42,625 could be eligible for the low-cost
insurance program.
For information about low-cost insurance for children, call (888) 747-1222.
Bee Washington Bureau writer Michael Doyle
can be reached at (202) 383-0006 or mdoyle@mcclatchydc.com.
Reprinted by permission of Modesto Bee.
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