AHCCCS Rules That Change

At 18, your child can manage his or her AHCCCS benefits and make medical decisions privately. You won’t have access to your child’s medical records unless he or she authorizes it. That's why it's important to teach your child how to make health decisions and manage benefits now, so that your child will know how to do them later.

Income-Based AHCCCS and KidsCare

Income-based AHCCCS and KidsCare cover children 18 or younger if the total combined income of everybody who lives in the same household is 205% of the Federal Poverty Guidelines (FPG) or less ($51,455 per year or less for a family of four).

When your child turns 19, AHCCCS KidsCare eligibility ends. For adults, the income limit for income-based AHCCCS is 138% of FPG ($34,638 per year for a family of four). If your child doesn’t qualify for income-based AHCCCS as an adult, there are other options:

  • If you or your child’s other parent can get employer-sponsored coverage, your child can be on that plan until turning 26.
  • If employer-sponsored coverage is not available, your child can get help paying for individual coverage on Healthcare.gov if household income is between 138% and 400% of FPG ($100,400 for a family of four).

Note: If your child moves out of your house and you don’t claim your child as a dependent on your taxes, your child might qualify as a single person living alone.

Límites de ingreso para beneficios de salud

Rules that Don't Change At 18 or 19

Most other eligibility rules for AHCCCS and private health insurance don't change when your child turns 18 or 19:

The bottom line

As your child gets older, health coverage rules don't change much and there should always be an option that will cover your child.