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Alabama How To Apply For ALL Kids Healthcare Coverage

friendshelpingfriends started this conversation
Jan 11, 2011

How to Apply for Healthcare Coverage

ALL Kids shares an application with SOBRA Medicaid. The program(s) for which you and/or your children qualify will be determined by your family size and income.

Two Easy Ways to Apply

  • Apply online
  • Mail or fax in a completed paper application

    Mail your application to:
    ALL Kids                                                         
    P.O. Box 304839
    Montgomery, Alabama  36130-4839

    Fax your application to (334) 206-3783.

Get a Paper Application

 

1.

Print the application.

Application
Pediatric Health History

Solicitud
Historial Médico Pediátrico

2.

Pick up an application at any County Health Department or many other health and community agencies, including doctor offices, hospitals, pharmacies, and schools.
 

3.

Call one of the program toll-free numbers listed below to request an application be mailed to you. You can also email a request to ALL Kids for an application to be mailed to you.

ALL Kids 1-888-373-KIDS (5437)
Medicaid 1-800-362-1504

Filling Out Your Paper Application

 

1.

Answer all of the questions on the application.
 

2.

Sign the last page of the application.
 

3.

Complete the Pediatric Health History for your children.
If you have more than three children, make a copy of the form so that you can complete the health history for all of the children you are applying for. Remember, there are no exclusions for pre-existing conditions.
 

4.

Mail it in.
Before closing the envelope, be sure you include the following:
  • A signed and fully completed application and Pediatric Health History
  • For Medicaid, also include proof of income, such as check stubs or a statement from the employer, and a proof of pregnancy for a pregnant woman

 

If you have questions or need help filling out an application, please call ALL Kids toll free at 1-888-373-KIDS (5437), Monday through Friday, to speak to a customer service representative. You may also leave a message at any time or email us.

Under the Health Insurance Portability and Accountability Act of 1997 (HIPAA), the Alabama Children’s Health Insurance Program is required to inform you of how your enrollment and/or medical information may be used and disclosed (provided to other business partners) through our regular course of business.  The following document is furnished to all enrollees as means of such notification.

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