Florida KidCare

What Florida KidCare does

Florida KidCare is a Florida state-sponsored health insurance program for children from birth through age 19, operating as the umbrella brand for four integrated programs: Medicaid (for low-income families, administered by the Florida Department of Children and Families), MediKids (children ages 1-5, administered by the Agency for Health Care Administration), Florida Healthy Kids (children ages 5-19, administered by the Florida Healthy Kids Corporation), and the Children's Medical Services Health Plan (for children with special health care needs, administered by the Florida Department of Health). The program is administered by the Florida Healthy Kids Corporation, a nonprofit public-private partnership created by the Florida Legislature in 2000, and operates as a state-federal Children's Health Insurance Program (CHIP) partnership. Coverage includes doctor visits, dental care, emergency care, hospital stays, immunizations, vision and hearing screenings, mental health services, and telehealth, with no deductible and copays capped at $10 per service.

The program is delivered through a contracted network of 11 health plan partners (including Aetna, UnitedHealthcare, Humana, Molina, Sunshine Health, Simply Healthcare, and Community Care Plan) and three dental plan partners (DentaQuest, Liberty Dental, MCNA), with services accessed by families through a 24/7 Parent Portal, phone application, paper application, and live chat. Underlying technology is a web-based enrollment and account management platform (portal.floridakidcare.org) paired with a Cost Calculator that estimates premiums based on household size and adjusted gross income. The program offers year-round enrollment, multi-language support (English, Spanish, Creole), and 340,000+ children are currently covered, including approximately 193,000 in subsidized Florida Healthy Kids plans and 15,500 in full-pay plans.

The revenue model is a mix of federal CHIP matching funds, state appropriations, and family premium payments. Income-based pricing creates a tiered structure: Medicaid is $0/month, subsidized CHIP costs $15 or $20 per month covering all eligible children in a household (with government covering the remainder), and full-pay options are $248.21/child/month (MediKids) or $276/child/month (Florida Healthy Kids). Distribution is direct-to-consumer via the Parent Portal and call center (1-888-540-5437), supplemented by community-based outreach through 49+ school district partnerships and grants to community organizations. The program is governed by a board chaired by the Florida CFO's designee, with CEO Ryan West leading a 101-250 employee administrative team headquartered in Tallahassee.

Name

Florida KidCare

Legal name

Florida Healthy Kids Corporation

Website

https://floridakidcare.org

Company type

Private

Founded year

2000

Operating status

Operating

Headcount range

101–250 employees

Short description

Florida KidCare is Florida's state-sponsored health and dental insurance program for children from birth through age 19, administered by the Florida Healthy Kids Corporation as a CHIP public-private partnership covering Medicaid, MediKids, Florida Healthy Kids, and the CMS Health Plan for over 340,000 children statewide.

Ownership category

akta.pro rank

Product category

Children's Health Insurance

NAICS

Individual and Family Services (6241), Child and Youth Services (62411), Child and Youth Services (624110), Other Individual and Family Services (624190)

SIC

Accident & Health Insurance (6321), Insurance Agents, Brokers & Service (6411), Services-Health Services (8000)

akta.pro primary industry

Children’s & Family Medicaid Managed Care Plans (HLAEAEAF)

akta.pro secondary industries

Medicaid/CHIP Dental & Vision Benefits Administration (FSAIAHAK), Maternal, Child & Adolescent Health Administration (BPAIAJAJ), Pediatrics & Adolescent Medicine Practices (HLAFAJAF)

Keywords

• Children's health insurance
• Government health programs
• CHIP coverage
• Pediatric health plans
• Family insurance

Headquarters

HQ city

Tallahassee

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Government CHIP Funding: Federal Children's Health Insurance Program (CHIP) funds that pay for part of monthly premiums for qualifying families. Families in households with incomes between 133% and 200% of federal poverty level qualify for CHIP coverage.
2. Monthly Premium Payments (Subsidized): Families pay $15 or $20 per month to cover all eligible children in household for CHIP-subsidized coverage. Government subsidizes the remainder.
3. Full-Pay Premiums: Families not qualifying for CHIP pay full monthly rates: $248.21 per child per month for MediKids, $276 per child per month for Florida Healthy Kids health and dental coverage.
4. Copayments: Small copays for some services, never exceeding $10 per service.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels8 records

Core offering

Florida KidCare provides income-based health and dental insurance for Florida children from birth through age 19 through four integrated programs: Medicaid, MediKids, Florida Healthy Kids, and the Children's Medical Services (CMS) Health Plan. Families apply through the Parent Portal, phone, or paper application, with eligibility automatically determined based on child age, household size, and family income. The program is funded by federal CHIP subsidies, state funds, and family premiums, with coverage including doctor visits, dental, vision, mental health, immunizations, hospital care, and telehealth.

Product overview

Florida KidCare is a state-sponsored health and dental insurance program for Florida children from birth through age 19. The program consists of four integrated components: Medicaid (for low-income families), MediKids (for children ages 1-5), Florida Healthy Kids (for school-aged children 5-19), and Children's Medical Services Health Plan (for children with special health care needs). All four programs work together under one brand to provide seamless coverage, with eligibility automatically determined based on the child's age, household size, and family income. The program offers subsidized CHIP coverage at $15 or $20 per month for qualifying families, and full-pay options for those who exceed income limits. Coverage includes doctor visits, dental care, emergency care, hospital stays, immunizations, vision and hearing screenings, mental health services, and telehealth. Families can access their accounts through the Parent Portal and use the Cost Calculator to estimate payments.

Differentiator

Problem solved

Functional benefit

Brands

• Medicaid: Program administered by the Department of Children and Families for low-income families, available to children from birth until age 19.
• MediKids
• Florida Healthy Kids
• Children's Medical Services (CMS) Health Plan

Products and services

• Medicaid Health insurance program administered by the Department of Children and Families for low-income Florida families. Available to children from birth until their 19th birthday, with $0 monthly cost for eligible families and no deductible.
• MediKids Health insurance program administered by the Agency for Health Care Administration for Florida children ages 1 to 5. Offers both subsidized CHIP coverage at $15 or $20 per month and full-pay coverage at $248.21 per child per month, with no copay required for services.
• Florida Healthy Kids Health insurance program administered by Florida Healthy Kids Corporation for Florida children ages 5 to 19. Offers both subsidized CHIP coverage at $15 or $20 per month and full-pay coverage at $276 per child per month, with no deductible and copays not exceeding $10 per service. Families can opt out of dental for $256 per child per month.
• Children's Medical Services (CMS) Health Plan Health insurance program administered by the Florida Department of Health for Florida children with special health care needs, available from birth until age 19 or 21. Offers coordinated care for chronic conditions, mental health, substance use disorder treatment, and specialized medical services through Medicaid and subsidized CHIP options.
• Health Coverage Comprehensive health insurance coverage included with all Florida KidCare programs, including doctor visits, preventive care, emergency care, hospital stays, immunizations, prescriptions, mental health services, telehealth, and ambulance transport. No deductible applies.
• Dental Coverage Dental insurance coverage included in Florida KidCare programs, covering dental cleanings, fillings, and other pediatric dental services through dental plan providers DentaQuest, Liberty Dental Plan, and MCNA Dental.
• Vision and Hearing Services Vision and hearing screenings and services included in Florida KidCare coverage, including annual eye exams and glasses for children.

Quantifiable outcome

• 95% of parents are happy with the services they receive
• +1 more outcomes

Named customers11 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

13 partnerships are on record, tiered core and minor.

• Agency for Health Care AdministrationcoreStrategic or Co-development PartnerState agency partner administering the MediKids program and overseeing Medicaid. Works with Florida KidCare to provide seamless coverage for Florida children.
• Florida Department of Children and FamiliescoreStrategic or Co-development PartnerState agency partner administering the Medicaid program for low-income families. Responsible for Medicaid eligibility determinations and renewals.
• Florida Department of HealthcoreStrategic or Co-development PartnerState agency partner administering the Children's Medical Services (CMS) Health Plan for children with special health care needs.
• Florida Healthy Kids CorporationcoreStrategic or Co-development PartnerNonprofit, public-private partnership created by Florida Legislature to expand access to affordable, child-centered health insurance. Administers Florida Healthy Kids program and provides marketing, customer services, and administrative services for Florida KidCare.
• Aetna Better Health of FloridacoreImplementation/ SI/ Consulting PartnerHealth plan provider for Medicaid, MediKids, and Florida Healthy Kids programs statewide. Provides comprehensive health benefits and services to Florida KidCare enrollees.
• Community Care PlancoreImplementation/ SI/ Consulting PartnerHealth plan provider for Medicaid and Florida Healthy Kids programs. Provides coverage in multiple counties including southeast and south Florida regions.
• Simply Healthcare PlanscoreImplementation/ SI/ Consulting PartnerHealth plan provider for Medicaid and Florida Healthy Kids programs statewide. Offers health benefits and services to Florida KidCare enrollees.
• Sunshine HealthcoreImplementation/ SI/ Consulting PartnerHealth plan provider for Medicaid, CMS Health Plan, and Florida Healthy Kids programs. Provides coverage for children with special health care needs through CMS Health Plan.
• DentaQuestcoreImplementation/ SI/ Consulting PartnerDental plan provider for Medicaid, Florida Healthy Kids, and CMS Health Plan programs. Provides dental coverage and benefits to Florida KidCare enrollees.
• Liberty Dental PlancoreImplementation/ SI/ Consulting PartnerDental plan provider for Medicaid and Florida Healthy Kids programs. Offers dental coverage options to Florida KidCare enrollees.
• MCNA DentalcoreImplementation/ SI/ Consulting PartnerDental plan provider for Florida Healthy Kids program. Provides dental coverage to school-aged children enrolled in Florida Healthy Kids.
• Health Foundation of South FloridaminorGTM or Marketing PartnerProvided $110,000 grant to support outreach and enrollment efforts in Miami-Dade and Broward counties to help uninsured children get covered.
• Community Partner OrganizationsminorChannel Partner/ Reseller/ DistributorNetwork of community organizations helping spread awareness about Florida KidCare. Includes organizations like United Way, health councils, and school-based partners who assist with outreach and enrollment.

Scale indicators6 records

Recent moves6 records

Expansion highlights6 records

Regional players

• Illinois All Kids: Illinois All Kids is the state's comprehensive children's health insurance program covering children from birth through age 18 regardless of income. It is a structural peer to Florida KidCare in providing universal-access, income-tiered pediatric coverage with similar benefits and managed care delivery.
• Pennsylvania Children's Health Insurance Program (CHIP): Pennsylvania CHIP is a state-run children's health insurance program providing free or low-cost coverage to uninsured kids up to age 19, similar to Florida KidCare. Both programs offer income-based premiums, no deductibles, and comprehensive pediatric benefits including dental.
• Texas Children's Health Insurance Program (CHIP): Texas CHIP is the direct functional equivalent of Florida KidCare for Texas children—a state-administered, federally-funded children's health insurance program under CHIP. Both programs offer subsidized premiums based on federal poverty level, dental/vision coverage, and multi-agency administration, making them the most structurally comparable peers.
• New York Child Health Plus: NY Child Health Plus is New York's state CHIP program providing subsidized children's health insurance to families above Medicaid eligibility. It mirrors Florida KidCare's structure of income-based premiums, comprehensive pediatric benefits, and integration with multiple managed care plans, making it a close functional equivalent.
• California Department of Health Care Services (Medi-Cal for Children): California's Medi-Cal for Children program is the state-administered children's health coverage under Medicaid/CHIP for California—the largest US state children's health program. It is a regional functional peer to Florida KidCare in administering income-based pediatric coverage with dental, vision, and mental health benefits through managed care plans.

Broad incumbents

• Humana Inc. Humana Medical Plan is a contracted Florida KidCare Medicaid health plan partner. As one of the largest US managed care insurers focused heavily on government programs, Humana is a broad incumbent comparable in serving state Medicaid/CHIP populations with similar products.
• UnitedHealth Group (UnitedHealthcare): UnitedHealthcare is a contracted health plan partner with Florida KidCare (Medicaid program) and one of the largest US managed care insurers. It is a broad incumbent comparable in serving state Medicaid populations with similar operational and product structures, though at national scale and as a for-profit.
• CVS Health (Aetna): Aetna Better Health of Florida is a contracted Florida KidCare health plan partner across Medicaid, MediKids, and Florida Healthy Kids. CVS/Aetna is a broad incumbent comparable in delivering state Medicaid managed care products at national scale, though within a much larger diversified healthcare portfolio.
• Molina Healthcare: Molina Healthcare is a contracted Florida KidCare Medicaid health plan partner and one of the largest pure-play government health insurers in the US. It is a broad incumbent comparable in delivering state Medicaid/CHIP managed care with similar benefit structures and risk arrangements.
• Centene Corporation (Sunshine Health parent): Centene is the largest US Medicaid managed care insurer and operates Sunshine Health, a key Florida KidCare health plan partner. It is a broad incumbent comparable in that it serves state Medicaid/CHIP populations nationwide with similar product structures, though as a for-profit diversified entity rather than a single-state program.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/FLKidCare
• YouTubeyoutube.com/user/FloridaHealthyKids
• Facebookfacebook.com/FLKidCare
• Instagraminstagram.com/FlKidcare
• LinkedInlinkedin.com/company/florida-kid-care

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Florida KidCare