One of your first concerns is making sure that your grandchild is covered by health insurance. To make this process simpler, you should have legal custody or guardianship of your grandchild. You often don't need this to apply for such insurance. But it will be easier for you later on if you have guardianship.
To get the process started, you can ask a lawyer, a doctor, or a health clinic what the rules are for your state. In some cases, you can simply sign a consent form that says you are caring for the child. In other cases, the parents may need to sign a form. Or you'll need to prove that you made an effort to contact the parents. Sometimes you and the child may need to undergo genetic testing to confirm your relationship and eligibility for assistance.
You have several choices to help you if you can't afford a full-cost policy and your employer will not cover your grandchild. The first is your state's free or low-cost Children's Health Insurance Program (CHIP). The rules for CHIP vary from state to state. Talk with a local doctor's office or social worker to get more information.
In other cases, your grandchild might qualify for a federal Medicaid program. The rules can vary from state to state. You'll need to contact local agencies to see if your grandchild can be covered. Both programs often insure children up to age 19. This covers doctor visits, medicine, and hospital visits.