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Eligibility & Cost


The following groups are eligible for the Backup Care Program:

  • Benefits eligible full-time and part-time university and hospital and health system employees
  • Postdoctoral Fellows of the university (starting July 1, 2018)
  • School of Medicine Residents. A resident is an individual holding a house staff appointment at either JHH or JHBMC. Eligible residents must receive their income as wages from Johns Hopkins University. Residents who are on fellowships (stipend support) are not eligible for the program.

Temporary, limited and casual employees, and students are not eligible for the Backup Care Program.

"Dependents" are defined as anyone for whom you provide more than 50% of the financial support for the year, as defined in Section 152 of the Internal Revenue Code, and who resides in your home a minimum of eight hours per day. If you do not meet the second part of this dependent eligibility definition due to a custodial situation, please contact us at 443-997-7000 or to discuss your circumstances. Expenses for the following dependents are eligible for reimbursement: children under age 13 or any dependent (including your spouse or parent) who is physically or mentally incapable of caring for him or herself.

In addition, care can be provided for other adults who are not legal dependents, such as your spouse/partner, parents, and your spouse/partner's parents, grandparents, aunts, uncles, your adult children, or yourself.


Starting July 1, 2016, Backup Care, for children and adults, has a flat low co-pay. You no longer need to seek reimbursement for the cost of care. Instead, you can use a credit card to pay the appropriate co-pay listed below: 

Your Annual SalaryYou Pay
$39,999 and below$6.00 per hour
$40,000 to $74,999$8.00 per hour
Over $75,000$10.00 per hour


You have 10 days of in-home care per fiscal year (July 1 - June 30) to use in any combination for children or adults.

Maximum Dependent Care Benefit

The maximum dependent care benefit is $5,000 annually. Five thousand dollars ($5,000) is the combined total allowed by the Internal Revenue Service (IRS) per family, per calendar year for employer sponsored dependent care assistance. Employees who enroll for the maximum amount in their Dependent Care Flexible Spending Account are not eligible for a subsidy, but they are welcome to utilize the Backup Care program. You are responsible for making sure that the combined total of dependent care benefits does not exceed $5,000.


Updated 7/1/2016