To qualify, first you
need an uninsured
kid.
Based on your family’s size and income, your child or
teen may be eligible if he or she is:
• Under 19 years of age
• A U.S. Citizen, U.S. National or Qualified Alien
• A resident of Pennsylvania
• Uninsured and not eligible for or enrolled in Medical
Assistance
To keep your kids covered, you have to renew every
year — it’s not automatic, but it’s easy. We’ll send you
a renewal form 90 days before your coverage ends,
and your CHIP health insurance company can help
you through the process.
What is CHIP?
“ CHIP’s comprehensive health
care gives me peace of mind
to know that I can take my
children to the doctor and we
are protected.”
– Mom in Upper Darby
If their faces really do freeze
like that, they’ll be covered.
Apply Online
CHIP, short for the Children’s Health Insurance
Program, covers all uninsured children and teens who
aren’t eligible for or enrolled in Medical Assistance
in Pennsylvania. No one makes too much money. It’s
easy to sign up, and even easier to qualify. Regardless of
why your kids don’t have coverage right now — maybe
you lost your job, or health care has gotten too
expensive — CHIP may be able to help.
APPLY TODAY!
Visit www.CHIPcoversPAkids.com to apply.
Visit us at www.CHIPcoversPAkids.com and click on
Apply and Renew.
Apply by Mail
Visit us online at www.CHIPcoversPAkids.com
to download a copy of the CHIP application. Simply
fill it out, sign it and mail it back with the necessary
documentation. If you have any questions about the
application or need help filling it out, you can call a
CHIP health insurance company listed on the
application.
If your income is below CHIP guidelines, your child may be
enrolled in Medical Assistance.
“ We are finally able to
sleep at night, knowing
that our kids can be seen
by excellent doctors.”
– A CHIP parent
www.CHIPcoversPAkids.com
1-800-986-KIDS
Tom Corbett, Governor
Commonwealth of Pennsylvania
04/13
CHIP covers all
uninsured kids and
teens in Pennsylvania.
“ My four-year-old son can play
without me having to worry
about him getting hurt and
not being able to afford his
medical bills.” – Dad in Philadelphiaa
Growing up healthy
with CHIP.
Is CHIP free for
your family?
Excellent benefits
from top providers.
Nine out of 10 families covered by CHIP would highly
recommend the program to friends and family. It’s easy
to see why. Applying for CHIP is easy and free for most
families. Coverage is excellent, and comes from major
insurance companies with large networks of physicians,
specialists and care facilities near you, so you may be
able to enroll in CHIP without even changing doctors.
CHIP covers all uninsured Pennsylvania kids up to age
19 who are not eligible for Medical Assistance.
No family makes too much money for CHIP. Most kids
receive CHIP for free. Others can get the same benefits
at a low cost. If you make too little for CHIP, your child or
teen may be enrolled in Medical Assistance.
CHIP is brought to you by leading health insurance
companies who offer your kids quality, comprehensive
coverage. You’ll have a choice of major insurance
companies. In fact, your kids may even be able to keep
visiting the same doctors they see now. And no matter
which CHIP health insurance company you choose, you’ll
get the same quality service and the same great CHIP
benefits.
Coverage that can
keep up with kids.
CHIP is there for your kids with quality, comprehensive
health insurance coverage for routine doctor visits,
prescriptions, dental, eye care and much more, including:
• Immunizations
• Hospitalization
• Routine Check-ups &
• Durable Medical Equipment
Well Visits
• Substance Abuse Treatment
• Prescription Drugs
• Partial Hospitalization for
• Dental, Vision, Hearing Mental Health Services
Services
• Rehabilitation Therapies
• Emergency Care
• Home Health Care
• Mental Health Benefits • Maternity Care
For more information or to apply, please visit
www.CHIPcoversPAkids.com.
www.CHIPcoversPAkids.com
1-800-986-KIDS
To apply, you just need the following
information:
• Your total household income before taxes
(including wages, child support, unemployment,
etc.)
AVERAGE PROGRAM COSTS FOR A FAMILY OF 4*
Coverage is
Free
Coverage is
Low Cost
Coverage is
Full Cost
If you make
between
$23,550 – 47,100
If you make
between
$47,101– 70,650
If you make
$70,651
or more
(if you make under this amount,
More details on benefits available at
www.CHIPcoversPAkids.com.
So easy, a kid
could do it.
you may be enrolled in Medical Assistance)
*Qualification varies based on number of members in the household as well as total household income. For free CHIP, there are
no premiums or copays. Premiums and copays apply for low-cost and full-cost CHIP.
Chart is based on average program costs for a family of four.
Please visit www.CHIPcoversPAkids.com/eligibility-and-requirements for full eligibility requirements and limitations.
• Information about your child care and
work transportation expenses. (Once you
apply, you will need to mail us proof of your
household’s income.)
It’s easy! You can apply online or by mail.
Applications take approximately 4–6 weeks
to process. Visit www.CHIPcoversPAkids.
com for more information.