Pennsylvania Children's Health Insurance Program

Centers for Medicare & Medicaid Services (CMS) in Insurance
December 19, 2018

Overview

The Children's Health Insurance Program (CHIP) provides health coverage to nearly eight million children and families with incomes too high to qualify for Medicaid, but can't afford private coverage.

In some states, CHIP covers parents and pregnant women. Each state offers CHIP coverage, and works closely with its state Medicaid program. Please note: These programs may be called by different names in your state.

 

Some benefits covered through CHIP, include:

  • Routine check-ups
  • Immunizations
  • Doctor visits
  • Prescriptions
  • Dental and vision care
  • Inpatient and outpatient hospital care
  • Laboratory and X-ray services
  • Emergency services

Administration

Pennsylvania Children's Health Insurance Program is administered by Centers for Medicare & Medicaid Services (CMS).

Program Requirements:

CHIP serves uninsured children up to age 19 in families with incomes too high to qualify them for Medicaid.

In general for this benefit program, the child must be a US national, citizen, legal alien or permanent resident, and have low income.  

The child must also be a resident of the state of Pennsylvania.

 

 

 

In order to qualify, you must have an annual household income (before taxes) that is below the following amounts:

Household Size* Maximum Income Level (Per Year)
1 $35,640
2 $48,060
3 $60,480
4 $72,900
5 $85,320
6 $97,740
7 $110,190
8 $122,670

*For households with more than eight people, add $12,480 per additional person. Always check with the appropriate managing agency to ensure the most accurate guidelines.

Application Details

To apply online, please visit the Pennsylvania COMPASS  online application for health and human services.

For additional application information, visit the Apply Online With COMPASS page. You will be able to download an application form directly from the site.

You may also find out if you qualify through the Marketplace application.

Contact:

1-800-986-5437

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