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Pennsylvania Children's Health Insurance Program

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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

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

To be eligible for this benefit program, you must be a resident of Pennsylvania and meet all of the following:

  • Either 18 years of age and under or a primary care giver with a child(ren) 18 years of age and under, and
  • A U.S. Citizen, National, or a Non-Citizen legally admitted into the U.S, and
  • Uninsured (and ineligible for Medicaid).

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

Annual Household Income Limits (before taxes)
Household Size*Maximum Income Level (Per Year)
1$43,740
2$59,160
3$74,580
4$90,000
5$105,420
6$120,840
7$136,260
8$151,680

*For households with more than eight people, add $15,420 per additional person. Always check with the appropriate managing agency to ensure the most accurate guidelines.

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.

CHIP Application Information

To learn more about the program, please visit the Pennsylvania CHIP page.

You may also use the County Coverage Map to find a service center near you.

For additional details, please visit the Medicaid & CHIP Policies page and select your state.

1-800-986-5437

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