Children's Health Insurance Program (CHIP)CHIP is a health insurance program for children in low-income families. It is for families who make more than the cutoff for Healthy Beginnings. Coverage is either free or subsidized, depending on family income. CHIP benefits cover immunizations, routine check-ups, diagnostic testing, prescriptions, dental, vision, and hearing services, emergency care, mental health benefits, up to 90 days hospitalization per year, durable medical equipment, substance abuse rehabilitation, partial hospitalization for mental health, rehabilitation therapy and home health care. |
Health Care links |
Eligibility
The following factors are considered for a child's eligibility for CHIP:
- Must not be eligible for Medicaid or have any other health insurance
- Must be under age 19
- Must be a U.S. citizen or lawful alien
- Must be a Pennsylvania resident for at least 30 days, except for newborns
- Meet family income limits
Family Income Limits (Calculated May 2001)
| Number of People in Family (including parents) | Maximum Monthly Gross Income for Free Program | Maximum Monthly Gross Income for Subsidized Program |
| 1 | $1,432 | $1,683 |
| 2 | $1,935 | $2,274 |
| 3 | $2,438 | $2,865 |
| 4 | $2,721 | $3,456 |
| 5 | $3,445 | $4,408 |
| 6 | $3,948 | $4,639 |
There are three providers in Bucks, Chester, Delaware, Montgomery and Philadelphia County. Contact all three for information so that you can compare benefits.
| Aetna US Healthcare | 1-800-822-CHIP (2447) |
| Americhoice (formerly HMA) | 1-800-707-KIDS (5437) |
| Independence Blue Cross and Pennsylvania Blue Shield (Independence) | 1-800- 464-KIDS (5437) |
Early and Periodic Screening and Diagnosis Treatment (EPSDT)
EPSDT
is for children on MA. It notifies parents and physicians of the
need for periodic evaluations and treatment, including assistive
technology devices and services to eligible children. Children
who are eligible for MA are automatically eligible for EPSDT services.
To make sure your child is enrolled in EPSDT call the Office of
Medical Assistance at 1-800- 543-7633.