How do I know if my child qualifies?
Based on your family size and income, your child or teen may be eligible if they meet the following requirements:
- Under 19 years of age
- A U.S. citizen, U.S. national or qualified alien
- A resident of Pennsylvania
- Uninsured and not eligible for Medical Assistance
Is there a Cost?
- View the 2024 CHIP Income Guidelines Chart
- 2024 Federal Poverty Income Guidelines
- CHIP Rates by Participating Insurance Company — Effective July 1, 2024
Most families receive CHIP coverage for free. Households with incomes above a certain level can receive comprehensive, quality CHIP coverage at a low cost. If your income is below the lowest amount listed in the above chart, your child or teen may be enrolled in Medicaid.
Whether CHIP is free or low-cost depends on the 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 only for low-cost CHIP.
The above CHIP Income Guidelines Chart shows the average monthly cost per child to help families determine into which category they may qualify and for which type of coverage — free or low-cost CHIP. Remember: If your income is below CHIP limits, your family could be eligible for Medical Assistance.
Benefits
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
- Routine checkups and well visits
- Prescription drugs
- Dental, vision, hearing services
- Emergency care
- Mental health benefits
- Hospitalization
- Durable medical equipment
- Partial hospitalization for mental health services
- Substance abuse treatment
- Rehabilitation therapies
- Home health care
- Maternity care
- Hospice and palliative services
- Medically necessary orthodontia
- Autism Spectrum Disorder and related services