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Who is eligible for CHIP?
Children must meet the following basic requirements to be eligible for CHIP:
- Pennsylvania resident
- U.S. citizen, U.S. national or qualified alien
- Under age 19
- Not covered by any other health insurance plan, and not eligible for Medical Assistance
If eligible for CHIP, family income will determine whether a child may be enrolled on a free, low-cost or full-cost basis. If your children are enrolled for low-cost or full-cost coverage, you will be required to pay monthly premiums for this coverage, and copays for services received. There are no premiums or copays in the free CHIP program.
How long does coverage last?
If your children are enrolled into CHIP, their coverage will be effective for 12 calendar months. Eligibility for renewal is determined yearly. You must reapply for CHIP every year.
What is "eligibility review"?
If you have any questions about an eligibility determination, please call Member Relations anytime at 1-888-888-1211 (TTY 1-877-454-8477). You should also keep in mind that if your children's circumstances (including family income) change, you can reapply for CHIP coverage or for a different CHIP category.
You have the right to request an impartial review of Health Partners' determination. You may also ask us for a copy of the procedures that our eligibility decision was based on. All reviews are conducted by the Pennsylvania Insurance Department (PID).
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