CHIP

CHIP FAQ

Are you self-employed and need health insurance for your children? CHIP is a fantastic affordable option. Here’s a breakdown of what is involved.

What is the CHIP program?

Pennsylvania's program to provide health insurance to uninsured children and teens who are not eligible for or enrolled in Medical Assistance or Medicare.

CHIP is a state and federally-funded health insurance program. CHIP provides health insurance coverage to children who meet eligibility guidelines. Monthly costs depend on family size and income

How soon will I be notified after you receive my child’s application?

It normally takes 3–4 weeks for applicants to be notified.

What documentation must I submit for income verification?

You must attach proof of gross income (before taxes and deductions) received during the last 60 days. Self employed individuals must send previous year’s tax return.

What are the eligibility requirements and plan details?

Must be under the age of 19.

Must be a U.S. citizen, a U.S. national, or a qualified alien.

Must reside in Philadelphia or the surrounding 5 counties.

What type of health coverage is provided?

This is a HMO plan. Must choose a Primary Care Physician (PCP)

PCP office visit copays do not apply for well-child visits

Specialists require referrals and some services may require a prior authorization

Prior authorization is needed for out-of-network services

Specialist copays do not apply for mental health or substance abuse services

Emergency room copays are waived if admitted

If you want to learn more please contact Gregory Gutierrez, CHIP Community Outreach Coordinator at gregory.gutierrez@ibx.com