CHIP Overview | Coverage | Costs | Enroll | Covered Doctors & Facilities | Health & Wellness | Count On Blue
In response to the current public health emergency, the Pennsylvania Children’s Health Insurance Program (CHIP) is making temporary changes to its program requirements. These changes are designed to ease access to CHIP and to keep families enrolled in CHIP for the duration of the public health emergency. The following changes are in effect until the end of the public health emergency:
The following program requirements are still effective:
If you are receiving a request for information, you must still do your best to provide the information to the MCO as requested. You will not be disenrolled from CHIP during the public health emergency for not providing the information, but you will be required to provide it as soon as possible. You must also provide either a signed application, signed renewal or a statement that is signed which attests that the information you are providing is true and correct to the best of your knowledge. Signatures can be electronic or hand-written. You may be asked to provide documentation of information that you self-attested to at the end of the public health emergency.
If you are receiving a request for premium, you still must pay the premium. If you cannot pay the premium on time because your income is decreased or you’ve lost employment, please contact your MCO immediately.
If you did not provide information about your child or children’s date of birth, social security number or tax filing status on an application, you must contact the MCO right away and provide that information. Your application cannot be processed without that information.
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Highmark
PO Box Caring
Pittsburgh, Pa. 15230
1-800-543-7105
Last updated: 4/10/2022
The Children’s Health Insurance Program (CHIP), brought to you by Highmark, provides comprehensive health insurance coverage to children under 19 years old, regardless of household income. There are no medical questionnaires and no pre-existing condition limits.
Highmark helped set up the original CHIP program in Pennsylvania, which was signed into law in 1992. The first child was enrolled in May of 1993. Since then, the PA CHIP program has become the model for every other CHIP program across the country. See why Highmark may be a great fit for your health care needs.
CHIP coverage can be used for the following health services:
Find an in-network doctor, hospital or pharmacy near you.
Free CHIP is truly free. It does not cost you anything. Low-Cost and Full-Cost CHIP require monthly premiums and copays on some services. Use the income guidelines below to see which CHIP plan you’re eligible for. The covered benefits are the same for all three.
Your household income will determine your out-of-pocket costs.
Download Income Guidelines
Once you know which CHIP coverage you’re eligible for, you can use the following charts to estimate your out-of-pocket costs.
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*Highmark Blue Cross Blue Shield does not increase the monthly premium amount after 3 kids, regardless of how many are in your household.
*Rates effective July 1, 2022.
Copayments for Visits and Prescriptions
挂梯子上外网教程 | PCP | Specialist | Emergency | Brand Name Drug | pc端梯子怎么搭 |
Free CHIP | No cost | No Cost | pc端梯子怎么搭 | No Cost | No Cost |
Low-Cost CHIP 1, 2, &3 | $5* | $10 | $25 | $9 | $6 |
Full-Cost CHIP | $15 | $25 | $50* | $18 | $10 |
*No copay required for preventive health services on the Highmark Preventive Schedule. Preventive Schedules are available to Highmark members on their member portal.
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Please call 1-800-543-7105 for eligibility questions.
There are 3 ways you can enroll or renew:
ONLINE
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You will need to mail in your income verification documents
BY PHONE
Call 求一个电脑上能用的梯子 to enroll for assistance with paper renewals
To enroll:
Fill out the Application form and mail it, along with the other required documents to:
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P.O. Box CARING
Pittsburgh, PA 15230-9779
Solicitud para cobertura de atencion medica
Your children could come into contact with lead from lead paint found in many older homes or from drinking the water out of lead pipes. High levels of lead in the blood can learning problems, slowed growth and aggressive behavior. Children under the age of 6 are at the greatest risk. Luckily, a simple blood test from your doctor can determine if your child’s lead levels are too high. CHIP covers all necessary screenings so schedule an appointment with your doctor today.
Highmark members have access to a wide variety of resources to help you get healthy, save money and more.
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Programs, discounts and support you need to live a healthier life.
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Membership has it’s benefits! Get Discounts on travel, eye glasses, and so much more.
Watch Videos to help you live your best life.
When you’re with Highmark, there’s always somebody you can count on anywhere, anytime. Learn more.
Get 24/7 health support from a Registered Nurse Highmark Health Coach by calling 1-888-BLUE-428.
Video conference consultations with a physician anytime, anywhere - 24/7.
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CHIP Member Handbook, Preventive Schedule and Agreement
The "Highmark Medical Policy" helps you search for details about managed care, procedures, and more. Read and accept the acknowledgment page first to begin.
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Diana Kobus, Director, CHIP Program
Diana.Kobus@highmark.com
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In the service area of Delaware, uninsured children and teens under age 19 may qualify for coverage through the Delaware Healthy Children’s Program (DHCP) if they are not eligible for Medical Assistance (Medicaid).
In the service area of West Virginia, uninsured children and teens under age 19 may qualify for coverage through West Virginia’s Children’s Health Insurance Program (CHIP) if they are not eligible for Medical Assistance (Medicaid).