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Pennsylvania Children’s Health Insurance Program

Find out if your child qualifies for CHIP in Pennsylvania

Enter your household size and monthly income to see if your child may qualify for CHIP in Pennsylvania. Results are instant, nothing is stored.

For a household of 3, the CHIP income limit for a child under 19 in Pennsylvania is $7,263 a month ($87,151 a year), which is 319% of the federal poverty level.

This is an estimate based on income only. States can apply other rules, such as immigration status, and the Medicaid agency makes the final decision.

Pennsylvania Children’s Health Insurance Program

Pennsylvania CHIP provides health coverage to uninsured children up to age 19 whose families earn too much to qualify for Medicaid but too little to afford private coverage.

Most families with income below 213% of the FPL are eligible to receive CHIP at no cost. Families with income between 213% and 319% of the FPL will pay modest monthly premiums and co-pays for some services.

Low-cost CHIP has premiums ranging from $60 to $96 per month and copays ranging from $5 per service to $25 for emergency room visit.1

What is the maximum income to qualify for CHIP in PA?

In Pennsylvania, children from families with income up to 319% of the poverty level or about $7,263 per month for a family of three, are eligible for CHIP.

CHIP income limits by household size, Pennsylvanians
Household Size319% Income Limit
1$4,243
2$5,753
3$7,263
4$8,773
5$10,282
6$11,792
7$13,302
8$14,812
A 5% disregard based on the federal poverty level (FPL) for the household size may be applied and is reflected in the amounts shown above. Source: Kaiser Family Foundation (KFF).

How do I apply for CHIP in PA?

You can apply for CHIP online through COMPASS or call the CHIP helpline and select prompt No. 2, then select prompt No. 1 for application assistance.

Pennsylvania Department of Human Services
Pennsylvania CHIP Helpline
(800) 986-5437

Data and figures on this page come from the sources and notes below:

Footnotes

  1. American Indian and Alaska Native children are excluded from any premium, enrollment fee, copayment, coinsurance, or deductible in CHIP. ↩

SingleMotherGuide.com is an independent state-by-state reference guide and is not affiliated with any government agency. Program amounts and income limits are compiled from official federal and state sources, which are cited on the page, and are reviewed periodically and updated as those sources change.

The information is provided for general guidance and is not legal or financial advice. The administering agency makes the final determination of eligibility and benefit amounts. To report an error, please contact us.

Figures on this page are compiled from the public sources cited above and may change; refer to the cited sources for the most current information.

Last updated
Updated by
Ada Hu
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