Are my children eligible for CHIP?



If your children need health coverage, they may be eligible for the Children's Health Insurance Program (CHIP). If they qualify, you won't need to buy a Marketplace plan to cover them.

You can apply for and enroll in Medicaid or CHIP any time of year. There’s no limited enrollment period for either Medicaid or the Children’s Health Insurance Program (CHIP). If you qualify, your coverage can begin immediately.

CHIP Basics

CHIP provides low-cost health coverage to children in families that earn too much money to qualify for Medicaid. In some states, CHIP covers parents and pregnant women. Each state offers CHIP coverage, and works closely with its state Medicaid program.

What CHIP covers

The benefits covered through CHIP are different in each state, but all states provide comprehensive coverage, including:

  • Routine check-ups
  • Immunizations
  • Doctor visits
  • Prescriptions
  • Dental and vision care
  • Inpatient and outpatient hospital care
  • Laboratory and X-ray services
  • Emergency services

States may choose to provide additional CHIP benefits. Check with your state for more information about covered services.

What CHIP costs

Routine "well child" doctor and dental visits are provided free of charge. But there may be copayments for certain other services. Some states charge a monthly premium for coverage. The costs you'll have to pay are different in each state, but you can't be asked to pay more than 5% of your family's income for the year.

See if your children qualify for CHIP

Each state program has its own rules about who qualifies for CHIP. There are 2 ways to see if your children qualify:

  • Visit www.insurekidsnow.gov, or call 1-877-543-7669.

  • Fill out the Marketplace application. When you finish this application, we'll tell you which programs you and your family qualify for. If it looks like anyone is eligible for CHIP, we'll let the CHIP agency know so that your coverage can start right away.