With the rising costs we’ve all been dealing with for several years, life has gotten a lot more expensive. Luckily, the Keystone HMO Children’s Health Insurance Program (CHIP) continues to keep affordable children’s health insurance within reach for many families.
Keystone HMO CHIP provides affordable, comprehensive coverage for children up to age 19 whose parents meet eligibility requirements and live in Bucks, Chester, Delaware, Montgomery, and Philadelphia counties.
How Much Does Keystone HMO CHIP Cost?
Keystone HMO CHIP monthly premiums depend on household size and income and range from No Cost to Low Cost to Full Cost options. View our Keystone HMO CHIP premium information.
- Low-cost Keystone HMO CHIP*: $45.00, $88.88, or $101.57 per child per month
- Full-cost Keystone HMO CHIP*: $286.36 per child per month
How Does Keystone HMO CHIP Work?
Medical benefits are provided through the Keystone HMO CHIP network of physicians and hospitals, dental benefits are provided by United Concordia, and routine vision benefits, including coverage for eye wear and lenses, are provided by Davis Vision. Find a Keystone HMO CHIP provider.
What is the Difference Between Keystone HMO CHIP and Medicaid?
- Medicaid is health coverage for individuals, including children, pregnant women, parents, and seniors who meet certain maximum income thresholds or have certain disabilities.
- Keystone HMO CHIP provides health coverage for children and teens up to age 19 in families whose income is too high to qualify for Medicaid. Many of these families find Keystone HMO CHIP a great alternative to no insurance or their group insurance options. No family earns too much to enroll their child in Keystone HMO CHIP coverage!
How to Apply for Keystone HMO CHIP
If you meet PA CHIP eligibility requirements, you can apply:
- Online: Visit compass.state.pa.us
- By mail: Download and complete a Keystone HMO CHIP application and mail, fax, or drop off in-person the completed form and all income documentation to your local County Assistance Office.
- By phone: Call the Statewide Customer Service Center for Health Care Coverage at 1‑866‑550‑4355, the Office of CHIP at 1‑800‑986‑5437, or our Member Help Team at 1-800-464-5437
- By free mobile app: myCOMPASS PA
If you need help, please call the Keystone HMO CHIP Member Help Team at 1-800-464-5437 (TTY/TDD: 711). Ver esta información en español.
Not Eligible for Keystone HMO CHIP?
If your child is not eligible for Keystone HMO CHIP, you will be notified in writing as to why.
If your child appears to be eligible for Medicaid, your child’s application will be forwarded to the County Assistance Office, and you will get a letter within 30 days that tells you the application status and next steps to take.
If your child is not eligible for Medicaid, you may be eligible for financial assistance, also called subsidies, to reduce your monthly rate. Check the Tax Credit Calculator on ibx.com to see if you and your family are eligible.
You deserve the peace of mind of knowing your child has comprehensive, high-quality health insurance at a price you can afford. I encourage you to consider applying for Keystone HMO CHIP for your child.
*The premium for three or more children is three times (3x) the per-child monthly premium.
Dental benefits are underwritten by Keystone Health Plan East and administered by United Concordia Companies, Inc., an independent company.
Vision benefits are underwritten by Keystone Health Plan East and administered by Davis Vision, an independent company.
Benefits are underwritten by Keystone Health Plan East, a subsidiary of Independence Blue Cross — independent licensees of the Blue Cross and Blue Shield Association.
