If you believe you meet the basic eligibility requirements, download an application or call 1-800-464-5437. Use the same application to apply for CHIP and adultBasic.

Download an adultBasic application.

Follow these important steps

• Complete the application.
• Print clearly and answer all questions.
• Sign the application.
• Attach proof of gross income (before taxes and deductions) your household received during the last 60 days.
• Mail the completed form and all income documentation to:
  Caring Foundation
  P.O. Box 13449
  Philadelphia, PA 19101-9552

Remember to sign the application and attach proof of all income. Without this information, the application cannot be processed.

You can also apply online by using COMPASS, Pennsylvania's online application system. Please visit www.compass.state.pa.us.

If you need help, please call 1-800-464-5437. Hearing impaired, call TDD 215-241-2622.