Your Child’s Eligibility, Coverage and Payments

Eligibility   |   Coverage   |   Payment   |   Termination of Coverage   |   Impartial Eligibility Review

Coverage

Who is Covered?
The child enrolled in the program and named on the Keystone Health Plan East ID Card and the United Concordia ID Card is covered by CHIP. Only the child named on these cards is eligible to receive benefits.

How Long is My Child Covered?
Your child is covered as long as he or she continues to meet Chip eligibility guidelines. Eligibility will be renewed at least once a year on the anniversary date of your family’s enrollment
(More information available).

Renewal of Coverage
The Caring Foundation will check your child’s eligibility at least once each year. This is called renewal. You will receive a form to fill out at least two months before your child’s insurance is due for renewal. You must fill out this form completely, attach complete current income documentation and mail it back to the Caring Foundation before the due date. If it is received late or incomplete, your child’s coverage will be canceled and you will have to go through the application process from the beginning to renew your child’s coverage.

The Caring Foundation will notify you if your child is no longer eligible. This will be based on the information you give on your renewal form.

The Caring Foundation reserves the right to cancel your child’s coverage at renewal if you:

• give incorrect or misleading information about your child’s eligibility; or
• try to obtain benefits through misrepresentation or fraud.

Does My Child Need an ID Card?
Yes. Each enrolled child in your family will receive two ID Cards. One from Keystone Health Plan East for medical services and one from United Concordia for dental services. Here are some important things to do and remember about your child's ID Card:

• Check that you receive one Keystone ID Card and one United Concordia ID Card for each child you have enrolled. These cards will allow the child named to get all eligible medical and dental benefits.

Your Child’s Medical Card

• Check the information on each of your child’s ID Cards. Make sure everything is correct.
• Check the name of the primary care physician on the Keystone ID Card. Make sure the name of the doctor you chose for your child is shown on the Keystone ID Card.
• Carry your child’s ID Cards with you at all times. You must show one of these cards any time he or she receives medical or dental services.
• Call the Caring Foundation at 1-800-464-5437 if you find an error or if you lose one of your child’s ID Cards.

Look on the back of the Keystone ID Card. There you will find:

• information about services that will help you in a medical emergency;
• a toll-free number that you can tell a hospital to call if they have questions about your child’s medical coverage; and
• a toll-free number that you must call to receive mental health, serious mental illness and substance abuse benefits.

If I Lose My Child’s Keystone ID Card
If you lose or misplace your child’s Keystone ID Card, call the Caring Foundation at 1-800-464-5437.

If I Lose My Child's United Concordia Card
If you lose or misplace your child's United Concordia ID Card, call United Concordia at 1-800-332-0366.