Apply Children’s Health Insurance Program (CHIP)

If you believe your child meets the Basic Eligibility Requirements, download an application or call 1-800-464-5437.

Download a PDFCHIP application.

Follow these important steps:

  • Complete the application.
  • Print clearly and answer all questions.
  • Sign the application.
  • Attach documentation as instructed.
  • Mail the completed form and all income documentation to:
    Independence Blue Cross
    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.

Important information about links to other sites