Eligibility Children’s Health Insurance Program (CHIP)

Who is eligible for CHIP?

A child must meet the following requirements to be enrolled in CHIP:

  • must be under age 19;
  • must be a resident of Pennsylvania;
  • must be a U.S. citizen, a U.S. national or a qualified alien;
  • must not be covered by any other health insurance plan, self-insured plan, or self-funded plan;
  • must not be eligible for or covered by Medical Assistance or Medicare;

CHIP Family Size and Income Requirements

(After earned income and dependent care deductions)

  Free CHIP Free CHIP Low-Cost CHIP 1
Family size
Ages 1 through 5
Ages 6 through 18
Ages 0 to 1
$34.84
per child per month
1 $18,479 - $24,482 $15,655 - $24,482 $25,306 - $30,838
2 $25,011 - $33,135 $21,187 - $33,135 $34,250 - $41,737
3 $31,542 - $41,788 $26,720 - $41,788 $43,194 - $52,636
4 $38,073 - $50,440 $32,253 - $50,440 $52,138 - $63,535
5 $44,604 - $59,093 $37,786 - $59,093 $61,082 - $74,435
6 $51,135 - $67,746 $43,319 - $67,746 $70,026 - $85,334
7 $57,667 - $76,399 $48,851 - $76,399 $78,970 - $96,233
8 $64,198 - $85,052 $54,384 - $85,052 $87,914 - $107,132
FPL 2/15
  Low-Cost CHIP 1 Low-Cost CHIP 2 Low-Cost CHIP 3 At-Cost CHIP
Family size
Ages 1 through 18
$34.84
per child per month
Ages 0 through 18
$51.77
per child per month
Ages 0 through 18
$62.73
per child per month
Ages 0 through 18
$288.42
per child per month
1 $24,482 - $30,838 $30,838 - $33,898 $33,898 - $36,958 over $36,958
2 $33,135 - $41,737 $41,737 - $45,879 $45,879 - $50,021 over $50,021
3 $41,788 - $52,636 $52,636 - $57,860 $57,860 - $63,083 over $63,083
4 $50,440 - $63,535 $63,535 - $69,840 $69,840 - $76,145 over $76,145
5 $59,093 - $74,435 $74,435 - $81,821 $81,821 - $89,208 over $89,208
6 $67,746 - $85,334 $85,334 - $93,802 $93,802 - $102,270 over $102,270
7 $76,399 - $96,233 $96,233 - $105,783 $105,783 - $115,333 over $115,333
8 $85,052 - $107,132 $107,132 - $117,764 $117,764 - $128,395 over $128,395
FPL 1/15

NOTE: If your family income falls below the minimum income in the appropriate box above, your child may be eligible for Medical Assistance. If your child appears eligible for Medical Assistance, Independence Blue Cross will forward your child’s application to the County Assistance Office.