Get your child covered with quality health insurance

Health insurance helps kids stay healthy. With a Keystone HMO CHIP health plan through Keystone Health Plan East, you get the security of knowing that your child is covered through the region’s leading health insurer. If you want comprehensive coverage for your child, apply for Keystone HMO CHIP today. You can apply by mail, phone, or online.

Apply for Keystone HMO CHIP by phone

Give us a call and one of our friendly Keystone HMO CHIP Member Help Team representatives will help you complete the application over the phone. To apply, call 1-800-464-5437 (TTY/TDD: 711).

Apply for Keystone HMO CHIP by mail

Download a Keystone HMO CHIP application

To get started, follow these important steps:

1. Complete the application.
2. Print clearly or type in your information being sure to answer all questions.
3. Sign the application.
4. Attach documentation as instructed.
5. Mail the completed form and all income documentation to:
   Keystone Health Plan East, Inc.
   c/o Independence Blue Cross
   P.O. Box 13449
   Philadelphia, PA 19101-9552

Keystone HMO CHIP applications and income documentation may also be faxed to 215-241-3679.

Note: Remember to sign the application and attach proof of all income. Without this information, the application cannot be processed. It normally takes 3–4 weeks for applicants to be notified.

Apply for Keystone HMO CHIP online

You may also apply online using COMPASS, Pennsylvania’s online application system. Please visit https://www.compass.state.pa.us.

Renew your child's Keystone HMO CHIP coverage

Your child remains covered through Keystone HMO CHIP as long as he or she continues to meet all of the eligibility guidelines. We will check your child’s eligibility at least once each year. This is called renewal.

It is very important that we receive all the information requested on the renewal form by the due date listed. A form that is incomplete or received after the due date may result in the termination of your child’s Keystone HMO CHIP coverage.

How to renew Keystone HMO CHIP

The renewal process can be completed two ways:

1. Keystone Health Plan East will send a renewal form to your home address. Completely fill out and sign the form. Return the form by mail or fax. Be sure to include any additional documentation that may be requested.
2. Visit https://www.compass.state.pa.us and fill out and submit the renewal information online. Then, print the signature page and sign it. Return the signature page by mail or fax. Be sure to include any additional documentation that may be requested.

Our mailing address for submitting renewal applications and/or additional documentation is:

Keystone Health Plan East, Inc.
c/o Independence Blue Cross
P.O. Box 13449
Philadelphia, PA 19101-9552

Our fax number to send your renewal application and/or additional documentation is 215-241-3679.

Have questions about the renewal process? Please call 1-800-464-5437 (TTY/TDD: 711).