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
$64.00
per child per month
1 $18,935 - $25,085 $16,040 - $25,085 $25,929 - $31,598
2 $25,497 - $33,780 $21,600 - $33,780 $34,916 - $42,549
3 $32,060 - $42,474 $27,159 - $42,474 $43,903 - $53,501
4 $38,622 - $51,168 $32,718 - $51,168 $52,890 - $64,452
5 $45,185 - $59,863 $38,278 - $59,863 $61,877 - $75,404
6 $51,748 - $68,557 $43,837 - $68,557 $70,864 - $86,356
7 $58,310 - $77,252 $49,397 - $77,252 $79,851 - $97,307
8 $64,873 - $85,946 $54,956 - $85,946 $88,838 - $108,259
FPL 2/2017
  Low-Cost CHIP 1 Low-Cost CHIP 2 Low-Cost CHIP 3 At-Cost CHIP
Family size
Ages 1 through 18
$64.00
per child per month
Ages 0 through 18
$90.00
per child per month
Ages 0 through 18
$104.00
per child per month
Ages 0 through 18
$397.06
per child per month
1 $25,085 - $31,598 $31,598 - $34,733 $34,733 - $37,869 over $37,869
2 $33,780 - $42,549 $42,549 - $46,772 $46,772 - $50,994 over $50,994
3 $42,474 - $53,501 $53,501 - $58,810 $58,810 - $64,119 over $64,119
4 $51,168 - $64,452 $64,452 - $70,848 $70,848 - $77,244 over $77,244
5 $59,863 - $75,404 $75,404 - $82,887 $82,887 - $90,370 over $90,370
6 $68,557 - $86,356 $86,356 - $94,925 $94,925 - $103,495 over $103,495
7 $77,252 - $97,307 $97,307 - $106,964 $106,964 - $116,620 over $116,620
8 $85,946 - $108,259 $108,259 - $119,002 $119,002 - $129,745 over $129,745
FPL 2/2017 Income guidelines according to the January 31, 2017 Federal Register.

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.