Knowledge Center

Children's Health Insurance Program

 Children's health insurance program (CHIP) came into existence in 1997. The program was introduced with the objective of covering uninsured children that do not qualify for enrollment into Medicaid as their family incomes do not meet the Medicaid eligibility criteria. The program was earlier known as " the State Children's Health Insurance Program " as program is managed by different states.

Children's health insurance program (CHIP) is administrated by the United States Department of Health and Human Services that provides matching funds to states for health insurance to families with children. SCHIP is the largest expansion of taxpayer-funded health insurance coverage for children in the U.S. States are given flexibility in designing their SCHIP eligibility requirements and policies within broad federal guidelines.

In order to qualify for Children's health insurance program (CHIP) there are certain eligibility requirements. Based on your family size and income, your child or teen may be eligible if he or she meets the following requirements:

Key Components

  • Under 19 years of age
  • A U.S. Citizen, U.S. National or Qualified Alien
  • A resident of Pennsylvania
  • Uninsured and not eligible for Medical Assistance

Family Size & Income (with ref. to Pennsylvania's children's health insurance program):

States are given flexibility in designing their children's health insurance program (CHIP) eligibility requirements and policies within broad federal guidelines. Some states have received authority through waivers of statutory provisions to use SCHIP funds to cover the parents of children receiving benefits from both SCHIP and Medicaid, pregnant women, and other adults. SCHIP covered 6.6 million children and 670,000 adults at some point during Federal fiscal year 2006, and every state has an approved plan.

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