Program
PA CHIP — Seguro de salud para niños
Verificado · octubre 23, 2026 Fecha límite cerca — revise las fechas
PA CHIP — Seguro de salud para niños Cobertura de salud para niños y adolescentes sin seguro menores de 19 años que no califican para Medicaid: chequeos, vacunas, recetas, dental, visión, audición, atención de emergencia, salud mental y hospitalización. Tres niveles según la carta oficial de CHIP 2026 (vigente desde el 1 de marzo de 2026): CHIP Gratuito hasta el 208% de las guías de pobreza (sin primas ni copagos); CHIP de Bajo Costo, más del 208% hasta el 314% (prima promedio de $65 a $104 por niño al mes, más copagos); CHIP de Costo Completo, más del 314% sin límite máximo de ingreso (prima promedio de $281 por niño al mes). Ninguna familia gana demasiado para CHIP. Solicítelo por COMPASS o al 1-800-986-KIDS.
- Organización
- Pennsylvania Department of Human Services (PA DHS)
- Quién califica
- Children and teens under 19 years of age who are U.S. citizens, U.S. nationals, or qualified immigrants, are residents of Pennsylvania, are uninsured, and are not eligible for Medicaid. No family makes too much for CHIP coverage. Once enrolled, children are guaranteed 12 months of coverage unless they no longer meet the basic eligibility requirements, and families must renew every year.
- Límites de ingresos
- Three tiers per the official 2026 CHIP Income Guidelines Chart and FPIG appendix (effective March 1, 2026): Free CHIP at or below 208% FPIG, with no premiums or copays; Low-Cost CHIP above 208% up to 314% FPIG, with an average premium of $65-$104 per child per month plus copays; Full-Cost CHIP above 314% FPIG with no upper income limit, with an average premium of $281 per child per month. If income is below the lowest CHIP amount, the child may be referred to or enrolled in Medical Assistance.
- Documentos necesarios
- Income amounts for your entire household before taxes (employment and all other income, such as Social Security, pension, workers' compensation, unemployment, and child support); Social Security Numbers and birthdates for all applicants; day care expenses for your household (if any); work transportation expenses for your household (if any); private health insurance information (if you have or had private health insurance in the last 90 days).
- Cómo solicitar
- Apply online through COMPASS; apply by phone through the CHIP helpline at 1-800-986-KIDS (5437) (select prompt 2, then prompt 1 for application assistance); or apply by mail with a paper application (English or Spanish). Once a signed application is received, you should know within 4 to 6 weeks whether your children are eligible.
- Idiomas
- Paper application available in Spanish on the pa.gov CHIP page.
- Costo
- Free CHIP: $0 premium and $0 copays. Low-Cost CHIP: average premium $65-$104 per child per month, plus copays (for example $5 doctor visit, $10 specialist visit, $25 emergency room visit). Full-Cost CHIP: average premium $281 per child per month, plus copays (for example $15 doctor visit, $25 specialist visit, $50 emergency room visit). Rates per the official CHIP Income Guidelines Chart, premiums effective January 1, 2026.
- Última verificación
- octubre 23, 2026
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