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Apply for CHIP

If you think you or your child qualifies for the Pennsylvania Children’s Health Insurance Program (CHIP), it’s time to apply. You can begin at any time, and enrollment is open year-round. Just go to “Apply now” to get started. Or find out if you qualify.


Apply now

¿Tiene alguna pregunta?

You can call 1-800-822-2447 (TTY: 711). We’re here for you Monday through Friday, 8 AM to 5 PM. 

Get ready to apply

Get ready to apply

You’ll need about 30 minutes to apply. Before you start, you’ll want to have this info ready:
 

  • Employer and income info: household monthly income (employment, Social Security, pension, workers’ compensation, unemployment and child support), pay stubs and W-2 forms 

  • Social Security numbers or document numbers for each household member applying 

  • Date of birth for each household member applying   

  • Immigration info, if it applies (some noncitizens may qualify to enroll, depending on state rules) 

  • Photo ID if you’re applying in person 

  • Policy numbers for any current health insurance 


  •  

Start here

You can apply: 

Here’s how you can get it: 

 

Download the application form — English (PDF) | Spanish (PDF)


Request to have a paper application form be sent to you by mail: Email us

Tips for completing your application

  • Submit one application form for all children under 19 years of age living in the same household.
  • Answer all questions on the form. An incomplete application could delay processing.
  • Be sure to add any other info that the application asks you to include. If you complete your application online, you can send the other info by mail to the County Assistance Office in your county.

Choose a health plan

Choose a health plan

As part of your application, you’ll be asked which health plan or managed care organization (MCO) you’d like to choose. You can choose Aetna Better Health Kids as your health plan before submitting your application.  

 

If you don’t choose a health plan then, you’ll still have time to do so. You’ll be sent a form to complete upon approval for CHIP enrollment. After you’ve chosen a health plan, you’ll be able to switch at any time.

 

Choose your plan

What to expect after you enroll

What to expect after you enroll

If you choose Aetna Better Health Kids as your health plan, your coverage will start as soon as the state approves your enrollment. Once you're approved, you’ll get a welcome packet and member ID card in the mail. In the meantime, see what steps you can take when you first become a member. 

 

If you’re under a provider’s care when you join, let us know. We’ll work with you and your provider to make sure you keep getting the care you need. 

 

Learn about what's covered

Not sure if you qualify?

 

You can check our eligibility page to learn more.
 

See if you qualify

 

 

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