Medicaid & CHIP

If your children need health coverage, they may be eligible for the Children's Health Insurance Program (CHIP).

CHIP provides low-cost health coverage to children in families that earn too much money to qualify for Medicaid. In some states, CHIP covers pregnant women. Each state offers CHIP coverage, and works closely with its state Medicaid program.

See if your children qualify and apply for CHIP

Each state program has its own rules about who qualifies for CHIP. You can apply right now, any time of year, and find out if you qualify. If you apply for Medicaid coverage to your state agency, you’ll also find out if your children qualify for CHIP. If they qualify, you won't have to buy an insurance plan to cover them.

2 ways to apply for CHIP:

FYI: Apply any time

You can apply for and enroll in Medicaid or CHIP any time of year. There’s no limited enrollment period for either Medicaid or CHIP. If you qualify, your coverage can start immediately.

What CHIP covers

CHIP benefits are different in each state. But all states provide comprehensive coverage, including: States may provide more CHIP benefits. Check with your state for information about covered services.

What CHIP costs

Routine "well child" doctor and dental visits are free under CHIP. But there may be copayments

A fixed amount ($20, for example) you pay for a covered health care service after you've paid your deductible.

Refer to glossary for more details.

for other services. Some states charge a monthly

The amount you pay for your health insurance every month. In addition to your premium, you usually have to pay other costs for your health care, including a deductible, copayments, and coinsurance. If you have a Marketplace health plan, you may be able to lower your costs with a premium tax credit.

Refer to glossary for more details.

for CHIP coverage. The costs are different in each state, but you won’t have to pay more than 5% of your family's income for the year.

What if my children are eligible for CHIP, but I would rather buy a Marketplace insurance plan?

If your children are eligible for CHIP, they won't be eligible for any savings on Marketplace insurance. CHIP coverage will probably be more affordable. Remember, you and other family members may be eligible for savings on Marketplace insurance coverage.

If my children can get CHIP but I don't qualify for Medicaid, how can I get insured?

You may be able to get an insurance plan through the Marketplace, with savings based on your income.

Create an account or log in to an existing account to get started. If it looks like anyone in your household qualifies for Medicaid or CHIP, we’ll send your information to your state agency. They’ll contact you about enrollment. When you submit your Marketplace application, you’ll also find out if you qualify for an individual insurance plan with savings based on your income instead.