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CHIP gives your child more

Pennsylvania's Children's Health Insurance Program (CHIP), brought to you by Geisinger Health Plan Kids (GHP Kids), is committed to providing complete care to all eligible, uninsured children and teens in our service area.

What’s covered?

GHP Kids provides complete healthcare coverage for your child, including: 
  • Doctors and hospitals nearby
  • Routine checkups and immunizations
  • Prescription drugs 
  • Eye exams 
  • Dental care (from participating Avesis providers)
  • Emergency care
  • Up to 90 days of hospitalization per year 
  • Durable medical equipment
  • And much more

View the CHIP income chart

 

Well-child PCP visit

Free CHIP $0
Low-cost CHIP $0
Full-cost CHIP $0
 

Other PCP visit

Free CHIP $0
Low-cost CHIP $5
Full-cost CHIP $15
 

Specialist visit

Free CHIP $0
Low-cost CHIP $10
Full-cost CHIP $25
 

Emergency department

Free CHIP $0
Low-cost CHIP $25 (waived if admitted)
Full-cost CHIP $50 (waived if admitted
 

Urgent care visits

Free CHIP $0
Low-cost CHIP $10
Full-cost CHIP $25
  
Costs
GHP Kids coverage is free or low-cost, depending on your household income.

Why choose GHP?

The Geisinger Health Plan difference includes:
  • Quality coverage, backed up by independent rankings
  • Focus on customer service
  • Large provider network

Contact us

Have questions? Our knowledgeable and friendly customer care team is happy to help.
Call us at 866-621-5235 (PA Relay: 711).

We’re available: 
Monday – Friday: 7 a.m. – 7 p.m.
Saturday: 8 a.m. – 2 p.m.


Frequently asked questions

Who is eligible for CHIP?

In order to qualify for health insurance coverage under the CHIP program, your child must be:

  • Under 19 years of age
  • A resident of Pennsylvania
  • A U.S. citizen, U.S. national or lawfully present immigrant
  • Uninsured (not have any other health insurance coverage)
  • Not eligible for Medical Assistance (Medicaid)

You must meet the guidelines based on household size and income. Click here for the link to the income/family size information or view the income chart.

What does CHIP cost?

Most families can receive CHIP coverage for free. Others can get the same benefits at a low cost, depending on household size and income. There are three main categories of CHIP coverage:

  • Free CHIP – There are no required monthly premium payments and no copays for covered services.

  • Low-cost CHIP – Payment of a modest monthly premium that is a portion of the total cost of health insurance coverage is required, and there are copays for some covered services.

  • Full-cost CHIP – Payment of a monthly premium that covers the total cost of health insurance coverage is required, and there are copays for some covered services.
Can my child be denied coverage?

Your child cannot be denied coverage on the basis of a pre-existing condition if you meet the eligibility requirements for CHIP.

However, if your child has a documented serious illness or disability, he or she may be eligible for Medical Assistance rather than for CHIP. GHP Kids and your doctor will be able to assist you in obtaining the appropriate coverage in this situation.
How can I check on the enrollment or eligibility status of my child?

You can check on your child’s enrollment or eligibility status, the benefits they have available to them and even find out-of-network providers in your area by calling GHP Kids Member Services at 866-621-5235 (PA Relay 711). Or complete the form on this page and a member of our team will reach out to you. 

If you have any other questions, reach out to us. We’re happy to help!
See if you live in our service area

New counties added in the Philadelphia area

  • Adams
  • Bedford
  • Berks
  • Blair
  • Bradford
  • Bucks
  • Cambria
  • Cameron
  • Carbon
  • Centre
  • Chester
  • Clearfield
  • Clinton
  • Columbia
  • Cumberland
  • Dauphin
  • Delaware
  • Franklin
  • Fulton
  • Huntingdon
  • Jefferson
  • Juniata
  • Lackawanna
  • Lancaster
  • Lebanon
  • Lehigh
  • Luzerne
  • Lycoming
  • Mifflin
  • Monroe
  • Montgomery
  • Montour
  • Northumberland
  • Northampton
  • Perry
  • Philadelphia
  • Pike
  • Potter
  • Schuylkill
  • Somerset
  • Snyder
  • Sullivan
  • Susquehanna
  • Tioga

GHP Kids member handbook

Learn more about your coverage

Income chart

Use the CHIP income chart below to help determine what cost (if any) is associated with CHIP coverage for your child:
  1. In the income section, locate the number of people in your household
  2. Find the range that matches the age of your children and your household’s annual gross income
  3. Look down the row in the cost section to see the approximate, average monthly premium cost per child and copayments for doctor visits, drugs, and more.
Example: A five-person household with an annual gross income (that’s income before taxes) of $75,000 will have an average monthly premium of $85 per child, plus copayments for things like visits, drugs or ER visits.

If your family income is too low for CHIP, your child may be enrolled in Medicaid. Learn more about GHP Family, our plan for Medical Assistance recipients.


Health and wellness programs

At GHP Kids, we offer health and wellness programs designed to help your kids develop healthy habits and keep them for life. 

As a member of GHP Kids, you’ll have access to online services to help you stay on top of your child’s health. At Geisinger Health Plan, we would rather see your kids when they’re well, so we don’t have to see them get sick. We care for our more than 500,000 members across central, south-central and northeastern Pennsylvania. 

And we want to care for your kids, too. 

Choose from helpful, no cost programs, in-person or online resources and presentations including: 

  • Mental health and substance abuse resources
  • Health assessment - your personal health record
  • Online education workshop
  • Tobacco cessation program
  • Weight management program
  • Dental health program
  • Health and wellness services 
  • Specialized nurses
  • Certified health coaches
  • Health assistants
  • Tel-A-Nurse
  • Recommended pediatric care 
  • Back-to-school vaccination guide
  • Back-to-school nutrition
  • Healthy eating on budget
  • Social and emotional learning (SEL)
  • Online safety presentations
  • Exercise calendars 
  • Nutrition and physical activity BINGO
  • And so much more
Kids playing at playground
We also partner with Neighborly, which easily connects you to the free and reduced cost programs and services to address a variety of social needs. These services include access to food, transportation, child care, housing, financial assistance and more.

For more information about your mental health or substance abuse benefits click here.

For questions or to enroll in a plan contact Geisinger Health Plan’s customer care team 866-621-5235 (TTY/TDD 711), Monday through Friday between 7 a.m. and 7 p.m.; Saturday between 8 a.m. – 2 p.m.

Find the right health insurance plan for you

Call 855-675-9388