Highmark Blue Shield
CHIP

Children's Health Insurance Program (CHIP)

Cost of coverage

Free CHIP does not cost anything. Low-Cost and Full Cost CHIP require a monthly premium and some copayments (see below). Highmark Blue Shield subsidizes the monthly premiums for Low-Cost and Full Cost CHIP to make the programs more affordable. Additionally, Highmark Blue Shield holds the monthly rate at three children in a household, even if there are more than three children enrolled from the household.



 

Program

One child

Two children

Three or more children

Free CHIP

No cost

No cost

No cost

Low-Cost CHIP 1

$45.42

$90.84

$136.26

Low-Cost CHIP 2

$63.59

$127.18

$190.77

Low-Cost CHIP 3

$72.68

$145.36

$218.04

Full Cost CHIP

$232.68

$465.36

$698.04

Copayments are required for Low-Cost and Full Cost CHIP only. PCP Office Visits, Specialist Office Visits, Emergency Room Visits, and Drugs require copayments.

Copayments for visits and prescription drugs

Program

PCP

Specialist

Emergency

Brand name drug

Generic drug

Free CHIP

No cost

No cost

No cost

No cost

No cost

Low-Cost CHIP 1, 2, and 3

$5*

$10

$25*

$9

$6

Full Cost CHIP

$15

**$25

$50*

$18

$10

* No copay required for well-child visits for Low-Cost CHIP. Emergency Room copay is waived if the child is admitted.

**$25 copay for mental health outpatient visits for Full Cost CHIP ONLY

You can get details on CHIP coverage for children and teens by calling 1-866-727-5437. (TTY for Hearing Impaired: 1-866-727-4938). Highmark is a registered service mark of Highmark Inc.