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Change Healthcare data breach


We are aware Change Healthcare has confirmed data was compromised in its February cyber incident.

Highmark is working with Change and United HealthGroup to fully understand the nature and extent of the impact on our members and customers. We will continue to support our members as more information becomes available.

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CHIP - Highmark Healthy Kids Eligibility and Costs

Am I eligible?

Most children receive CHIP - Highmark Healthy Kids for free. For children who live in a household with a higher income, out-of-pocket costs like monthly premiums and copays may apply.

Your children are eligible if they're:

  • under 19 years of age.
  • A U.S. citizen, U.S. national, or a qualified legal resident.
  • A resident of Pennsylvania.
  • Uninsured and not able to receive medical assistance.
Please call the Statewide Customer Service Center at 1-877-395-8930. For Philadelphia: 215-560-7226. for eligibility questions.

Income guidelines

Your household income will determine your monthly premium and copays.

DOWNLOAD INCOME GUIDELINES

What do I pay?

Once you know which CHIP - Highmark Healthy Kids plan you're eligible for, you can use the following charts to estimate your monthly premium and copays for care.

Monthly premiums

One Child
Two Children
Three or more
Children
Free CHIP

$0

$0

$0

Low-Cost CHIP 1

$62.40

$124.80

$187.20

Low-Cost CHIP 2

$87.36

$174.72

$262.08

Low-Cost CHIP 3

$99.84

$199.68

$299.52

Full-Cost CHIP

$255.99

$511.98

$767.97

*Highmark Choice Company monthly premium does not increase after three kids, regardless of how many are in your household.

**Rates effective July 1, 2023.

Copayments for visits and prescriptions

PCP
Specialist
Emergency
Brand Name Drug
Generic Drug
Free CHIP

No cost

No cost

No cost

No cost

No cost

Low-Cost CHIP 1

$5*

$10

$25*

$9

$6

Low-Cost CHIP 2

$5*

$10

$25*

$9

$6

Low-Cost CHIP 3

$5*

$10

$25*

$9

$6

Full-Cost CHIP

$15*

$25

$50*

$18

$10

*No copay required for preventive health services on the Highmark Preventive Schedule when provided by a PCP. Preventive Schedules are available to Highmark members on their member portal. Log in to your Highmark account.

**Emergency Room copay is waived if admitted.