In response to the current public health emergency, the Pennsylvania Children's Health Insurance Program (CHIP) is making temporary changes to its program requirements. These changes are designed to ease access to CHIP and to keep families enrolled in CHIP for the duration of the public health emergency.
The following changes are in effect until the end of the public health emergency:
Families will not be denied or disenrolled from coverage foradministrative or financial reasons. An example of anadministrative reason is not being able to provide proof of income.
Families who cannot provide paperwork to verify information onan application or renewal, can provide self-attestation ofinformation by signing the application or renewal. Self-attestationis done when a family completes and signs an application orrenewal, or provides another signed statement that confirms theinformation provided is true and correct. Electronic or handwrittensignatures are acceptable.
Families will not pay a copay for services that are for COVID-19screening, testing or treatment.
Families will be given more time to pay premiums, if needed.
The following program requirements are still effective:
Families must still provide verification of information presented on an application. At the end of the public health emergency, families will be required to provide verification of information presented (or attested to) on applications or renewals if requested.
Families are still responsible for copays for services not related to COVID-19.
Families are still responsible to pay premiums if applicable. If a family is unable to pay premiums because of a decrease or loss of income, the family must contact the Customer Service Center at 1-877-395-8930 immediately.
A family can request the CAO to perform a "reassessment" because of an income change at any time.
What do these changes mean to you?
If you are receiving a request for information, you must still do your best to provide the information requested. You will not be disenrolled from CHIP during the public health emergency for not providing the information, but you will be required to provide it as soon as possible. You must also provide either a signed application, signed renewal, or a statement that is signed which attests that the information you are providing is true and correct to the best of your knowledge. Signatures can be electronic or handwritten. You may be asked to provide documentation of information that you self-attested to at the end of the public health emergency.
If you are receiving a request for premium, you must still pay the premium. If you cannot pay the premium on time because your income is decreased or you’ve lost employment, please contact your MCO immediately.
If you did not provide information about your child or children’s date of birth, Social Security number, or tax filing status on an application, you must contact Statewide Customer Service Center at 1-877-395-8930; Philadelphia 1-215-560-7226. Or update information in your COMPASS account. right away and provide that information. Your application cannot be processed without that information.
All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration and/or to one or more of its affiliated Blue companies.
This website is operated by Highmark, Inc. and is not the Health Insurance Marketplace website. It also does not display all Qualified Health Plans available through the Health Insurance Marketplace website. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace website at HealthCare.gov.
Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. Enrollment in these plans depends on contract renewal.
®Blue Cross, Blue Shield and the Cross and Shield symbols are registered service marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Benefits and/or benefit administration may be provided by or through the following entities, which are independent licensees of the Blue Cross Blue Shield Association: Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc., Highmark Benefits Group Inc., First Priority Health, First Priority Life or Highmark Senior Health Company. Central and Southeastern PA: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company.
PA: Your plan may not cover all your health care expenses. Read your plan materials carefully to determine which health care services are covered. For more information, call the number on the back of your member ID card or, if not a member, call 866-459-4418.
Delaware: Highmark BCBSD Inc. d/b/a Highmark Blue Cross Blue Shield.
West Virginia: Highmark West Virginia Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Health Insurance Company or Highmark Senior Solutions Company. Visit our website to view the Access Plan required by the Health Benefit Plan Network Access and Adequacy Act. You may also request a copy by contacting us at the number on the back of your ID card.
Western NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield.
Northeastern NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Shield.
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