By understanding these key eligibility factors, families can determine whether their children qualify for CHIP and begin the process of securing affordable health insurance.
Want to know what services CHIP covers? Head to the next slide to explore the range of healthcare benefits offered through the program.
CHIP provides children with various health services, ensuring they receive essential medical care without high out-of-pocket expenses. While some benefits are federally mandated and available in every state, others can vary depending on where you live.
Here’s a breakdown of what CHIP generally covers:
Federally Mandated Benefits (Available in Every State):
- Routine Doctor Visits: Regular checkups, physical exams, and preventive care appointments are covered to monitor children’s health and catch potential issues early.
- Vaccinations: CHIP ensures children receive all recommended vaccines to protect against preventable diseases.
- Emergency Room Visits and Hospital Care: In case of injury or illness, CHIP covers emergency services and necessary hospital stays.
- Laboratory and X-Ray Services: Diagnostic tests, like blood work and X-rays, are part of CHIP’s coverage to diagnose medical conditions.
- Prescription Drugs: CHIP covers prescribed medications, ensuring kids have access to essential treatments.
- Mental Health and Behavioral Health Services: CHIP includes services like counseling, psychiatric care, and behavioral health support.
Benefits That Vary by State:
- Dental Care: Most states offer preventive dental services such as cleanings and exams. However, coverage for more advanced treatments like braces or oral surgery can vary.
- Vision Services: Eye exams and glasses are typically covered for children, but the extent of vision care can vary by state, with some offering more comprehensive services.
- Hearing Services: Coverage for hearing tests and hearing aids is included in many states, but the specifics may differ depending on your location.
- Rehabilitation and Therapy Services: States may cover services such as physical therapy, occupational therapy, and speech therapy. The extent of these services often depends on the state.
- Specialized Medical Equipment: Some states cover the cost of equipment like wheelchairs or inhalers, but the type of equipment covered can vary.
- Nutritional Counseling: In some states, CHIP may cover services to improve children’s diets and manage conditions like obesity.
- Substance Abuse Treatment: States may offer counseling and treatment for children dealing with substance abuse issues.
CHIP provides critical healthcare services to millions of children, ensuring they get the care they need to grow and thrive. By offering a combination of federally required and state-specific benefits, CHIP helps families access high-quality medical care.
