CHIP, brought to you by UnitedHealthcare Community Plan, is short for the Children's Health Insurance Program. The CHIP program provides health insurance to uninsured children and teens.
There are a lot of reasons kids might not have health insurance – maybe their parents lost a job, maybe their parents don't have health insurance at work or maybe it just costs too much. Whatever the reason, CHIP may be able to help.
You might think that your children or teens aren't eligible. A lot of parents are surprised to learn that CHIP can help their families. If you qualify, you can get CHIP for free or for a small monthly payment. Either way, no cost or low cost, there are no deductibles.
Remember to Renew Your Coverage!
You have to renew your CHIP coverage every year. Renewal is not automatic. A renewal form will be sent to you 90 days before coverage ends. A UnitedHealthcare Community Plan representative may call you to help you with the renewal process.
If you think CHIP could help someone you know, please tell a friend to call 1-800-414-9025.
No person on the grounds of race, color, national origin, sex, age, religion or disability shall be excluded from participation in, be denied benefits of, or be subject to discrimination under any program or service provided by UnitedHealthcare.
Is this plan available in my county?Adams , Allegheny , Armstrong , Beaver , Bedford , Berks , Blair , Bradford , Bucks , Butler , Cambria , Carbon , Chester , Clarion , Columbia , Crawford , Cumberland , Dauphin , Delaware , Erie , Fayette , Forest , Franklin , Fulton , Greene , Huntingdon , Indiana , Jefferson , Lackawanna , Lancaster , Lawrence , Lebanon , Lehigh , Luzerne , Mercer , Monroe , Montgomery , Montour , Northampton , Perry , Philadelphia , Pike , Schuylkill , Somerset , Sullivan , Susquehanna , Venango , Warren , Washington , Westmoreland , Wyoming , and York .
Any Pennsylvania resident who needs health insurance for their children or teens can apply for CHIP. CHIP coverage is available in all counties. To learn more, go to www.chipcoverspakids.com.
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With CHIP, your children are guaranteed to receive comprehensive insurance coverage, including:
For a full list of benefits, view our List of Covered Benefits below.
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Virtual Care IconThese materials tell you about your plan and benefits. They also tell what you should do if you have an emergency.
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If you have questions about prior authorization please call Customer Service at 888-887-9003, Monday – Friday, 8 a.m. - 6 p.m. Central Time.
Providers can check on the status of an existing request by calling our clinical authorization services at 866-604-3267, 24 hours a day, seven days a week.
If you have questions about a pharmacy prior authorization, please call our Pharmacy Help Desk at 800-310-6826. You can get answers to prescription prior authorization questions Monday – Friday, 7 a.m. to 7 p.m. Central Time, with voicemail intake after-hours.
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UnitedHealthcare Community Plan for Kids
1: You can apply for CHIP, brought to you by UnitedHealthcare Community Plan, online at
2: Call CHIP helpline at 1-800-986-KIDS and select prompt No. 2, then select prompt No. 1.
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Visit the State of Pennsylvania site for more information on eligibility and enrollment.
1: You can apply for CHIP, brought to you by UnitedHealthcare Community Plan, online at
2: Call CHIP helpline at 1-800-986-KIDS and select prompt No. 2, then select prompt No. 1.
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Visit the State of Pennsylvania site for more information on eligibility and enrollment.
You have access to our member-only website. Print ID cards, chat with a nurse online, and more.
Member Services:
Address:
UnitedHealthcare Community Plan of PA
2 Allegheny Center, Suite 600
Pittsburgh, PA 15212
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You have access to our member-only website. Print ID cards, chat with a nurse online, and more.
Member Services:
Address:
UnitedHealthcare Community Plan of PA
2 Allegheny Center, Suite 600
Pittsburgh, PA 15212
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Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.
Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. Benefits, features and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.
Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy).
Benefits, features, and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply.
This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your provider's care. Your health information is kept confidential in accordance with the law. The service is not an insurance program and may be discontinued at any time. Nurse Hotline not for use in emergencies, for informational purposes only.
UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees.
UnitedHealthcare Connected® (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees.
UnitedHealthcare Connected® for One Care (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and MassHealth (Medicaid) to provide benefits of both programs to enrollees.
This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the member handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected® Member Services or read the UnitedHealthcare Connected® member handbook.
UnitedHealthcare Senior Care Options (SCO) is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare and does not have any other comprehensive health Insurance, except Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our Senior Care Options (SCO) program.
Every year, Medicare evaluates plans based on a 5-Star rating system. The 5-Star rating applies to plan year 2024.
The choice is yours
We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.
The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.
Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.
Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.
In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.
Network providers help you and your covered family members get the care needed. Access to specialists may be coordinated by your primary care physician.
Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.
To report incorrect information, email provider_directory_invalid_issues@uhc.com. This email box is for members to report potential inaccuracies for demographic (address, phone, etc.) information in the online or paper directories. Reporting issues via this mail box will result in an outreach to the provider’s office to verify all directory demographic data, which can take approximately 30 days. Individuals can also report potential inaccuracies via phone. UnitedHealthcare Members should call the number on the back of their ID card, and non-UnitedHealthcare members can call 1-888-638-6613 / TTY 711, or use your preferred relay service.
If you’re affected by a disaster or emergency declaration by the President or a governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you.
If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.