Bridge to Benefits - SD - Children's Health Insurance Program (CHIP)
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Children's Health Insurance Program (CHIP)
  1. What is the Children's Health Insurance Program (CHIP)?
  2. Who can get CHIP?
  3. How does CHIP work?

1. What is the Children's Health Insurance Program (CHIP)?
CHIP is an insurance program for low- to moderate-income, uninsured children.  It is also known as the State Children’s Health Insurance Program (SCHIP).

2. Who can get CHIP?
CHIP provides health insurance coverage to children under age 19 whose family income is up to 200% of Federal Poverty Level (which amounts to $44,100 per year for a family of four in 2009).

3. How does CHIP work?
If you are eligible for CHIP services, you will receive an identification card. You must show your ID Card before receiving any medical services. You should carry your card with you at all times. Failure to present your identification card is cause for payment denial. Payment for denied services may then be your responsibility.

As a CHIP participant, you must choose a Primary Care Provider (PCP), which is the doctor or clinic chosen by you or assigned to you to oversee your medical needs.  Your Benefit Specialist will provide this list for you; you can choose one in your area or have one assigned to you. Along with this list, you will find a selection form for you to complete and return to your caseworker.

When you receive a service covered by a provider (doctor, hospital, etc.), the provider submits a bill to the state for payment. The provider is paid directly. When the program makes payment for a covered service, that particular service is considered paid in full. The provider cannot bill any remaining balance of a covered service to you, your family, your friends or the county.  If the service is not covered by the program, you may be responsible for payment in full. Your provider can tell you whether a service is covered.