What is CHIP?
WVCHIP was created to help working families who do not have health insurance for their children.
You want your kids to be healthy. One good way to keep them healthy is making sure they get medical care. Children who get good medical care have a better chance of being healthy and doing well in school.
Services covered by WVCHIP:
- Doctor visits
- Hospital visits
- Immunizations (Shots)
- Tests and X-rays
- Dental care
- Vision care
- Emergency care
- Mental Health
- Diabetic supplies
- Urgent Care or After Hour Clinic Visits
- Case Management for Special Needs
- And more…
Click here for a complete summary of Covered Services.
Click here to see a Summary Comparison of WVCHIP, PEIA and WV MEDICAID Benefits.
When your child goes to the doctor or gets a prescription filled at the pharmacy there may be a small fee called a co-pay for some services. WVCHIP Gold and WVCHIP Blue groups do not pay for check-ups, dental care, vision care or generic prescriptions. Premium Plan participants receive the same prescription and medical services as WVCHIP Gold and WVCHIP Blue; however a monthly premium payment is required for continued enrollment in the Plan. Vision Services are covered for all plans. Please refer to the Summary Plan Description (SPD), Vision Services section, for details regarding vision. WVCHIP covers a full range of dental services. Most dental services require no copays, but WVCHIP Premium members have $25.00 copay for most non-preventative dental procedures. Please refer to the SPD's Dental Services section for more details on dental services.
Click here to learn more about copayments.
To find out if your family is eligible for WVCHIP, click here: Eligibility Information.
Case Management for Special Needs
If a child covered under WVCHIP has a long term illness or condition (for example, juvenile diabetes or chronic asthma), HealthSmart’s case management program can help you learn about available resources, provide support for your family, and find ways to contain medical costs. Through medical case management, HealthSmart can help you arrange home care, obtain discounts for special medical equipment, and locate appropriate services to meet the child’s health care needs. To take advantage of these services, contact HealthSmart at 1-800-356-2392.