< Children's Health Insurance Program

Member Materials

MyHealth OnLine Brochure Provides information to help access you online benefits through MyHealth OnLine.	Pharmacy Benefits Booklet Provides a description of pharmacy services and a list of the medications that are covered
Member Handbook Provides information to help you understand your UPMC for Kids benefits and how to access services.	Healthy Living Rewards for Kids Brochure Description of the discount program offered for child, teen, and family activities
UPMC for Kids Exclusions Provides information on the services and supplies that are not covered by UPMC for Kids or have limitations on the coverage	Member Rights and Responsibilities Lists the rights and responsibilities of UPMC for Kids members
MyHealth Brochure Describes how to access online health tools and health information to keep your child and teen healthy	Privacy Statement Describes how UPMC for Kids protects your child's health information
Notice of Privacy Practices Describes HIPAA and the use of your child's or teen's protected health information	Renewal App - Spanish Solicitud de renovación para el Programa de seguro médico para niños (CHIP) de UPMC for Kids en español.
Renewal App - English UPMC for Kids renewal application for CHIP health insurance in English	Member Complaints and Grievances Provides an explanation of the procedures necessary to file a complaint or grievance with UPMC for Kids
Income Guidelines Chart Family income guidelines used to determine eligibility for CHIP programs	Prior Authorization and Referral Guide Provides information on when a prior authorization or referral is needed for a service
Summary of Benefits Provides information on UPMC for Kids benefits and copayments that apply to some members

< Children's Health Insurance Program