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individuals & families How to Apply for CHIP, brought to you by UPMC for Kids

 

thumbnail image of application
Application — English
UPMC for Kids applcation for
CHIP health insurance in English
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Renewal Form — English
UPMC for Kids renewal application for
CHIP health insurance in English
Renewal Form — Spanish
Solicitud de renovación para el Programa de seguro médico para niños (CHIP) de UPMC for Kids en español
 
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Income Guidelines Chart
Family income guidelines used to determine eligibility for CHIP programs
Income Guidelines Chart — Spanish
La guía de ingresos de acuerdo con los valores del Registro Federal del 24 de enero de 2013