Benefit information

CHIP health insurance covers all of the services you would expect under a quality plan including:

  • Preventive coverage such as doctor's office visits, well-child care and immunizations
  • Specialist care
  • Pre and post natal care
  • Emergency medical and accident care
  • Diagnostic and laboratory tests
  • Mental health services
  • Prescription drugs
  • Preventive, routine and emergency dental, vision and hearing care
  • Inpatient and partial hospitalization
  • Home health care
  • Substance abuse
  • Home medical equipment (DME)

Call us at 800.KIDS.101 or email us to request a paper copy of CHIP benefit information.

Member handbook

Program information regarding eligibility, enrollment and benefit information:

Preauthorization and preventive care

Emergency and urgent care

Be prepared for emergencies. Learn what problems need emergency room care and which can be treated by your child’s PCP or at an urgent care center.

Health and wellness

Capital Blue Cross has programs to help your child stay healthy. Disease management programs help assess the health needs for members who have a chronic condition and provide education, counseling and related information designed to assist with the management of the disease or condition.

These disease management programs are available to CHIP members:

The Green Zone℠ – Managing Asthma

Managing your child's chronic breathing problem can be a challenge. The Green Zone program can help you manage medicines, breathing treatments and environmental hazards. You'll get tips to help your child feel better and enjoy being active. Email or call us at 800.543.7101 to enroll in The Green Zone.

Kick It!℠ – Nicotine Cessation

Each day 6,000 youth try smoking for the first time. According to the National Center for Chronic Disease Prevention and Health Promotion, many young people start using tobacco by age 11 and many are addicted by age 14. We partner with the PA Department of Health to offer teens ages 14-18 Kick It!, a program to help them kick the tobacco habit. Email or call us at 800.634.4794 to learn more about Kick It!.

Smart Control 4Kids℠ – Managing Diabetes

Reinforcing healthy habits and helping your child manage his or her diabetes can be overwhelming. Smart Control 4Kids helps you and your child learn how to improve diet, exercise, medication management and attitude. You and your child work together to control diabetes and help prevent many future health complications. You'll get educational materials in the mail to support your child's wellness goals. Email or call us at 800.543.7101 to enroll or learn more about Smart Control 4Kids.

Nurse line

Our free Nurse Line offers a trusted source for health information 24/7. You can speak with a registered nurse or access recorded health information.

Talk to a Registered Nurse about these and dozens of other topics:

  • Minor illnesses or injuries
  • Routine or urgent health situations
  • Eating well and staying fit
  • Children’s health
  • Medications

Have your child’s Capital Blue Cross insurance card handy when you contact Nurse Line. Call 800.452.2583 any time day or night. When prompted enter the PIN number 499. You can hear a recorded message about a health topic or talk to a nurse in person.