While we are not affiliated with the government in any way, our private company engaged writers to research the Unemployment Insurance program and compiled a guide and the following answers to frequently asked questions. Our goal is to help you get the benefits that you need by providing useful information on the process.
The Children’s Health Insurance Program (CHIP) provides comprehensive free or low-cost healthcare benefits to children whose parents or guardians do not qualify for Medicaid. CHIP is a federal program, and each state/territory has flexibility to design their own CHIP program within federal guidelines. Therefore, CHIP benefits may differ in each state/territory.
CHIP benefits may include annual check-ups, hospital visits, dental insurance, vision insurance and more. All services are provided through medical providers that participate in the CHIP program. Not all doctors and medical facilities accept CHIP patients.
Learn more about CHIP benefits here.
The West Virginia state CHIP program is administered by the West Virginia Department of Health and Human Resources. For more information about the West Virginia CHIP, click here.
A child may receive CHIP benefits in West Virginia for as long as he or she qualifies for the program. A participant’s qualifications are determined by their age and their household’s monthly gross income. To learn more about eligibility and qualifying for the West Virginia CHIP, click here.
If a child is eligible for CHIP, the following services will be covered:
Other services may also be covered depending on the child’s needs.
For more information about the services covered and what medical assistance you can receive, call the CHIP Hotline at 1 (877) 982-2447 or review the West Virginia CHIP brochure here.
To qualify for CHIP in West Virginia, a child must meet the following criteria:
For more information on West Virginia’s household income limits and other eligibility criteria to qualify for CHIP, click here.
Depending on your gross household income, the premium of $35 per month for a single child and $71 per month for two or more children in the Premium CHIP Plan.
When your child receives covered medical services, your copay will be $25 except for emergency services.
For more information on the cost of CHIP benefits in West Virginia, visit the West Virginia CHIP page here. Or call the CHIP Hotline at 1 (877) 982-2447.
Before applying for the West Virginia CHIP, complete the following three steps:
Learn about the income limits and other eligibility criteria here.
To apply for CHIP online, you can create an account through the West Virginia Benefit Portal here OR the Federal Health Care site here.
To apply for CHIP by phone, call 1 (800) 318-2596.
To apply for CHIP by mail, fill out the Application for Assistance found here and send it to your local Department of Health and Human Resources (DHHR) office. To find an office near you, click here.
*West Virginia uses the same application for multiple benefits and self-reliance programs. Be sure to mark the correct program you are applying for in your application.
Depending on your method of application, you can check your application status in the following ways:
You will receive a determination letter in the mail notifying you of your eligibility for CHIP within45 days of applying. This timeline may be extended if the Department of Health and Human Resources requires more information from you to process your application.
If approved for CHIP, you will be sent a West Virginia Health Insurance Identification Card within 2 weeks of your eligibility determination letter.
For more information about what happens after you apply for the West Virginia CHIP, you can contact the CHIP Hotline at 1 (877) 982-2447.
If you do not agree with the West Virginia Department of Health and Human Resources’s decision to deny you CHIP benefits, you can file an appeal within 90 days of when you receive your eligibility determination in the mail.
You can file your appeal by mail or by fax to the Health Insurance Marketplace.
To send your appeal by fax, fill out the appeal form here and dial 1 (877) 369-0130.
To send your appeal by mail, complete the appeal form and send it to the following address:
Health Insurance Marketplace
Attn: Appeals
465 Industrial Blvd.
London, KY 40750-0061
After submitting your appeal, you will receive a decision by mail or email within 30 days.
If you have any further questions regarding the appeals process, you can contact the Marketplace Appeals Center at 1 (855) 231-1751. Or, you can contact the West Virginia Health Coverage Assistance Center at 1 (877) 716-1212.
To transfer your child from your current insurance to CHIP benefits, you will need to contact your current health insurance provider and ask a representative to discontinue their insurance coverage.
You can find your insurance company’s customer service number on your health insurance card.
If you have any questions about the insurance transfer process, contact the Department of Health and Human Resources, at 1 (877) 716-1212.
If you have any further questions about the West Virginia CHIP, call the CHIP Hotline at 1 (877) 982-2447.
You can also send an online inquiry to the West Virginia CHIP site here.
You can also contact your local West Virginia Department of Health and Human Resources (DHHR) office for assistance. Find your nearest office location and contact information here.
Services are available Monday through Friday from 8:00 AM to 5:00 PM.
While we are not affiliated with the government in any way, our private company engaged writers to research the Children’s Health Insurance Program and compiled a guide and the following answers to frequently asked questions. Our goal is to help you get the benefits that you need by providing useful information on the process.
Our free CHIP Guide is filled with helpful information about how to apply, program eligibility and how to get in touch with local offices. You can view or download our free guide here.
