This section provides some general information about the type of services or benefits an enrollee may receive, and in some cases may describe some limits on certain services and the processes for obtaining certain services. Specific benefits covered by CHIP may change periodically as a result of action taken by the Department of Health and Human Services, State or Federal governments.
There are two levels of benefits under CHIP. The plan is determined using the member's countable income. The benefits are the same under both plans, but the member's out of pocket cost are determined by which plan they are eligible to receive.
Plan B - For children whose countable income is up to 150% FPL.
Plan C - For children whose countable income is up to 200% FPL.
CHIP benefits are provided by Medical and Dental Plans (Accountable Care Organizations) that contract with the Department of Health and Human Services. The CHIP benefits and co-pays are the same under each plan, but providers and facilities may be different.
Enrollees should contact the customer service number for the selected health or dental plan with specific CHIP coverage questions or refer to CHIP member guide for a list of facilities and which CHIP plans are accepted (601).
Members can access the CHIP member guide and co-payment summary online at: www.health.utah.gov/chip/resourcematerials.htm.
CHIP covers the following benefits:
Well-child exams;
Immunizations;
Doctor visits;
Medical emergency services;
Prescriptions;
Health and visions exams;
Mental heath services; and
Dental services.
Members can view their medical coverage and health plan information online using the MyBenefits lookup tool at www.mybenefits.utah.gov.