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2. Welcome to CHIP! Welcome to the CHIP (Utah Children’s Health Insurance Program). Many working Utah families who do not have health insurance may qualify. Click on the bike rider to move forward.

3. 's of CHIP Applying for CHIP is the first step. a Before you can get medical services, you need to select a health plan. You can do this at the end of this slide show or contact a HPR (Health Program Representative) to help you. (You will need your case number.) b Once you qualify for CHIP and select a health plan, your health plan will mail you an information packet and your new CHIP medical/dental cards. c

4. Health Plan Choices 2 CHIP has health plans to choose from. The benefits are the same no matter which health plan you choose. If you do not choose a health plan, Molina will be chosen for you. molina pehp or

5. health plans molina pehp Public Employees Health Plan Molina Health Care 801-858-0400 or toll-free 1-888-483-0760 801-366-7555 or toll-free 1-800-765-7347 You will find links to these health plans on the CHIP Benefits Home Page. Dental Care• All dental benefits are through Public Employees Dental Program. 801-366-7555 or toll-free 1-800-765-7347

6. Both health plans are offered in every county. All you need to do is choose Molina or PEHP. The health plan you choose will add you to the CHIP plan they offer in your county.

7. Choosing a Health Plan After you are approved for CHIP, you will receive a letter asking you to pick a health plan. You must choose either PEHP or Molina as soon as you are approved so that you can take full advantage of the benefits and services that CHIP offers.

8. Health Plans will... • • Answer your questions about benefits • Send your insurance cards• Send you a booklet of provider choices • Process your medical claims • Pre-authorize procedures when needed

9. HPRs will... • Offer free classes about how CHIP works • Help you choose a health plan • Answer questions about your health plan • Provide you with helpful materials about CHIP • Give you information about changing your providers or health plan • HPRs are located at many of the • Department of Workforce Services (DWS) offices. HPRs cannot answer questions about your CHIP eligibility.

10. 1 Changing a health plan? You must stay with your selected health plan through the end of June each year. CHIP allows you to change your health plan each year May through mid June. The change would start on July 1st. You will receive a letter each year to remind you of the plan change period.

11. If you move to a different county within Utah, you must call your HPR because your current health plan may not be available in your new area.

12. Premiums Depending on your income, you may need to pay a premium. CHIP will bill you when quarterlypremiums are due. See your member guide for more information about premiums and instructions on how to pay your premium. If you do not pay your premium on time, your case may be closed and you will have to wait until the next CHIP open enrollment to reapply.

13. Co-Pays Co-Pays -Most CHIP families will have co-pays for medical and dental services. Your eligibility worker will assign you to CHIP Plan A,B, or C based on your income. The co-pay plan will be listed on your CHIP ID card. Co-Pay Chart

14. Deductibles Deductibles – Plan A and B do not have a deductible. Plan C requires that a deductible be paid before benefits begin. The deductible applies to inpatient, outpatient hospital and major diagnostic services.

15. Summary of Benefits • Well-child exams • Immunizations • Health care provider visits • Health care provider services • Prescriptions • Hearing and eye exams • Mental health services • Dental services for prevention and treatment of tooth decay Your health plan will send you a booklet about your benefits.

16. How do you choose a health plan? Helpful Hint: Get your case number from your eligibility worker. The application confirmation number will NOT be your case number.

17. Decide between PEHP & Molina Use the charts in the links below to help you decide. The example shows how to use the charts. Example County Chart Hospital Chart There are 4 different names for the health plans. Each plan offers the same benefits. The plans are based on you where live.

18. Contact your HPR If you already know which health plan works for you, you can send your choice to the HPR from the web site. Look for this link… Enter your zip code to make your selection.(You must have your case number!)

19. If you need help making your choice, look for this link… Enter your zip code to find an HPR to help you.

20. Click on the button below to end the slide show. END

21. Click on the U-turn arrow to return to the last page.

22. You can print this page from the CHIP benefits web site.

23. You can print this page from the CHIP benefits web page.