Medicaid & Children's Health Insurance Program (CHIP)
Free or Low-Cost Health Insurance

Free or low-cost health insurance through Medicaid or Children's Health Insurance Program (CHIP) opens doors to healthy futures with:
  • Doctor and nurse visits
  • Hospital and emergency care
  • Dental care
  • Prescriptions
  • Check-ups and immunizations
  • Eyeglasses and hearing aids
  • Physical and speech therapy
  • Family planning
  • Counseling and more
You may qualify for children's free or low-cost health insurance if your adjusted monthly income fits the levels below.

Adjusted Monthly Income
Number in Family/
Household 		Medicaid CHIP* Non-Citizen CHP
1 Up to $1,634 $2,042 $817
2 Up to $2,200 $2,750 $1,100
3 Up to $2,767 $3,459 $1,384
4 Up to $3,334 $4,167 $1,667
For more: Add $567
per person		 Add $709
per person 		Add $284
per person

* CHIP costs include a monthly premium of $15 per child up to $45 maximum per family.
Income limits are valid through March 2007.
Certain expenses can be deducted—families who earn more than this may still qualify. Please call CHAP to discuss your personal situation.

Click here to download the Kids Health flyer in English or Spanish.

Download application for children's medical benefits.

Use this application only to apply for free or low-cost medical coverage for a child under 19 years of age. This child must live in Washington State. Mail the completed, signed application with proof of income to:

DSHS
P.O. Box 45449
Olympia WA 98504-5449

If you have any questions or need assistance with the application contact us.

Our services are FREE and confidential.


   Call us:
Monday - Friday
8:00 a.m. - 5:30 p.m.
206-284-0331 or toll free 1-800-756-5437
(Interpreters and TTY are available.)

Email us:
chap01@whf.org

Contact WHF:
Washington Health Foundation
300 Elliott Avenue West, Suite 300
Seattle, WA 98119

206-285-6355 phone
206-283-6122 fax

HealthiestState@whf.org