Jan08

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Jan08
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Welcome to CHIP!
Welcome to the CHIP (Utah Childrens Health
Insurance Program). Many working Utah families
who do not have health insurance may qualify.
Click on the bike rider to move forward.
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'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
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Health Plan Choices
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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
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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
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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.
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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.
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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

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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.
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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.
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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.
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Premiums
Depending on your income, you may need to pay a
premium. CHIP will bill you when quarterly
premiums 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.
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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
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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.
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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.
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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.
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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.
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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!)
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If you need help making your choice, look for
this link Enter your zip code
to find an HPR to help you.
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Click on the button below to end the slide show.

END
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Example Someone living in Beaver county who
selects Molina for their health plan will be
covered by Molina Healthy Kids Plus. If they
select PEHP, they will be covered by PEHP
Exclusive. Remember that CHIP benefits are the
same no matter which plan you choose.
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Click on the U-turn arrow to return to the last
page.
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You can print this page from the CHIP benefits
web site.
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You can print this page from the CHIP benefits
web page.