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CHIP Income Guidelines Chart

*If your income is below any amount listed, your family could be eligible for Medical Assistance. For more details, please call 1-800-986-KIDS. **Emergency room visit co-pay applies if the child is not admitted for a hospital stay. ages 1-5 ages 6-18 ages 0-1 ages 1-18 ages 0-18 $86 $240 (Updated 2/3/21) CHIP Income Guidelines Chart Low Cost ...

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