CHIP Income Guidelines Chart
Example: A four-person household with an annual income of $69,840 will have an average monthly premium of $75 per child, plus any co-pays for services. INCOME* (Effective March 1, 2022) ... CHIP Income Guidelines Chart Low Cost Full Cost $0 $53 $74 ages 0-18 Free Low Cost Full Cost ages 1-5 ages 6-18 ages 0-1 ages 1-18.
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