Medical Services

Children's Health Insurance Program

Income Guidelines

For CHIP eligibility, compare your adjusted monthly income to the charts below.

CHART #1
To figure adjusted income, start with gross monthly income and subtract the following:

  • 20 percent of gross earnings OR $90, whichever is greater for each employed parent.
  • $50 if you receive child support.
  • The child support you pay out monthly.
  • Child care paid monthly due to employment.
  • See more information below on applying for CHIP.
  • If adjusted income is over the amounts in CHART #1 AND the child does NOT have private health insurance, continue to CHART #2.

CHART #2
To figure adjusted income, start with gross monthly income and subtract the following:

Family Size
Adjusted Income Limit: CHART #1
Adjusted Income Limit: CHART #2
1 Person
$1,264
$1,805
2 Persons
$1,700
$2,429
3 Persons
$2,137
$3,052
4 Persons
$2,573
$3,675
5 Persons
$3,009
$4,299
6 Persons
$3,446
$4,922
7 Persons
$3,882
$5,545
*  Amount increases with each additional family member.