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CHIP Application

CHIP is a low-cost, private health insurance plan. The plan provides health insurance to eligible Montana children up to age 19. A child can qualify for CHIP based on family size and income. There is no asset test. There is no proof of income required at the time of application.

The instructions for the completing the application can be found at http://chip.mt.gov/applicationinstructions.shtml

 

The application can be reached directly through this URL  http://chip.mt.gov/pdf/chipinternetapplication.pdf

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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