Renew

There are two easy ways to renew CHIP coverage!  To keep CHIP coverage, you can:

1. RENEW ONLINE USING COMPASS:

If you apply online, most of your information will already be filled in for you, which will save you time!

  • Go to http://www.compass.state.pa.us/ and click on “Renew Your Benefits”
  • Select “Pennsylvania Insurance Department benefit(s): Children's Health Insurance Program (CHIP)”
  • Enter your UFI, Member ID, and Renewal Month (all listed in the top right corner of the form) and click “Sign In”
  • Update or add any information by following the online instructions
  • Click “Submit” when you are finished and write down your E-form number

 If you need help while using COMPASS, click the “Help” link.

2. RENEW USING THE PAPER RENEWAL FORM:

The form linked below lists the most current information you reported to us.  Please review all of the information carefully and be sure to do the following:

  • Make any changes and add information that is missing directly on the form. If you need more space, attach another sheet of paper
  • Sign and date the form
  • Mail the entire Renewal Form to us immediately in the envelope provided or fax it to us at 1-860-754-1055

CHIP Renewal Forms
English / Spanish

Don't forget to fill out the income verification section. If you don't, your renewal form will be incomplete and we won't be able to process it. If you need help, call us Monday through Friday from 8 a.m. to 5 p.m. at 1-800-822-2447 or TTY at 1-800-628-3323.