FAQ

The toll-free helpline welcomes calls from members and non-members. Please call 1-877-WVA-CHIP (1-877-982-2447). Customer service representatives are available to take your call Monday - Friday 8AM to 8PM. (TDD and Translation Services Available).

You can also go to the closest primary care center in your area. Staff at these sites can answer questions and help families complete applications. Click here to find a center near you

You can also get help with benefit questions or other member information by contacting DXC Technology at 1-800-479-3310, or by visiting their website at www.wvmmis.com.

No fees or deductibles, but the Premium Plan monthly fees are $35 for 1 member, $71 for 2 or more members.

Your child’s coverage lasts for 12 months, unless your child turns 19 or gets other health coverage (including Medicaid), or your family moves out of state during that time. Children are only eligible for WVCHIP through the end of the month they turn 19. For example, if your child’s birthday falls on August 1, they are covered until August 31. If your child gets other insurance, please call the DHHR change center at 1-877-716-1212 to cancel your WVCHIP coverage.

Yes. Click here for a list of co-payments.

Providers must be enrolled in WVCHIP to receive payment from WVCHIP. To ensure that a doctor or dentist accepts WVCHIP, you will need to contact their office directly. You may go to InsureKidsNow (Click here) to see a list of participating dentists. Check here to find a provider in your area: http://www.wvmmis.com.

Whenever your child is sick or injured, you need to decide how serious the problem is and how soon to get medical care. Click here to read an article on helping you choose whether it is best to call your doctor, go to an urgent care clinic, or go to an emergency department right away.

Call DXC Technology at 1-800-479-3310 for an explanation on any part of your child’s insurance card.

Call the WVCHIP Helpline at 1-877-982-2447

Yes. the Bureau for Children & Families or the Department of Health and Human Resources will send a renewal application prior to the end of the eligibility period. Please be sure to keep your address updated with the WVDHHR so you will receive your notices. Do not forget to renew timely so that there is no break in your child's coverage. You may update your address with the DHHR by calling 1-877-716-1212

You do not need to report income changes since your child's insurance is good for 12 months. During the 10th month of coverage, you should receive a renewal form and you can notify CHIP of any income changes at that time.

A. Children covered by other insurance cannot also be covered by WVCHIP. Please call the DHHR change center at 1-877-716-1212 to report the new coverage. We can cancel your WVCHIP coverage the day before your new coverage starts so that your child does not go without coverage at any time.

Please call the DHHR change center at 1-877-716-1212 to report the change in your family's number of household members.

Please call the DHHR change center at 1-877-716-1212 to give us your new address and other contact information. You can also submit the changes online if you wish to do so by clicking here which will take you to the webpage where you can submit the changes.

Please call WVCHIP’s third party administrator, DXC Technology at 1-800-479-3310 to speak with someone about your claim.

Your child will only be covered by WVCHIP until he/she turns 19 (Coverage actually ends on the last day of the month in which your child turns 19).

Yes, coverage for services beyond limits listed below is not provided without prior authorization from KEPRO for medical necessity. For Physical Therapy, Occupational Therapy, Speech Therapy, and Vision Therapy the request for review must come from the Ordering Physician.

FAQ

Who can I call or where can I go to ask questions?

Are there annual enrollment fees or deductibles?

How long does my child’s coverage last?

Are there co-payments required for certain services and prescriptions?

What doctors and dentists are in my area?

When should I take my child to the Emergency Department?

How can I understand my child’s insurance card?

I lost my child’s insurance card, what do I do?

Do I need to renew my child’s coverage?

My income has changed. What do I do?

I have other insurance for my child through my job now. What do I do?

I just had a baby and I want to add him/her onto WVCHIP. How do I do this?

I moved. What do I need to do?

I am getting a bill because a claim is not being paid. Do I have to pay this?

My child is going to college in the fall. Is he or she still covered?

Are there benefit limits for some special services?