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CHIP in Montana — children's health insurance for immigrant families

How to apply for CHIP in Montana for uninsured children of families with modest incomes. CHIPRA Option adoption, requirements, state agency.

CHIP in Montana

Montana at a glance

Montana is home to about 25,327 foreign-born residents (2.3% of the state’s 1,105,072 people) and 48,519 residents of Hispanic or Latino origin (4.4%), per the U.S. Census Bureau’s American Community Survey (2023 5-year estimates). The procedures below apply to everyone in Montana regardless of immigration status unless noted.

CHIP covers health insurance for uninsured children from families earning too much for Medicaid but unable to afford private insurance.

CHIP eligibility limits in Montana (verified data)

Source: Kaiser Family Foundation (KFF) — CHIP data by state

Verified on: 2026-05-25

Children’s health coverage in Montana

Child ageMedicaid (% FPL)
Infants 0-1 yearup to 148% FPL
Children 1-5 yearsup to 148% FPL
Children 6-18 yearsup to 133% FPL

CHIP upper income limit in Montana: 266% of FPL

How to apply for CHIP in Montana

  1. Combined Medicaid+CHIP application via healthcare.gov
  2. Montana state application (some states have own portal)
  3. By phone: 1-877-KIDS-NOW (1-877-543-7669)

Montana adopted CHIPRA Option

Montana adopted the CHIPRA option, eliminating the 5-year bar for permanent-resident children. This means a child with a new green card (under 5 years in US) can qualify for CHIP in Montana without waiting.

How to apply for CHIP in Montana

  1. Visit Healthcare.gov or Montana’s Medicaid/CHIP portal
  2. Complete the application — ONE application covers both Medicaid AND CHIP automatically
  3. Montana determines if your child qualifies for one or the other

Typical coverage

CHIP covers: doctor visits, vaccines, hospitalization, dental, vision, prescriptions, mental health.

Income limits

Generally 200-300% federal poverty level. For family of 4: ~$60,000-$90,000/year.

Costs

CHIP has very low co-pays (sometimes $0) and low monthly premiums ($0-$50/month).


Last verified: 2026-05-24.

Apply for CHIP in Montana

Where to apply

  • Federal Marketplace: healthcare.gov — combined Medicaid+CHIP application
  • Montana state application — some states have separate portal
  • By phone: 1-877-KIDS-NOW (1-877-543-7669)
  • In person at FQHCs, schools, Head Start centers

Documents to apply

  • Child’s identity: passport, birth certificate, green card
  • Parent’s identity: any ID (passport, matrícula consular, license)
  • Income: last 2 paystubs, ITIN return, employer letter
  • Montana residency: utility bill, lease
  • If receiving other benefits: approval letters

Approval timeline

  • Generally 30-45 days from application
  • Urgent cases (child with medical emergency): some states grant “presumptive eligibility” immediately

Annual renewal

CHIP requires renewing coverage every 12 months. DON’T ignore renewal letters — you’ll lose coverage. States send notice 60-90 days before.

CHIP vs Medicaid vs Marketplace

  • CHIP: children in families earning more than Medicaid limit
  • Medicaid: children + adults below lower limit (varies by state)
  • Marketplace plans with subsidies: families above both limits but below 400% FPL

Immigrant families with USC children generally find CHIP the best option.


Last verified: 2026-05-25.

General procedural information for educational purposes. Not legal, tax, or immigration advice. Laws and fees change — verify with the issuing agency before taking action. For case-specific guidance, consult a licensed immigration attorney or other appropriate professional.

Frequently asked questions

Does my child qualify for CHIP in Montana?
CHIP covers children in families earning too much for Medicaid but unable to afford private insurance. Limits vary by state: generally 138-355% of Federal Poverty Level. In Montana verify current limits with the health department.
Does CHIP in Montana require my SSN or immigration status?
The CHILD must be US citizen, LPR, refugee, or have eligible status. Does NOT require parents to show status — they can have ITIN or be undocumented. Some states extend CHIP to undocumented children.
How much does CHIP cost in Montana?
CHIP is FREE or very low cost. Families below FPL pay $0. Families above pay monthly premiums $5-$40 and copays $0-$25 per visit. Much cheaper than private insurance.
Does CHIP cover dental and vision in Montana?
YES. CHIP covers by federal law: medical care, vaccines, hospital, basic dental (cleanings, fillings), vision (exam + glasses), mental health, specialists. Comparable to Medicaid for children.