CHIP in West Virginia

West Virginia at a glance

West Virginia is home to about 32,329 foreign-born residents (1.8% of the state’s 1,778,373 people) and 38,175 residents of Hispanic or Latino origin (2.1%), per the U.S. Census Bureau’s American Community Survey (2024 5-year estimates). The procedures below apply to everyone in West Virginia 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 West Virginia (verified data)

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

Verified on: 2026-05-25

Children’s health coverage in West Virginia

Child ageMedicaid (% FPL)
Infants 0-1 yearup to 163% FPL
Children 1-5 yearsup to 146% FPL
Children 6-18 yearsup to 138% FPL

CHIP upper income limit in West Virginia: 305% of FPL

How to apply for CHIP in West Virginia

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

West Virginia adopted CHIPRA Option

West Virginia 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 West Virginia without waiting.

How to apply for CHIP in West Virginia

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

Typical coverage

State CHIP plans cover doctor visits, vaccines, hospitalization, prescriptions and mental health care. Dental is required by federal law — coverage of dental services “necessary to prevent disease and promote oral health, restore oral structures to health and function, and treat emergency conditions” (42 U.S.C. 1397cc(c)(6)(A)). Vision and hearing are not required. The statute puts prescription drugs, vision services and hearing services in a separate list of “categories of additional services” (42 U.S.C. 1397cc(c)(2)). Whether your state’s CHIP covers eye exams and glasses is a state benefit choice, not a federal guarantee.

Income limits

Generally 200-300% federal poverty level. Against the 2026 HHS poverty guidelines, 100% of the poverty level for a household of four in the 48 contiguous states and DC is $33,000 , so a 200-300% range is about $66,000 -$99,000 a year. The limit that decides your case is the state figure in the table above.

Costs

CHIP has low co-pays (sometimes $0) and, in states that charge them, low monthly premiums; federal rules cap a family’s total CHIP cost-sharing at 5% of its income over the child’s eligibility period (42 CFR 457.560).

Last verified: 2026-09-24.