To be eligible to purchase CHIP coverage, you must qualify under one of the following:

1. Be a legal Nebraska resident at least six months prior to application*; and

1. Have been rejected for health insurance coverage for medical reasons within the last six months from a Nebraska insurer; or
2. Have been offered health insurance coverage within the last six months which includes a restrictive rider limiting coverage for a preexisting medical condition; or
3. Have been refused health insurance coverage comparable to that available through CHIP or have been offered a comparable coverage at a higher premium within the last six months; or

2. Be a legal Nebraska resident;* and

1. Have an aggregate of at least 18 months prior creditable coverage, most recently under a group health plan, governmental plan or church plan; and
2. Not be eligible for another group health plan, Medicare or Medicaid, or have other health insurance coverage; and
3. Continuation coverage under COBRA or a similar program, if offered, has been exhausted, or COBRA or similar insurance is at a higher rate than CHIP; or

3. You have one of the specified conditions listed on pages 19 and 20 of this brochure. If so, you are automatically eligible for CHIP enrollment, provided that you have been a Nebraska resident at least six months prior to application.* or

4. Be a legal Nebraska resident*, and potentially eligible for the Health Coverage Tax Credit under the Trade Adjustment Assistance Reform Act of 2002.

If you’re eligible for Medicare (by reason of age), Medicaid or other medical assistance, you cannot purchase CHIP coverage. If you have CHIP coverage, it will terminate when you become eligible for Medicaid or Medicare by reason of age. A person who becomes eligible for Medicare for reasons other than age (i.e. disability, kidney transplant, dialysis) will continue to be eligible for CHIP coverage.

* To be eligible for continued CHIP coverage, you must maintain residency in the state of Nebraska.

REDUCTION IN BENEFITS

If you are covered by other insurance, a major medical plan, or a local, state or federal program, CHIP benefits will be reduced by all amounts payable under your other plans.

 

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