Children's Health Insurance Program (state)
More State Children's Health Insurance Programs
Texas Children's Health Insurance Program (CHIP)
Texas Children's Health Insurance Program is a state-run program providing health care to uninsured Texas children under the age of 18s who satisfy the family income requirements.
Eligibility Requirements
To qualify for Texas CHIP, a child must be a resident of Texas. They must also be a US citizen or legal resident and their family income must meet the published guidelines. Children of state employees are not eligible for CHIP, but may apply for SKIP (State Kids Insurance Program).
Waiting Periods
In most cases there is a 90 day waiting period for all new enrollees of the Texas CHIP program. This waiting period applies to those re-enrolling in the program due to a lapse in coverage.
Covered Services and Benefits
The Texas CHIP program focuses on preventive health care and includes benefits for:
- Regular Check-Ups and Office Visits
- Hospital Care and Services
- Prescription Drugs
- Shots and Immunizations
- Lab and X-rays
- Mental Health Care
- Coverage for Special Needs
- Eye Exams
- Treatment of pre-existing conditions
- Access to medical specialists
Health Plan Options
The same health plan is available to all eligible Texas CHIP members. The program is offered through various health insurance carriers, such as STAR, PCCM and STAR+PLUS. Some insurance companies may provide additional added benefits to Texas CHIP members.
Premium Payments, Co-Payments and Coinsurance
The Texas CHIP program enrollment fees and co-payments are based on family income and the number of family members. Enrollment fees do not exceed $50 for each 12 month term of eligibility. Co-payments are also based on income levels and range from $3 to $10 for certain covered services such as doctor visits and prescription drugs.
Program Length, Enrollment and Renewal
Enrollment in the Texas CHIP program is temporary coverage and will expire at the end of 12 months. You may apply for renewal prior to the termination of coverage if you still meet the eligibility guidelines.
Texas CHIP Contact Information
Texas CHIP
P.O. Box 660287
Dallas, TX 75266-9792
Contact: 877-543-7669
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