Texas CHIP Medicaid

What is CHIP?

CHIP is a health insurance plan for children under the age of 19. It is for families who:

Earn too much money to qualify for Texas Medicaid programs and cannot afford to buy private insurance


How does CHIP work?

Members choose an HMO and a Primary Care Provider to give them all of their primary care services. This includes coordinating referrals for all medically-necessary specialty services.

Families who make between 100% and 200% of the Federal Poverty Level (FPL) may be eligible to participate in CHIP. Annual enrollment fees are $50 or less per family. Most co-payments for doctor visits and prescription drugs are $16 or less.


What services does CHIP cover?

CHIP Members get medical care that includes:

  • Hospital care
  • Surgery
  • X-rays
  • Physical/speech/occupational therapies
  • Prescription drugs
  • Emergency services
  • Transplants
  • Regular health checkups and immunizations

CHIP Perinatal Plan

Are you pregnant? Do you need coverage for your unborn baby? Learn more about the CHIP Perinatal plan.

Texas CHIP Renewal

Keep Your CHIP Benefits!

Families must renew their CHIP or Children’s Medicaid coverage every year. In the months before a child’s coverage is due to end, HHSC will send the family a renewal packet in the mail. The renewal packet contains an application. It also includes a letter asking for an update on the family’s income and cost deductions. The family needs to:

• Look over the information on the renewal application.
• Fix any information that is not correct.
• Sign and date the application.
• Look at the health plan options, if Medicaid health plans are available.
• Return the renewal application and documents of proof by the due date.

Once HHSC receives the renewal application and documents of proof, staff checks to see if the children in the family still qualify for their current program or if they qualify for a different program. If a child is referred to another program (Medicaid or CHIP), HHSC sends the family a letter telling them about the referral and then looks to see if the child can get benefits in the other program. If the child qualifies, the coverage in the new program (Medicaid or CHIP) begins the month following the last month of the other program’s coverage. During renewal, the family can pick new medical and dental plans by calling the CHIP/Children’s Medicaid call center at 1.800.964.2777.

Community Members enjoy...

  • more than 10,000 Providers and hospitals from which to choose,
  • memberships to Neighborhood Centers, Inc. (NCI) and Boys and Girls Club,
  • youth sports league allowance up to $40,
  • No cost, fun Member events such as Family Fun Night, Rockets and Astros games, and other neighborhood events at Moody Gardens, The Children's Museum, Sports Connection, and
  • Much more!