Texas CHIP Plan

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 Children's Health Insurance Program and CHIP-Perinatal FAQs

The Children's Health Insurance Program (CHIP) is a jointly funded state-federal program. The U.S. Congress has not funded CHIP. HHSC is monitoring the status of CHIP federal funding. The Centers for Medicare and Medicaid Services (CMS) has provided preliminary information to suggest that Texas will have funding for CHIP through February 2018. As of today if you have CHIP, you can go to the doctor and get your medicine. Click here to learn more.


 

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Service Area Map

Map of Community Health Choice service area.

Extra Benefits

  • Fun Member events
  • Memberships to Boys & Girls Club or Neighborhood Centers, Inc. in your area
  • 24-Hour Nurse Help Line
  • Transportation assistance
  • Care Management Program for asthma, diabetes, and high-risk pregnancies
  • School sports physicals
  • Discount up to $40 for sports recreation programs
  • Help with CHIP renewal