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.
Service Area Map
Extra Benefits
- Fun Member events at Moody Gardens, the Houston Zoo, the Children’s Museum, and Rockets games in Harris Service Area
- Fun Member events at Moody Gardens, the Children’s Museum, Sports Connection, South Texas Fair, and holiday events with Santa in Jefferson Service Area
- Memberships to Boys & Girls Club or Neighborhood Centers, Inc. in your area
- Kids Club contests
- Web Site Baby Showers
- 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
