Children's Health Insurance Program (CHIP)

Nothing is more important than the health and well-being of you and your baby. That's why our CHIP benefits for pregnant moms include:

• Prenatal Visits. Care for you before your baby is born.
• Choose a Birth Center. Deliver at your choice of hundreds of hospitals across Texas.
• Healthy First Steps^®. Build a healthy future for you and your baby and earn great rewards with Healthy First Steps. Our program will help you take the right steps to keep you and your baby healthy. Plus you can earn $20 just for signing up. 

If your child has a special health care need, you can count on us. Our CHIP plan will provide the extra care and services he or she needs. Benefits include:

• Case Manager. Personal support from an experienced professional.
• Asthma Care. Exams, testing and supplies are covered.
• Mental Health. Counseling and other treatments are available.

Help protect your child’s sight and hearing with these benefits:

• Vision. Routine vision services to care for your child’s needs.
• Hearing. Screenings and therapies, if needed, are provided.

Get medical equipment and supplies to manage your child's health. Benefits include:

• Personal Care. Someone to help you with your child's in-home care.
• Equipment and Supplies. Your child's in-home medical safety equipment is covered.

Sometimes you might need a little extra help using your child’s health plan. For those times, you can rely on:

• Interpreters. Interpreters can be at children's medical visits.
• Language Help. Translated medical materials are available at no cost.
• Member Services. Call 24/7 for answers about your child's benefits.

Read about all the extras your child could get with our CHIP plan:

• Exercise Kit. Includes one pedometer, one pack of resistance bands, and one water bottle for members who want to become more active. 
• Healthy First Steps®. Pregnant members who enroll in Healthy First Steps Babyscripts will receive access to free educational content, resources, and rewards for going to prenatal and postpartum visits.
• Vision Care. Your child will get the care, eyeglasses and treatment to see life more clearly. Coverage includes $105 each year toward frames or contact lenses.
• Online Mental Health Resources. Access articles, videos, and other resources at LiveandWorkWell.com
• Extra Benefits. Sports and school physicals offered at no cost.
• Nurse Hotline. Medical questions and situations come at inconvenient times. When you have questions about your child's health, you can call a trained nurse 24 hours a day, 7 days a week.
• Quitting Tobacco. You know the bad health effects of smoking. You know you need to quit. We will support you while you quit with coaches and supplies. The only thing you won't get from us is a lecture.

Learn more about Value-added Services English | Español

Individual care to help control your child's asthma.

Does your child have trouble managing asthma or COPD symptoms? A nurse who specializes in breathing issues can really help. Your child will get a customized treatment plan and medicine to:

• Manage flare-ups.
• Reduce symptoms.
• Let your child stay active.

Does your child have a serious health problem? If so, our case managers are in your corner. They will:

• Explain medical terms in plain language.
• Coordinate your child's doctor appointments.
• Provide your care team with your child's medical records.

Your case manager will stay with your child throughout the medical journey. He or she will:

• Think beyond your child's medical needs.
• Make sure you have support at home.

So you can focus on helping your child get better.

If your child doesn't have a doctor or if his or her doctor is not in our network, we can help find a new one close to you.

Your child’s PCP is his or her main doctor for:

• Preventive care.
• Treatment for injuries or sickness.
• Referrals to specialists for certain conditions.

Our plan covers medical equipment ordered by your child's doctor or case manager. This includes:

• Hospital bed.
• Oxygen tank.
• Walker or wheelchair.

This includes:

• Nursing care.
• Room and board.
• Supplies and equipment.
• Treatment and therapies.
• Diagnostic tests and exams.

After your child leaves the hospital, we watch over his or her care. We make sure your child gets follow-up care to continue healing at home.

Your child's doctor and you need to understand each other. Not speaking English well makes this difficult. We can arrange for a medical interpreter to be at your child's appointment.

We have people at our phone centers that speak more than one language. A service lets us connects with others that speak hundreds of languages.

You can ask to receive information in another language. Then anything we will write to you will only be in that language. This is provided at no cost to you.

We can also help you find:

• Home care providers.
• Dentists and vision providers.
• Adult day health centers.

Mental health is as important as physical health. That's why we have the same coverage for both.

Required care is covered. This includes:

• Behavioral therapy.
• Substance abuse treatment.

Mosquito repellent is available as a statewide benefit. Learn more.

English | Español

CHIP Perinate: This benefit allows pregnant women who are ineligible for Medicaid due to income or immigration status to receive prenatal care for their unborn children. Review the Perinate handbook (English or Spanish)  to learn more about the benefits and Value Added Services (VAS) offered to our CHIP Perinate members.

Whether you live in the city or in the country, rides are available. Our plan provides round trips to and from plan locations. This includes trips to and from the pharmacy to fill your prescriptions.

All of the immunizations your child needs are covered.

Preventive checkups, shots, eye and hearing exams.