Nothing is more important than the health and well-being of you and your baby. That’s why our STAR plan benefits include:

• Choice of Doctor. Find a doctor you trust in our network.
• Choose a Birth Center. Deliver at your choice of hundreds of hospitals across Texas.
• Prenatal Visits. Care for you before your baby is born.
• Healthy First Steps®. Get extra support and rewards to keep you and your baby healthy.

If you have asthma, diabetes or another long-term condition, you can depend on us. Our STAR Plan makes sure you get the care and services you need. Benefits include:

• Case Management. Personal support from an experienced professional.
• Asthma support. Individual care to help you control asthma or COPD.
• Mental Health. Counseling and other treatments are available.

Get the medical equipment and supplies you need to live safely at home. Benefits include:

• Equipment and supplies. In-home medical and safety equipment are covered.

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

• Transportation. We offer rides to and from medical visits or the pharmacy.
• Interpreters. An interpreter can go with you to medical visits.
• Language help. Translated medical materials are available at no cost.
• Member services. Your benefit questions are answered 24/7.

Read about all the extras your child could get as a STAR member: 

• Exercise kit. Includes one pedometer, one pack of resistance bands, and one water bottle for members who want to become more active. 
• Online Mental Health resources. Access articles, videos, and other resources at LiveandWorkWell.com    
• 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.
• 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.
• 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.
• Wellhop for mom & baby. Connect with other expectant moms. Get support and information during your pregnancy and after you deliver. This program is part of your health plan and there is no extra cost to you.

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Individual care to help you control asthma or COPD symptoms.

Do you have trouble managing asthma or COPD symptoms? A nurse who specializes in breathing issues can really help. You’ll get a customized treatment plan and medicine to:

• Manage flare-ups.
• Reduce symptoms.
• Help you stay active.

Do you or a loved one have a serious health problem or a high-risk pregnancy? If so, our case managers are in your corner. They will:

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

Your case manager will stay with you on your medical journey. He or she will:

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

So you can focus on getting better.

You or your child gets a primary care physician (PCP) who is your main doctor. Use the Doctor Lookup tool to see if your doctor is in our network.

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

Your PCP is your main doctor for:

• Preventive care.
• Treatment if you are sick or injured.
• Referrals to specialists for certain conditions.

Where to deliver your child is an important choice. That's why you can pick from hundreds of hospitals across Texas.

We encourage you to tour the hospital's birthing center. This way you will be familiar with it. And you’ll be more relaxed when you deliver your baby.

Most children and young adults age 20 and younger with Medicaid or CHIP coverage get dental services through a managed care dental plan. The dental plans listed below provide services across the state for all Medicaid and CHIP members who qualify for dental coverage.

• DentaQuest
• UnitedHealthcare Dental
• MCNA Dental

Your health and safety at home are important.

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

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

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. 

We will help you:

• Choose a pregnancy provider and a pediatrician (child’s doctor).
• Schedule visits and exams and arrange rides to your visits.
• Earn rewards for going to visits throughout your pregnancy and baby’s first 15 months of life.
• Get supplies, including breast pumps for nursing moms.
• Connect with community resources such as Women, Infants and Children (WIC) services.

This includes:

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

And after you leave the hospital, you are not alone. We make sure you get follow-up care to continue healing at home.

Your 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 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 write to you will only be in that language. This is provided at no cost to you.

There are no copays for covered drugs. You can fill your prescriptions at:

• Local pharmacies.
• Services that deliver routinely right to your door.

We also cover over-the-counter medicines with a written order from your doctor.

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 100% covered with no copay. This includes:

• Behavioral therapy.
• Substance abuse treatment.
• Medications.

You pay nothing for covered services.

While your health care is low-cost or free, the care quality is high. You get: 

• Care from highly skilled and compassionate doctors.
• Treatments at respected hospitals and clinics.
• Home medical equipment and supplies to help you be at your best. 

Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.

All recommended prenatal clinical visits and tests are covered by our plan.

At these visits, the clinic will:

• Make sure both you and your baby are healthy.
• Explain what to expect at each stage of your pregnancy.
• Answer your questions.

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.

Routine vision services to care for your child’s needs.