Children's Health Insurance Program (CHIP)

Medicaid

Not all Texas CHIP plans are alike. With ours, your child gets extras that other plans don’t offer. View the list of benefits below to see all that our plan covers. It’s for children and young adults up to age 20, and pregnant women who don’t qualify for Medicaid. We also offer additional services called Value Added Services (VAS). View the list below to see what CHIP includes.

Aransas, Austin, Bee, Brazoria, Brooks, Calhoun, Chambers, Fort Bend, Galveston, Goliad, Hardin, Harris, Jasper, Jefferson, Jim Wells, Karnes, Kenedy, Kleberg, Liberty, Live Oak, Matagorda, Montgomery, Newton, Nueces, Orange, Polk, Refugio, San Jacinto, San Patricio, Tyler, Victoria, Walker, Waller, and Wharton.

Mga Pakinabang at Feature

Pangangalaga Habang Walang Sakit at Kapag May Sakit

Get the assistance your child needs to grow up healthy — or to get better if he or she is injured or sick. That includes:

  • Mga gamot. Fill your child's prescriptions at local pharmacies.
  • Vision. Includes your child's exams and $105 toward frames or lenses.
  • Vaccines and Immunizations. Routine shots to help keep your child healthy.

Wala nang mas mahalaga pa sa kalusugan at kapakanan mo at ng iyong sanggol. That's why our CHIP benefits for pregnant moms include:

  • Mga Pagpapatingin Habang Nagbubuntis. Pangangalaga para sa iyo bago ipanganak ang iyong sanggol.
  • Choose a Birth Center. Deliver at your choice of hundreds of hospitals across Texas.
  • Healthy First Steps®. Karagdagang suporta upang tulungan kayo ng iyong sanggol na manatiling malusog.
  • Infant Care Book. Helpful advice about newborns for expecting moms.

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. Kabilang sa mga benepisyo ang:

  • Case Manager. Personal support from an experienced professional.
  • Asthma Care. Exams, testing and supplies are covered.
  • Kalusugan ng pag-iisip. Counseling and other treatments are available.

Help protect your child's sight, hearing and smile with these benefits:

  • Vision. Includes exams and $105 toward frames or contact lenses.
  • Hearing. Screenings and therapies, if needed, are provided.
  • Dental. Checkups, routine and emergency care are covered.

Get medical equipment and supplies to manage your child's health. Kabilang sa mga benepisyo ang:

  • Personal Care. Someone to help you with your child's in-home care.
  • Kagamitan at Mga Supply. Your child's in-home medical safety equipment is covered.

Sometimes you might need a little extra help using your child’s health plan. Para sa mga pagkakataong iyon, maaari kang umasa sa:

  • Transportasyon. We pay for rides to and from medical visits or the pharmacy.
  • Interpreters. Interpreters can be at children's medical visits.
  • Tulong sa Wika. Translated medical materials are available at no cost.
  • Mga Serbisyo sa Miyembro. Call 24/7 for answers about your child's benefits.

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

  • Healthy Rewards. Earn rewards for your child's preventive services.
  • Programs for Kids and Teens. Free Boys & Girls Club memberships.
  • Pagkontrol sa Timbang. Get 13 vouchers toward local Weight Watchers programs for kids.
  • Extra Benefits. Sports and school physicals offered at no cost.
  • NurseLineSM. Speak with a registered nurse 24/7.

Value Added Services

Asthma and COPD Support

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.

Pamamahala sa sitwasyon

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 your child can focus on getting better.

Pagpili ng Doktor

Your child gets a primary care physician (PCP), who is his or her main doctor. Use the Doctor Lookup tool to see if your child's doctor is in our network.

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

Ang iyong PCP ay ang iyong pangunahing doktor para sa:

  • Pampigil na pangangalaga.
  • Treatment for injuries or sickness.
  • Mga referral sa mga espesyalista para sa ilang partikular na kundisyon.

Choose a Birth Center

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. Nang sa gayon ay maging pamilyar ka rito. And you'll be more relaxed when you deliver your baby.

Pangangalaga sa Ngipin

Checkups and emergency care are covered.

Exams and cleanings every six months help your child develop strong and healthy teeth and gums. If there is a dental problem that needs to be fixed, that's covered as well.

Mga Kagamitan at Supply

Your child's health and safety at home are important.

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

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

Extra Benefits

Sports and school physicals at no cost to you.

Our plan covers up to two free physicals each year so your child can:

  • Go to camp.
  • Join a team.
  • Play a school sport.

Healthy First Steps®

Maaari kang makatanggap ng tulong at pagpapayo mula sa iyong ina, mga tita, kapatid at kaibigang babae. Gayunpaman, magkakaiba ang bawat pagbubuntis. Susuportahan ka ng programang ito sa kabuuan ng iyong pagbubuntis.

Tutulungan ka naming:

  • Find a doctor for you and your baby.
  • Learn resources for nutrition, fitness and safety.
  • Get supplies, including breast pumps for nursing moms.

Healthy Rewards

An ounce of prevention can be worth a pound of cure. It can also be worth great rewards.

Your child can earn great gifts for things like getting his or her yearly well-child exam.

Pagkakaospital

This plan pays for all your child's expenses related to a hospital stay.

This includes:

  • Pangangalaga ng isang nurse.
  • Kwarto at matutuluyan.
  • Mga supply at kagamitan.
  • Panggagamot at mga therapy.
  • Mga diagnostic na pagsusuri at eksaminasyon.

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.

Interpreters

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.

Tulong sa Wika

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.

Medicines

We make getting your child's medicine easy.

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

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

Sinasaklaw din namin ang mga over-the-counter na gamot na may nakasulat na tagubilin mula sa iyong doktor.

Mga Serbisyo para sa Miyembro

Sometimes you might need a little help understanding your health care options. With us, you have someone you can call 24/7. We’ll answer your questions simply and completely.

Maaari ka rin naming tulungang humanap ng:

  • Home care providers.
  • Dentists and vision providers.
  • Adult Day Health Centers.

Kalusugan ng Pag-iisip

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

Required care is covered. This includes:

  • Therapy para sa kalusugan ng pag-iisip na apektado ng pag-uugali.
  • Panggagamot sa pang-aabuso sa gamot.

No Copays

You pay nothing for well-child or well-baby visits, covered drugs or immunizations.

While your family's health care is low-cost or free, the care quality is high. Magkakaroon ka ng:

  • Care from highly skilled and compassionate doctors.
  • Treatments at respected hospitals and clinics.
  • Prescription drugs and over-the-counter medicines.

NurseLine℠

Dumarating ang mga medikal na tanong at sitwasyon sa mga hindi magandang pagkakataon. When you have questions about your child's health, you can call a trained nurse 24 hours a day, 7 days a week.

Our NurseLine nurses will:

  • Tutukuyin ang mga sintomas.
  • Guide you on caring for your child.
  • Advise you about getting care for your child at a doctor visit or an urgent care center.
  • Tutulungan kang malaman kung kailan dapat pumunta sa emergency room.

Mga Pagpapatingin Habang Nagbubuntis

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.

Sa mga pagpapatinging ito, ang klinika ay:

  • Make sure both you and your baby are healthy.
  • Ipapaliwanag kung ano ang dapat asahan sa bawat yugto ng iyong pagbubuntis.
  • Sasagutin ang iyong mga tanong.

Programs for Kids and Teens

Kids with positive role models make more healthy choices. That's why we provide free memberships to the Boys & Girls Clubs in your area.

Along with fun and games, these clubs offer help with:

  • Homework.
  • Mentoring.
  • Coaching.

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.

Transportasyon

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.

Vaccines and Immunizations

All of the immunizations your child needs are covered.

Pangangalaga sa Paningin

See life more clearly with routine eye exams and glasses, if needed.

We also include:

  • Mga inireresetang lens.
  • Medicaid approved frames.
  • New eyeglasses every two years.

This benefit is offered by March Vision Care.

Weight Control

Get 10 vouchers toward local Weight Watchers programs for kids.

Weight Watchers helps children develop good eating habits and become more active. So your child will continue to grow and reach a healthy weight. The program also helps kids learn to make good choices about food and snacks.

Well Child Care

Preventive checkups, shots, eye and hearing exams.

Mga Mapagkukunan ng Miyembro

Tingnan ang Mga Available na Mapagkukunan

Matuto Nang Higit Pa

Children's Health Insurance Program (CHIP)

Powered by Translations.com GlobalLink OneLink Software