Es su mundo. Nostros lo cubrimos.
Como miembro del Dell Children’s Health Plan recibes toda la cobertura y beneficios que vienen con CHIP y STAR Medicaid. Si tienes preguntas sobre tus beneficios, queremos ayudar. Por favor llámanos al 1-888-596-0268 (TTY 711) o llena un formulario de contacto.
CHIP y STAR Medicaid cubren:
- Chequeos médicos regulares y visitas al consultorio
- Medicamentos recetados
- Vacunas
- Servicios de hospital (si es necesaria una hospitalización o solo venir por un par de horas)
- Servicios de sala de emergencia y ambulancia
- Exámenes de los ojos y anteojos para niños y adultos
- Exámenes dentales (solo para menores de 21 años)
- Visitas de Pasos Sanos de Tejas (solo para miembros de STAR Medicaid)
- Chequeos de rutina anuales (solo para miembros de CHIP)
- Servicios de salud mental para el tratamiento de la adicción al alcohol o drogas
- Suministros médicos
- Rayos X
- Pruebas de laboratorio
- Consejos médicos de un especialista pediátrico en nuestra red
- Poder reunirte con un médico de salud mental
- Tratamiento de necesidades especiales:
- Terapia física
- Cuidado de salud en el hogar
- Cuidado de los pies
- Terapia del habla
- Terapia ocupacional (para miembros que necesitan ayuda adicional para aprender destrezas tales como agarrar correctamente el lápiz o abrocharse los botones de la ropa)
- Trasplantes
- Tratamiento de condiciones preexistentes (preexistente significa cualquier necesidad médica que tenías antes de entrar al plan de salud)
- Transporte a citas médicas
- Servicios de interpretación y traducción
- Cuidado de salud para la mujer:
- Cuidado para el embarazo y cuidado prenatal
- Cuidado por enfermeras/parteras
- ¡Más ostros beneficios extra!
Beneficios para mamás embarazadas a través de CHIP Perinatal
- Hasta 20 visitas durante el embarazo
- Cobertura de medicamentos recetados
- Costos del parto
- Dos visitas al doctor después del parto
- Chequeos médicos regulares, vacunas y medicamentos recetados para tu bebé
¡Visita nuestra página de Beneficios para mamás embarazadas y nuevas para aprender sobre más beneficios extra!
Farmacia
Si necesitas ayuda para encontrar una farmacia, visita nuestra página Encuentra un doctor.
Si tienes problemas para que te despachen tus medicamentos o necesitas más ayuda para encontrar una farmacia, llama a Servicios a los Miembros al 1-888-596-0268 (TTY 711).
Si estás tomando un medicamento con receta por más de 30 días, considera usar la farmacia de pedido por correo. Es fácil y te ahorra dinero. Visita Navitus Health Solutions para más información.
El Programa de farmacia de CHIP no cubre:
- Medicamentos de venta sin receta
- Medicamentos anticonceptivos necesarios solo para propósitos del control de la natalidad
- Productos nutricionales
- Suministros o equipo médico, excepto jeringas para insulina
- Medicamentos que solo se pueden despachar en el consultorio médico o clínica
Salud del comportamiento y abuso de sustancias
Los miembros pueden recibir ayuda para el comportamiento llamando al 1-888-596-0268 (TTY 711). En la sección Encuentra un doctor hay una lista de proveedores de salud mental.
- December 2021 Clinical Criteria Updates
- Emergency Ambulance Billing
- February 2022 Medical Policies and Utilization Management Guidelines update
- HEDIS Desktop Reference Guide 2022
- HEDIS 2022: Summary of changes from NCQA
- Importance of autism screening during Texas Health Steps (THSteps) medical checkups
- New delivery diagnosis code requirement
- New Strategic Provider System will launch in April 2022
- November 2021 Medical Policies and Utilization Management Guidelines update
- Prenatal Ultrasound Diagnosis Codes
- Prior authorization requirement change for HCPCS code K1022
- September and November 2021 Clinical Criteria Updates
- Texas Medicaid enrollment assignment: claims submission and payment process
- HHSC Off Cycle MCO Notice 01.04.2021
- HHSC New HTW Provider Certification Requirements 04.26.2021
- Hurricane Ida Provider Assistance FAQ
- PEMS Provider Webinar Scheduled Dec 7th.
- Provider Enrollment Functions Available through PEMS beginning Dec. 13
- Public Health Emergency Enrollment Application Will No Longer be Available for Use
- Texas Medicaid Guidance in Response to Philips Recall of Respiratory Device
- TMHP Provider Enrollment and Management System PEMS
- What Matters Most: Improving the Patient Experience
- 2021 Affirmative Statement Concerning Utilization Management Decisions
- 2021 Clinical Practice Guidelines
- Admission, Discharge & Data transfer results in improved care management
- AIM Specialty Health® lung cancer screening prior authorization guideline update
- August 2021 Clinical Utilization Management (UM) Guidelines
- August 2021 Medical Policies and Utilization Management Guidelines update
- Availity Portal eligibility and benefits (Additional benefit notes and digital member ID Cards)
- Clinical Criteria Updates Notification August 2021
- Clinical Criteria Updates Notification December 2020
- Clinical Criteria Updates Notification February 2021
- Clinical Criteria Updates Notification June 2021
- Clinical Criteria Updates Notification March 2021
- Clinical Criteria Updates Notification May 2021
- Clinical Criteria Updates Notification November 2020
- Clinical Practice Guidelines Matrix
- Diabetes testing and screening HEDIS measures
- EnrollSafe/EFT Enrollment Portal Flyer
- EnrollSafe will replace CAQH Enrollhub® as the electronic funds transfer (EFT)
- February 2021 Clinical Utilization Management (UM) Guidelines
- February 2021 Medical Policies and Utilization Management Guidelines update
- Federally qualified health centers and rural health clinic modifier requirements
- Get faster payments with EFT
- HB1576 Implementation of Nonemergency Medical Transportation
- HEDIS 2020: Medicaid Measure Update and Summary of Changes from NCQA
- HEDIS measures: Follow-Up After ED Visits for Mental Illness and Alcohol and Drug Dependency
- Important update: behavioral health fax numbers changing
- Keeping up with routine vaccinations during COVID-19
- Let’s Vaccinate
- May 2021 Clinical Utilization Management (UM) Guidelines
- May 2021 Medical Policies and Utilization Management Guidelines update
- MCG Care Guidelines 24th edition customization
- MCG Care Guidelines 25th Edition
- Metabolic monitoring and diabetes screening measures for those on antipsychotics medications
- New claim submission requirement for durable medical equipment delivery verification
- Non-payment remittance advice enhancements are here
- Nonemergency medical transportation changes effective June 1, 2021
- November 2020 Clinical Utilization Management (UM) Guidelines update 2/22/21
- November 2020 Medical Policies and Utilization Management Guidelines update 2/12/21
- Prior authorization requirements for moderate to deep anesthesia for dental surgery in the facility setting
- Provider notification for claim filing requirements
- Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting
- Reimbursement Policy Update -Drug Screen Testing
- Specialty Rx Precertification Additional Documentation Notice effective August 1, 2021
- Submitting prior authorizations is getting easier
- The Behavioral Health Areas of Expertise Profile improves the referral process
- Unspecified diagnosis reminder
- Updates to the AIM Advanced Imaging Clinical Appropriateness Guidelines
- Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines
- Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilator
- What Matters Most: Improving the Patient Experience
- 2020 affirmative statement concerning utilization management decisions
- Acquisition of Beacon Health Options
- August 2020 Clinical Utilization Management (UM) Guidelines
- August 2020 Medical Policies and Utilization Management Guidelines update
- Availity Provider FAQ
- Change Healthcare Medical Attachment Functionality FAQ
- Clinical Criteria Web Posting September and October 2020
- Clinical Edit Form for Symdeko
- Clinical Edit Form for Taltz
- Consumer Assessment of Healthcare Providers and Systems® (CAHPS) 101
- Controlling High Blood Pressure (CBP)
- Emergency Room Autopay List of Diagnosis Codes
- February 2020 Clinical Utilization Management (UM) Guidelines Update
- February 2020 Medical Policies and Clinical Utilization Management Guidelines update
- Global 3M19 Medical Policy and Technology Assessment Committee Prior Authorization Requirement Updates
- HealthyTexasWomen
- Incentive delay notice
- Incorrect Claims Payments Alert
- LARC Devices Reminder
- May 2020 Clinical Utilization Management (UM) Guidelines Update
- May 2020 Medical Policies and Clinical Utilization Management Guidelines update
- MCG care guidelines — 24th edition
- MCS Notification of Delivery Form
- Medical Drug Benefits Clinical Criteria Updates (February 2020)
- Medical Drug Benefits Clinical Criteria Updates (March 2020)
- Medical Drug Benefits Clinical Criteria Updates (May 2020)
- Medical Drug Benefits Clinical Criteria Updates (June 2020)
- Medical Drug Benefits Clinical Criteria Updates (August 2020)
- New Baby, New Life Provider Booklet
- New behavioral health discharge call-in line
- New Emergency Room Requirement for Hospital and Autopay List of Diagnosis Codes
- New MCG Care Guidelines 24th edition Viral Illness
- November 2019 Medical Policies and Clinical Utilization Management Guidelines update
- OBGYN Ultrasound Update
- Policy Reminder – Nurse Practitioner and Physician Assistant Services, Professional
- Prenatal Ultrasound Diagnosis Codes
- Preventative Health Guidelines- English
- Preventative Health Guidelines- Spanish
- Prior authorization requirements for angiographic evaluation of stenotic or thrombosed dialysis circuits
- Prior authorization requirements for E0482
- Provider Digital Engagement
- Providers using Change Healthcare can now receive and respond to medical record requests for postpay audit via the Assurance Attach Assist Module
- Racial Trauma Forum Invitation
- Submit behavioral health authorizations via our online Interactive Care Reviewer tool
- Texas Health Steps and extended ophthalmoscopy
- Transition to AIM small joint guidelines
- TX Dell Children Availity Provider Article
- Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging
- CS Health Advisory Notice
- Data Quality Issues Experienced by MCOs via Texas Immunization Registry
- Delegated Psychological Services
- DSHS Laboratory Request Form
- DSHS Laboratory Web Portal Notice
- Opioid Treatment Providers
- Smoking and Tobacco Use Cessation Counseling Benefits Change
- Summary of Tobacco Cessation Benefits
- Tobacco Use Cessation Services Provided in a Group Setting
- Updated American Dental Association Claim Form
- Webinar on Writing Functional Therapy Goals
- Updated Version of the American Dental Association Claim Form
- Zika Virus Testing Update
- Addition of Bamlanivimab as Texas Medicaid Benefit
- Healthy Texas Women Plus
- Healthy Texas Women (HTW) Plus Services Available September 1, 2020
- Help Youth Formerly in Foster Care Maintain Their Medicaid
- How to Submit a Complaint as a Medicaid Provider
- Hurricane Delta and Laura Information for Medicaid Providers
- Learning Opportunity Pediatric Brain Health Summit on November 5-6 2020
- Services Not Covered in the Texas Medicaid State Plan
- Survey to Identify Substance Use Screening and Referral Practices for Pregnant and Postpartum Women
- Telemonitoring Benefit Changes for Texas Medicaid
- Training Module Immunization
- August 2019 Clinical Utilization Management (UM) Guidelines Update
- Changes to Mental Health Rehabilitative Services and Targeted Case Management Prior Authorization/Notification Requirements
- Clinical Criteria Web Posting July 2019
- Clinical Criteria Web Posting Q2 2019
- Clinical Criteria Web Posting September 2019
- Clinical Criteria Web Posting November 2019
- Clinical Criteria Web Posting December 2019
- Clinical Edit Form for Emflaza
- Clinical Edit Form for Emgality
- Clinical Edit Form for Synagis
- Clinical Edit Form for Tadalafil
- Clinical Edit Form for Victoza
- Clinical Laboratory Improvement Amendments
- Clinical Practice Guidelines and Preventive Health Guidelines-Update
- Clinical Practice Guidelines Matrix
- Coding tip for psychological and neuropsychological testing
- Disease Management can help you care for patients with chronic health care needs
- EDI Gateway Migration
- Enhanced Claim Payment Dispute Process
- Guidelines Update for Therapy Precertification Requests
- Healthy Rewards Provider Flier
- Medicaid Span of Coverage
- Medical Policies and Clinical Utilization Management Guidelines Update
- New Clinical Guideline: Pneumatic Compression Devices
- November 2019 Clinical Utilization Management (UM) Guidelines Update
- P4Q Provider Incentive Plan
- Prenatal Aspirin for the Prevention of Preeclampsia
- Prepayment Clinical Validation Review Process
- Prior Authorization Requirements Changes Effective November 1, 2019
- Prior Authorization Form for Emflaza
- Prior Authorization Form for Emgality
- Prior Authorization Form for Symdeko
- Prior Authorization Form for Synagis
- Prior Authorization Form for Tadalafil
- Prior Authorization Form for Taltz
- Prior Authorization Form for Victoza
- Prior Authorization Requirements for Interferon beta-1a
- Prior Authorization Requirements for Subcutaneous Implantable Defibrillator System
- Prior Authorization Requirements for Sublocade
- Prior Authorization Requirements for Somatrem
- Prior authorization requirements: new 2020 codes for coverage and precertification
- Prior Authorization Update for Physician Order Requirements
- Sports Physical and Annual Checkups
- Utilization Management Affirmative Statement concerning utilization management decisions
Asthma is a long-term condition that makes it hard to get air into the lungs. Asthma may cause wheezing, tightness in the chest, shortness of breath, and coughing.
We can give you an asthma action plan for you and your health-care provider to complete. This will help monitor your condition, stay away from your triggers, and manage your medication (meds).
Learn more:
Bipolar disorder is a brain disorder that can cause unusual changes in mood, energy and activity level, and make it hard to carry out day-to-day tasks.
It can feel uneasy to learn you’re living with bipolar disorder, so we’re here to help. With proper treatment and support, you can enjoy a healthy, happy and productive life.
Learn more:
COPD is a condition in which damage to the lungs has caused the airways to change shape and feel partly blocked. This makes it hard to breathe.
We can help you learn to breathe easier to possibly improve your quality of life. We’ll help you learn how to use inhalers, spacers, nebulizers, and other devices, along with other skills for living with COPD.
Learn more:
Taking care of your heart is one of the best things you can do for your health. The heart pumps blood to the whole body. Having CHF means the heart can’t pump as hard as it should.
We can help you understand CHF better. That way, you and your health-care provider(s) can work together to help you feel your best.
Learn more:
Your heart is only the size of a fist, but it’s one of the most important muscles in your body. Arteries throughout the body supply blood to your heart. When those arteries are blocked, and blood flow to the heart is reduced, it causes CAD.
We can help you with tips and tools, like making good food choices and following up with your doctor to keep your CAD in check.
Learn more:
If you’re living with diabetes, you’re not alone. Diabetes happens when your body’s blood sugar (the amount of sugar in the blood) levels are usually higher than normal. It means there’s a problem making enough of a hormone called insulin, or your body isn’t using insulin like it should.
We can help you lower your risk of complications (problems or issues) and make your quality of life better.
Learn more:
Human immunodeficiency virus (HIV) is a virus that attacks the immune system (the body’s natural defense against illness). It makes it hard for the body to fight infection and disease. If HIV isn’t treated, it can lead to AIDS. AIDS stands for acquired immunodeficiency syndrome. It is the last stage of the HIV virus.
We’re here to help you with simple steps for living with HIV/AIDS. Taking your medications the right way, eating healthy, staying active, and following your treatment plan can make a difference.
Learn more:
Hypertension is also called high blood pressure. Blood pressure is the amount of force it take for your heart to pump blood through your body. When your blood pressure is high, it can lead to other health problems.
We can help you make short- and long-term goals that will help you manage your blood pressure.
Learn more:
Everyone feels blue or sad some of the time, but these feelings don’t last very long. When a person has major depressive disorder (MDD or clinical depression), these feelings don’t go away easily. They can get in the way of your everyday life.
Depression is common and a real illness. The important thing to know is that it can be treated. We’re here to help you find resources in your area or help you talk with your family or caregiver about MDD.
Learn more:
Kids and teens can also have major depressive disorder (MDD or clinical depression).
We can help kids and teens talk with their families and health-care providers about MDD, get treatment, and live a healthier life.
Learn more:
Schizophrenia is a behavioral health disorder that affects a person’s thoughts, feelings, emotions, decisions, and actions. Some even have a hard time with focusing and memory loss. It can get in the way of daily life.
We’re here to help you learn how to manage schizophrenia with medication, treatment, and support.
Learn more:
Substance use disorder is a disease that leads to the use of drugs, alcohol, or other substances in a way that causes problems for your health or in your life.
We can help those with substance use disorder work together with their health-care provider(s) to talk about treatment options (choices of ways to get better) and finding local community programs and resources.
Learn more:
Any Dell Children’s Health Plan member with any of the health conditions listed can participate in a DM program. Our DM case manager can talk with you about your health history and health goals, and work with you to offer strategies and support so you can live well.
They can also offer educational materials and tools for weight management and tobacco cessation (how to stop using tobacco, like quitting smoking).
Members, you’ll get a letter welcoming you to a DM program, if you qualify. Or, call us toll free at
1-888-830-4300 (TTY 711) from 8:30 a.m. to 5:30 p.m. Central time, Monday through Friday.
When you call, we’ll:
- Set you up with a DM case manager to get started
- Ask you some questions about your or your child’s health
- Start working together to create your or your child’s plan
You can also email us at dl-txdelladvocate@anthem.com.
Please be aware that emails sent over the internet are usually safe, but there is some risk third parties may access (or get) these emails without you knowing. By sending your information in an email, you acknowledge (or know, understand) third parties may access these emails without you knowing.
You can choose to opt-out (we’ll take you out of the program) of the program at any time. Please call us toll free at 1-888-830-4300 (TTY 711) from 8:30 a.m. to 5:30 p.m. Central time, Monday through Friday to opt-out. You may also call this number to leave a private message for your DM case manager 24 hours a day.
When you join a DM program, you have certain rights and responsibilities. You have the right to:
- Get details about us, such as:
- Programs and services we offer
- Our staff and their qualifications (skills or education)
- Any contractual relationships (deals we have with other companies)
- Opt-out of DM services
- Know which DM case manager is handling your DM services and how to ask for a change
- Get support from us to make health-care choices with your health-care providers
- Ask about all DM-related treatment options (choices of ways to get better) mentioned in clinical guidelines (even if a treatment is not part of your health plan), and talk about options with treating health-care providers
- Have personal data and medical information kept private
- Know who has access to your information and how we make sure your information stays secure, private, and confidential
- Receive polite, respectful treatment from our staff
- Get information that is clear and easy to understand
- File complaints to Dell Children’s Health Plan by calling 1-888-830-4300 (TTY 711) toll free from 8:30 a.m. to 5:30 p.m. Central time, Monday through Friday and:
- Get help on how to use the complaint process
- Know how much time Dell Children’s Health Plan has to respond to and resolve issues of quality and complaints
- Give us feedback about the DM program
You also have a responsibility to:
- Follow the care plan that you and your DM case manager agree on
- Give us information needed to carry out our services
- Tell us and your health-care providers if you choose to opt-out (leave the program)
Disease Management does not market products or services from outside companies to our members. DM does not own or profit from outside companies on the goods and services we offer.
For a written version of your DM rights and responsibilities or information on this website, please print this page or call Member Services.
- 10-4-17 Upcoming CHIP Provider Enrollment Webinar
- 2018 Mosquito Repellent Standing Order
- AIM Maternal Safety Bundles n Texas Informational Sheet
- Benefit Update for Early Childhood Intervention for Texas Medicaid
- Breast Pump Notification Sept. 2017
- CHIP Member Eligibility EDI 270/271 Training
- CHIP Texas Medicaid & Healthcare Partnership Enrollment Notice
- Complete Rate Changes and Updates for Medicaid Therapy Services Eff 09.01.17
- Delayed Implementation for Required NPI of Rendering Provider
- HHSC Guidance on the Provision of Therapy
- HHSC Guidance on the Provision of Therapy Update (Clarification)
- HHSC Notice for Therapy Services
- HHSC Therapy Notification Update
- Hurricane Harvey – CHIP Copayments Notice
- Hurricane Harvey- Frequently Asked Questions
- Mayo Clinic Diversity Summit Flyer
- Mayo Pathways Diversity 2018
- Medicaid Fraud Letter to Providers
- Medicaid Fraud Provider Notice
- Mental Health Screening THSteps
- Neonatal Billing Requirements
- New Definition of Individual Speech Therapy Encounter
- Notice to Pharmacies: Mosquito Repellent Benefit
- Notice to Prescribers: Mosquito Repellent Benefit
- Prenatal Screening for Domestic Violence and Substance Abuse
- Postpartum Depression Screening THSteps
- Private Duty Nursing Benefit Language Clarified for Texas Medicaid
- Provider Types and Places of Service Changes for Physical, Occupational and Speech Therapy for All Ages for Texas Medicaid Sept. 1
- Special Supplemental Nutrition Program for Women, Infants and Children (WIC)
- Telemedicine and Telehealth Services Benefit Policy Language Update
- Texas AIM Flyer March Webinar
- Texas Health Steps Clinical Record Review Tool
- Texas Health Steps Clinical Record Review Tool – Alternate Version
- Texas Health Steps Improvement Letter
- Texas Health Steps Regional Provider Relations Representatives Contact List
- Texas Health Steps Therapeutic Dental Benefits Change Notice
- Third Party Liability and Recovery Guidance
- THSteps Therapeutic Dental Benefits to Change for Texas Medicaid July 1, 2017
- THSteps Therapeutic Dental Benefits Update
- Webinar on Writing Functional Therapy Goals
- Wound Care Equipment and Supply Benefits Change
- Zika Care Connect FAQ
- Zika Care Connect Overview
- 2018 Utilization Management Affirmative Statement
- Adoption Assistance or Permanency Care Assistance Managed Care Expansion
- Category II HEDIS Coding Tips
- Chimeric antigen receptor T-cell therapy requires prior authorization for all places of service
- CHIP Copay Changes
- CHIP Formulary Prior Auth Implementation – November
- CHIP Formulary Prior Auth Implementation – December
- Custom Shower Chairs Prior Authorization
- Dell Children’s Health Plan adopts Milliman Care Guidelines
- Eight Injectable Drugs Will Require Prior Authorization
- Electrical Stimulation Device to Require Prior Authorization
- Electronic Data Interchange Gateway Update
- Electronic Data Interchange (EDI) Update
- Elotuzumab to Require Prior Authorization
- Guidelines Update for Processing Therapy Precertification Requests
- January 2018 Medical Policies and CUMG Updates
- Lower extremity vascular intervention codes require prior authorization
- March 2018 Medical Policies and CUMG Updates
- Member Appeal Process Changes Notice to Providers
- Medical Policies and Clinical Utilization Management Guidelines – January 2018
- Medical Policies and Clinical Utilization Management Guidelines – March 2018
- Medical Policies and Clinical Utilization Management Guidelines update – May 2018
- Medical Policies and Clinical Utilization Management Guidelines Update – November 2018
- Miscellaneous Durable Medical Equipment Billing Guidelines
- Neonatal Level of Care Designation Required
- Non-Emergency Ambulance Prior Authorization Update
- Normal Newborn Diagnosis-Related Group Claims Processing Update
- Notification of Joint Venture
- Overpayment Identification and Refund Requirements
- P4Q Provider Incentive Plan
- Post-Payment Reviews of Distinct Procedural Service Modifiers
- Prenatal and Postpartum Outreach Initiatives
- Prior Authorization Requirement Update for Mylotarg
- Prior Authorization Requirements for Cabazitaxel
- Prior Authorization Requirements for Darzalex Drug
- Prior Authorization Requirements for Injectable/Infusible Drugs: Mepolizumab (Nucala) and Reslizumab (Cinqair)
- Services Requiring Prior Authorization
- Spinraza Clinician-Administered Drug Prior Authorization Requirements
- Update Regarding Appointment Availability Standards
- Update to Ordering/Prescribing/Referring Claim Submissions
- What Matters Most: Improving the Patient Experience CME
El Programa de Seguro Médico para Niños (CHIP) es una cobertura de cuidado de salud para personas que no califican para Medicaid pero que no pueden pagar un seguro de salud privado.
CHIP cubre a los niños desde el nacimiento hasta los 18 años de edad por estos servicios:
- Cuidado médico
- Medicamentos recetados
- Cuidado dental
- Cuidado de la vista
- Salud del comportamiento
CHIP Perinatal cubre a las mujeres embarazadas y nuevas mamás.
Cuota de inscripción
- La cuota se basa en los ingresos de la familia. Algunas familias deberán pagar $35 o $50 al año para inscribirse, pero las familias de menores ingresos no pagan nada.
Copagos
- Los copagos se basan en los ingresos de la familia.
- Las familias de menores ingresos tendrán copagos entre $0 y $5.
- Las familias de mayores ingresos tendrán copagos entre $10 y $35.
No hay cuotas de inscripción ni copagos para los miembros de CHIP Perinatal.
Los beneficios de CHIP se deben renovar cada 12 meses. Renueva tus beneficios.
Visita YourTexasBenefits.com para más información sobre CHIP.
STAR Medicaid provee cobertura de cuidado de salud para niños desde el nacimiento hasta los 20 años de edad. También se llama Medicaid para Niños. Cubre niños, mujeres embarazadas y algunos jóvenes que estuvieron en hogares de crianza en el pasado.
Cada plan tiene:
- Un médico de cuidado primario de tu elección
- Un amplio grupo de especialistas
- Terapeutas
- Clínicas
- Hospitales
Algunos servicios incluyen:
- Cuidado médico
- Medicamentos recetados
- Cuidado dental
- Cuidado de la vista
- Salud del comportamiento
- Servicios perinatales
No hay cuotas de inscripción ni copagos.
Los beneficios de STAR Medicaid se deben renovar cada 12 meses. Renueva tus beneficios.
Visita YourTexasBenefits.com para más información sobre STAR Medicaid.
Es posible obtener cobertura perinatal de CHIP si todos los siguientes aplican en tu caso:
- Estás embarazada
- Eres residente de Texas
- No tienes seguro
- No puedes obtener Medicaid
La cobertura de CHIP Perinatal es para tu bebé que no ha nacido y cubre:
- Hasta 20 visitas durante el embarazo
- Medicamentos recetados
- Costos del parto
- Dos visitas al doctor para la mamá después del parto
Chequeos médicos regulares, vacunas y prescripciones para tu bebé Es posible que tu niño también pueda continuar la cobertura bajo el programa CHIP.
Una mujer embarazada con poco o ningún ingreso puede recibir beneficios de Medicaid durante el embarazo y hasta dos meses después del parto si cumple con ciertos requisitos de ingresos.
Consulta nuestros Beneficios para mamás embarazadas y nuevas.
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¿Preguntas?
¡Estamos aquí para ayudar! Llámanos al 1-888-596-0268 (TTY 711) o llena un formulario de contacto. También puedes ver el manual para miembros para más información sobre cómo usar tus beneficios.
Si ya tienes CHIP or STAR Medicaid, también puedes cambiar tu plan de salud en cualquier momento. Solo llama a la Línea de Ayuda de CHIP/STAR Medicaid al 1-800-964-2777 y diles que deseas convertirte en miembro del Dell Children’s Health Plan.