Is Texas Children’s Health Plan Medicaid

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American Disabilities Act Notice

Application Assistance for CHIP and Children’s Medicaid

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 , UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

What Is Medicare Advantage

Medicare Advantage plans, also known as Medicare Part C or MA plans, are supplemental Medicare plans. Medicare Advantage plans bundle Medicare Part A and Part B into one health insurance plan. MA plans are offered through private insurers that are Medicare-approved.

Most Medicare Advantage plans also have additional benefits, including dental, hearing, and vision coverage. MA plans also often include Medicare Part D within its policies.

How To Join Dell Childrens Health Plan

To become a member of Dell Children’s Health Plan, you must apply for CHIP or STAR Medicaid. If your children are already members, see the instructions below on how you can switch to Dell Children’s Health Plan.

If you already have CHIP or STAR Medicaid, you can change your health plan at any time. Just call the CHIP/STAR Medicaid Helpline at and tell them you want to become a member of Dell Childrens Health Plan.

If you need to apply for CHIP or STAR Medicaid, you can do so online, by phone, or by mail.

  • Medical advice from a pediatric specialist in our network
  • Being able to meet with a mental health doctor

Extra benefits offered by Dell Childrens Health Plan

  • Debit card dollars for wellness visits, checkups, vaccines, and more
  • Williamson County YMCA memberships
  • $50 credit each semester for Boy’s & Girl’s Club memberships
  • Vision extras: $100 for contacts and $100 for upgraded lenses and frames
  • Up to $500 each year for dental services
  • Safety extras like a free booster seat and bike helmet
  • Free annual school or sports physical
  • All the perks of our pregnancy program for pregnant and new moms

Limitations and restrictions may apply.

Special healthcare program for pregnant moms and new moms

Weve got pregnant and new moms covered with Dell Childrens Health Plan. Our pregnancy program has many benefits to help support you throughout your pregnancy and as a new mom. See a complete list of special benefits for pregnant and new moms.

Also Check: Give Me The Number To Medicaid

Texas Healthy Women Program

Lost your Medicaid benefits? The Texas Healthy Women Program provides family planning exams, related health assessments, and birth control to women ages 18 to 44 whose family income is at or below the programs income limits . of poverty).

You must apply to find out if you can receive services through this program. Visit this site for more information.

What Is The Medicare Savings Program

PPT

Medicare Savings Programs are Medicaid programs for Medicare beneficiaries with limited income and resources. These programs help beneficiaries pay for their Medicare benefits. For example, some of these programs pay premiums, such as the Medicare Part B monthly premium.

There are four types of Medicare Savings Programs:

  • Qualified Medicare Beneficiary

  • Qualifying Individual

  • Qualified Disabled Working Individual

Each program will have different income and resource eligibility limits. Learn more about Medicare Savings Programs at this resource.

Read Also: Can College Students Qualify For Medicaid

How Do I Know If My Child Is Due For A Texas Health Steps Checkup

Texas Health Steps will send you a letter when itâs time for your childâs medical and dental checkups. You can also visit YourTexasBenefits.com or call the number below to find out if your child is due for a checkup.

Phone

  • Click Medicaid & CHIP Services in the Quick Links section.
  • Click View services and available health information.
  • Click Health Summary at the top of the page.
  • Recommended Reading: How To Get A Free Car Seat Through Medicaid 2020

    Using Your Healthy Connections Plan

    Q. What medical services does Medicaid cover? A. Within certain limits, Medicaid will pay for services that are medically necessary. Examples of services that may be covered include doctor visits, medications, hospital visits, and many other medical services.

    If you have any questions about what is covered, to view a chart that shows each health plan and what they cover. You can also contact Healthy Connections toll-free at 1-888-549-0820.

    Q. How long will my Medicaid benefits remain active? A. Eligibility for most Healthy Connections programs lasts for 1 year. After 1 year, South Carolina Health and Human Services will review your case annually.

    Q. I was enrolled in S.C. Healthy Connections Choices and now am told I must choose between health plans. What should I do? A. The Healthy Connections Choices website offers comprehensive information on its health plans. Members may utilize a Quick Start Guide, search for doctors, compare plans, and more. Please visit S.C. Healthy Connections Choices for more information.

    Q. Do I need to tell South Carolina Healthy Connections when I move or change jobs? A. Yes. If you have any changes to your income, resources, living arrangements, address or anything else that might affect your eligibility you must report these changes to Healthy Connections right away at 1-888-549-0820.

    Q. What if my Medicaid card is lost or stolen? A. Report a lost or stolen card to Healthy Connections immediately at 1-888-549-0820.

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    Recommended Reading: What Are The Eligibility Requirements For Medicaid In Texas

    We Put Your Family At The Center Of Care

    Our patients are important. We know that you are busy and that raising kids is difficult. So, we created The Center for Children and Women. It is a new kind of medical facility designed to put everything in one place. It offers state-of-the-art health-care services. And, its only for Texas Children’s Health Plan members.

    The Center for Children and Women offers you safe and convenient ways to see your doctor. In-person and telehealth appointments are available.

    Everything you need in one place.

    • CheckupsIf you are looking for a main doctor or need a routine check up, we have what you need.
    • Eye tests, screenings, prescriptionsYour vision is very important to our on-site eye doctors.
    • Teeth cleaning, cavitiesOur dentists offer a full range of services to keep your mouth healthy.
    • Pregnant? Be sure to start early. Visit our OB doctors to ensure the best care for you and your baby.
    • Women’s HealthWe offer gynecological health care for women at every stage of life.
    • Need lab tests? You will appreciate the convenience of our in-house labs and x-rays.
    • Need medicines? There is a pharmacy located in our facility with curbside pickup available.
    • Speech TherapyFocused, one-on-one therapy with a highly trained speech language specialist.

    Chip Does Not Cover Long

    Why Medicaid Matters to Children

    If you have a child with a disability and make too much money to get Medicaid, you might be able to get coverage through the Medicaid Buy-In for Children program. MBIC allows families of children with disabilities to make a monthly payment to get Medicaid coverage.

    Learn about other programs and services for people with disabilities.

    Also Check: What States Does Medicaid Cover Abortions

    Health Insurance Plan Information Applies To The Following Locations:

    Texas Childrens Hospital Locations

    • Texas Childrens Hospital
    • Texas Childrens Pavilion for Women
    • Texas Childrens Hospital West Campus
    • Texas Childrens Hospital The Woodlands

    Texas Children’s Health Center Locations

    • Texas Children’s Health Center – Sugar Land
    • Texas Children’s Health Center – Cy-Fair
    • Texas Children’s Health Center – Clear Lake
    • Texas Children’s Specialty Care – Upper Kirby
    • Texas Children’s Specialty Care – Kingwood Glen
    • Texas Children’s Pavilion for Women Pearland

    Community Maternal Fetal Medicine Clinic Locations

    • Community Maternal Fetal Medicine Clinic – The Woodlands
    • Community Maternal Fetal Medicine Clinic – Northwest Houston
    • Community Maternal Fetal Medicine Clinic – West Houston
    • Community Maternal Fetal Medicine Clinic – Sugar Land
    • Community Maternal Fetal Medicine Clinic – Baytown
    • Community Maternal Fetal Medicine Clinic The Methodist Hospital

    Below is a list of payers who are contracted with Texas Childrens Hospital, Texas Childrens Physician Service Organization, and Texas Childrens Anesthesiology. Please confirm Texas Childrens participation with your health plan as some benefit plans utilize narrow networks which may exclude Texas Childrens.

    Facility-based physicians bill and collect independently for their services, and may not participate in the same insurance plans as Texas Childrens Hospital. You may receive a bill from a facility-based physician for the amount unpaid by your insurance plan.

    Aetna

    Every Child And Youth Deserves A Medical Home

    Calvin CJ Sia, MD, FAAPPediatricianHonolulu, HI

    The National Resource Center for Patient/Family-Centered Medical Home is supported by the Health Resources and Services Administration of the U.S. Department of Health and Human Services as part of an award totaling $4,100,000 with no funding from nongovernmental sources. The information or content are those of the author and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS or the U.S. Government.

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    Unitedhealthcare Connected General Benefit Disclaimer

    This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected® Member Services or read the UnitedHealthcare Connected® Member Handbook. Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year.

    You can get this document for free in other formats, such as large print, braille, or audio. Call Member Services, 8 a.m. – 8 p.m., local time, Monday – Friday . The call is free.

    You can call Member Services and ask us to make a note in our system that you would like materials in Spanish, large print, braille, or audio now and in the future.

    Language Line is available for all in-network providers.

    Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. Llame al Servicios para los miembros, de 08:00 a. m. a 08:00 p. m., hora local, de lunes a viernes correo de voz disponible las 24 horas del día,/los 7 días de la semana). La llamada es gratuita.

    Puede llamar a Servicios para Miembros y pedirnos que registremos en nuestro sistema que le gustaría recibir documentos en español, en letra de imprenta grande, braille o audio, ahora y en el futuro.

    Health Plan Report Cards

    Do I Qualify?

    People across Texas shared their thoughts about their health plan, and rated them, one to five stars, on the services their plan provided. You can compare plans using the overall ratings or by looking at the services that matter the most for you and your family.

    You can view the report cards on the Managed Care Report Cards page. Click the program you are enrolled in and find your service area to see plans available to you.

    Also Check: What Is The Website To Apply For Medicaid

    How Can I Find A Top

    You can use Zocdoc to find Texas Children’s Health Plan Therapists/Counselors who are highly rated by other patients. These ratings are based on verified reviews submitted by real patients. Every time a patient completes an appointment booked on Zocdoc, theyre invited to review their experience. Each review must comply with Zocdocs guidelines.

    How Can I Make A Same

    On average, patients who use Zocdoc can search for a Therapist / Counselor who takes Texas Children’s Health Plan insurance, book an appointment, and see the Therapist / Counselor within 24 hours. Same-day appointments are often available, you can search for real-time availability of Therapists/Counselors who accept Texas Children’s Health Plan insurance and make an appointment online.

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    How Much Does Medicaid Original Medicare And Medicare Advantage Cost

    Medicaid members generally pay no premium and cost sharing is nominal, according to requirements set by the federal government. Most states dont charge Medicaid members a premium, says Garfield. And copays for services that have cost sharing are as little as $1 to $3, she adds.

    Meanwhile, costs for Original Medicare and Medicare Advantage differ. See how they compare in the table below.

    Original Medicare

    Recommended Reading: Texas Healthy Womens Medicaid Coverage

    How Much Does It Cost

    Texas removes Planned Parenthood from Medicaid program

    Children’s Medicaid is free.

    If we find your child can get Children’s Medicaid, there is no cost to receive services.

    CHIP fees vary based on your income.

    If we find your child can get CHIP, your enrollment fee and co-pays will be based on your family’s income. Enrollment fees are $50 or less per family, per year.

    Co-pays for doctor visits and medicine range from $3 to $5 for lower-income families and $20 to $35 for higher-income families.

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    What Does The Medicaid Spend Down Mean

    For those whose incomes exceed the Medicaid income limits, some states allow interested persons to spend down to become eligible for the Medicaid program. The spend down process allows potential beneficiaries to subtract their medical expenses from their income.

    Note: Find a Medicare-Medicaid plan here.

    Read Also: Can You Have Both Medicare And Medicaid

    Drug Rehab & Alcohol Treatment Center

    The Texas Childrens Health Plan collaborates with Medicaid and the Childrens Health Insurance Program to cover the costs of drug and alcohol treatment. ADAPT Programs and Brazos Place works with the Texas Childrens Health Plan to ensure that young adults and teens who are registered in Medicaid can receive comprehensive treatment for substance use disorders and mental health problems.

    The best way to find what services you are eligible for under our award-winning drug rehab programs is to give our staff a call today. We will work with you to help you understand what programs and services are best for your needs, and what costs Texas Childrens Health Plan could cover for your needs.

    Give our dedicated and experienced advisers a call today at .

    Without needing prior authority your Texas Childrens Health Plan dependency treatment insurance, ADAPT Programs and Brazos Place may be able to work with your insurance provider to cover the following outpatient drug rehab services: counseling, drug and alcohol detox, dependency and medical evaluations, and drug assisted therapy.

    Pre-authorization is needed, and our professional counselors will work with you and your insurance provider to find the best solutions for your needs.

    The easiest way to know the details of whats insured would be to call our healing specialists at . We will work with Texas Childrens Health Plan dependency treatment insurance representatives to optimize the coverage that is available for you.

    Also Check: Can You Receive Both Medicare And Medicaid

    Unitedhealthcare Dual Complete Plans

    Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. This information is not a complete description of benefits. Call TTY 711 for more information. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

    How To Choose A Health Plan

    Everything you Need to Know About Texas Medicaid

    When picking a plan, think about the following:

    • Are doctors you already use and like covered by the plan?
    • How is the plan rated on issues that are important to you and your family?
    • What value-added services are available through the plan?

    We also provide tools to help you choose the best plan for you and your family.

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    Do You Need More Help

    If you arent sure if your Medicaid coverage has been approved yet or if it is still active, you can check Manage My Case or call the states Automated Voice Recognition System at 1-855-828-4995 with your Recipient Identification Number .

    If you have an urgent medical need and need Medicaid quickly, call the DHS Helpline at 1-800-843-6150.

    Recommended Reading: Pediatric Dental Office That Accept Medicaid

    What Medicaid Helps Pay For

    If you have Medicare and qualify for full Medicaid coverage:

  • Youll automatically get Extra Help with your drug costs. Learn more about Extra Help.
  • Medicaid may pay for other drugs and services that Medicare doesnt cover.
  • You May Like: Texas Chip Medicaid Application Form

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    Find Out What Medicare Plan May Fit Your Needs

    Did you know that you could potentially find a Medicare Advantage plan with $0 premiums, $0 deductibles and an annual out-of-pocket spending max?

    $0 premium plans may not be available in all locations, so it may be helpful to speak with a licensed insurance agent who can help you compare plans where you live.

    Or call 1-800-557-6059TTY Users: 711 to speak with a licensed insurance agent. We accept calls 24/7!

    About the author

    Christian Worstell is a senior Medicare and health insurance writer with MedicareAdvantage.com. He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles hes written, helping Americans better understand their health insurance and Medicare coverage.

    Christians work as a Medicare expert has appeared in several top-tier and trade news outlets including Forbes, MarketWatch, WebMD and Yahoo! Finance.

    Christian has written hundreds of articles for MedicareAvantage.com that teach Medicare beneficiaries the best practices for navigating Medicare. His articles are read by thousands of older Americans each month. By better understanding their health care coverage, readers may hopefully learn how to limit their out-of-pocket Medicare spending and access quality medical care.

    A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelors degree in journalism.

    Medicare has neither reviewed nor endorsed this information.

    How Do I Sign Up As A Driver

    Texas Children’s Health Plan TV Commercial (2016)

    To sign up as a driver, the following information must be submitted using the Driver Registration Form:

    • The drivers contact information, including email and phone
    • A copy of the drivers valid drivers license
    • A copy of the vehicles insurance
    • The drivers bank information for payment

    If the driver has a smartphone, the camera can be used to upload the drivers license and vehicle documents.

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