Children's Health Insurance Program (CHIP)

Children's Health Plan (CHIP)

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.

Need help finding a provider or setting up a visit?

Call Member Services at 1-888-887-9003, TTY 7-1-1, Monday-Friday 8 a.m.-8 p.m. or email to get help finding a provider or setting up a visit.

Dagiti Benepisyo ken Paset ti Plano

Taripato para ti Nakaradkad ken Agsakit

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

  • Dagiti agas. 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.

Awan ti napatpateg ngem nu di ti salun-at ken karadkadyo nga agina. That's why our CHIP benefits for pregnant moms include:

  • Panagbisita sakbay nga aganak. Taripato para kenka sakbay nga aganak ka.
  • Choose a Birth Center. Deliver at your choice of hundreds of hospitals across Texas.
  • Dagiti Umuna a Nasalun-at nga Addang®. Ti kanayonan a suporta para kenka ken ti maladagam tapno agtalinaed kayo a nasalun-at.
  • 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. Dagiti benepisyo ket kairamanan ti:

  • Case Manager. Personal support from an experienced professional.
  • Asthma Care. Exams, testing and supplies are covered.
  • Salun-at ti Panunot. 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. Dagiti benepisyo ket kairamanan ti:

  • Personal Care. Someone to help you with your child's in-home care.
  • Makinarya ken dagiti Suplay. Your child's in-home medical safety equipment is covered.

Sometimes you might need a little extra help using your child’s health plan. Kadagidiay a tiempo, mabalin a mangnamnama ka kadakami:

  • Transportasyon. We pay for rides to and from medical visits or the pharmacy.
  • Interpreters. Interpreters can be at children's medical visits.
  • Tulong para ti Lenggwahe. Translated medical materials are available at no cost.
  • Dagiti Serbisyo para ti Kameng. 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.
  • Panangkontrol ti Dagsen ti Bagi. 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.

Panangimaton iti Kaso

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.

Ti Panagpili ti 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 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:

  • Managlapped a taripato.
  • Treatment for injuries or sickness.
  • Kadagiti reperal kadagiti espesyalista para ti maipadung nga kondisyon.

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. Ta iti kastoy ket masanay ka iti dayta. And you'll be more relaxed when you deliver your baby.

Pannakaaywan ti Ngipen

Checkups, routine 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.

Makinarya ken dagiti Suplay

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

Sakupen ti planomi dagiti medikal a ramit nga ibilin ti doktor ti anakmo wenno ti mangimatmaton iti kasom. Mairaman ditoy ti:

  • 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.

Umuna nga Addang wenno Healthy First Steps®

Mabalin met a makaawat ka ti tulong manipud ken ni nanang mo, dagiti ikit mo, kakabsat mo a babbai ken dagiti gagayyem mo a babbai. Nupay kasta, tunggal panagsikog ket sabali. Daytoy a programa ket suportarannaka bayat ti panagsikog mo.

Tulongan mi sika:

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

Dagiti Gunggona iti Salun-at

Ti maysa nga onsa ti panangliklik ket kas kapateg ti maysa a libra ti panagagas. Adda pay kaibatoganna a napipintas a gunggona.

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


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

Mairaman ditoy ti:

  • Ti Nursing care.
  • Ti kwarto ken makan.
  • Dagiti suplay ken makinarya.
  • Panagagas ken dagiti therapy.
  • Dagiti eksamen a diagnostic.

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.

Dagiti mangipatarus ti pagsasao

Your child's doctor and you need to understand each other. Narigat daytoy no saanka a makasao ti Ingles a nalaing. 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 ti Lenggwahe

You can ask to receive information in another language. Then anything we will write to you will only be in that language. Maipaay daytoy nga awan bayadna.

Dagiti Agas

Palakaenmi ti panangala iti agas ti anakmo.

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.

Masakupan mi pay dagiti agas a magatang nga awan reseta na ngem addaan nakasurat nga ballakad ti doktor mo.

Dagiti Serbisyo para ti Kameng

No dadduma mabalin a masapulmo ti bassit a tulong tapno maawatam dagiti pagpilian para iti pannakataripato ti salun-atmo. With us, you have someone you can call 24/7. We’ll answer your questions simply and completely.

Mabalin mi pay sika a tulongan a mangsapul:

  • Mangipapaay pannaripato iti pagtaengan.
  • Dentists and vision providers.
  • Adult day health centers.

Salun-at ti Panagpampanunot

Ti salun-at ti panunot ket kas kapateg ti salun-at a pisikal. That's why we have the same coverage for both.

Required care is covered. Mairaman ditoy ti:

  • Therapy ti Tig-tignay.
  • Panagagas iti panagabuso ti droga.

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. Makaalaka:

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


Dagiti medikal a saludsod ken sitwasyon ket sumangbay kadagiti tiempo a saan mo a namnamaen. 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:

  • Agdengngeg kadagiti sintomas.
  • Guide you on caring for your child.
  • Balakadan naka maipapan ti panangalam ti taripato iti panagbisitam iti doktor mo wenno iti urgent care center.
  • Suggest you go right to the emergency department.

Panagbisita Sakbay ti Panaganak.

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

Amin dagiti nairekomendar a klinikal a panagbisita ti masikog ken eksamen ket sakupen ti planomi.

Kadagitoy a panagbisita, ti klinika ket:

  • Make sure both you and your baby are healthy.
  • Ipalawag nu ania ti namnamaem kada lebel ti panagsikog mo.
  • Sungbatan dagiti saludsod mo.

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.

Panangisardeng ti Panagsigarilyo

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.


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.

Taripato ti Panagkita

Your child will get the care, eyeglasses and treatment to see life more clearly. Coverage includes $105 each year toward frames or contact lenses.

This benefit is offered by certain stores and retailers.

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.

Dagiti Pamuspusan ti Kameng

Kitaen dagiti Mabalin a Mausar a Pamuspusan

Ammoen ti Ad-adu pay

Children's Health Insurance Program (CHIP)

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