Texas CHIP Plan

What is CHIP?

CHIP is a health insurance plan for children under the age of 19. It is for families who:

Earn too much money to qualify for Texas Medicaid programs and cannot afford to buy private insurance

How does CHIP work?

Members choose an HMO and a Primary Care Provider to give them all of their primary care services. This includes coordinating referrals for all medically-necessary specialty services.

Families who make between 100% and 200% of the Federal Poverty Level (FPL) may be eligible to participate in CHIP. Annual enrollment fees are $50 or less per family. Most co-payments for doctor visits and prescription drugs are $16 or less.

What services does CHIP cover?

CHIP Members get medical care that includes:

  1. Hospital care
  2. Surgery
  3. X-rays
  4. Physical/speech/occupational therapies
  5. Prescription drugs
  6. Emergency services
  7. Transplants
  8. Regular health checkups and immunizations

What does CHIP care cost?

If 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 prescriptions range from $3 - $5 for lower income families and $20 - $35 for higher income families. You can also click here to see your costs.

CHIP Perinatal Plan

Are you pregnant? Do you need coverage for your unborn baby? Learn more about the CHIP Perinatal plan.