Texas STAR Plan

What is Medicaid?

It is the State of Texas Access Reform (STAR) Managed Care Program (Medicaid). Sendero provides both Children’s Medicaid and Medicaid for Pregnant Women. These programs are at no cost to U.S. residents who cannot afford health insurance.

How does Medicaid work?

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

Children’s Medicaid

Income determines eligibility. That income level is different based on age and Medicaid program. Children’s Medicaid covers a child up through the month of his or her 21st birthday.

Medicaid for Pregnant Women

Medicaid for Pregnant Women covers a childbearing woman of any age. Members must be at 185% or lower of the Federal Poverty Level (FPL). Members must recertify every year.

What Services Does Medicaid Cover?

Medicaid 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

Call STAR toll free at 1-800-964-2777, M –F 8 AM – 6 PM (for hearing impaired (TTY): 1-866-222-4306) to get information on how to select your medical plan and your or your child’s Primary Care Provider (PCP). Customer service representatives are available to explain how STAR Medicaid works, who must enroll, services offered by STAR, extra services offered by STAR Medical Plans and more.