Texas CHIP Plan
Sendero participates in the Children's Health Insurance Program (CHIP), including CHIP Perinatal (CHIP-P). CHIP is a health insurance plan for
children under the age of 19 and is designed for families who earn too much money to qualify for Texas Medicaid programs, yet cannot afford to buy
private insurance. CHIP-P provides prenatal care for the unborn children of low-income women who do not qualify for Medicaid.
Texas STAR Plan
Sendero participates in the State of Texas Access Reform (STAR) Managed Care Program (Medicaid). As a part of 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.
Member Services 1-844-872-0537, M – F 8 AM – 5 PM.
Use the hospital emergency room only for emergencies.
If there is an emergency or crisis, go to the ER or call 9-1-1.
Please feel free to call or write us if you have any questions. We have special services for people who have trouble reading, hearing, seeing, or speak a language other than English or Spanish. If you need information in a different language, in audio form, larger print, or Braille, let us know and we will get it to you. Just call Sendero Member Services at 1-844-872-0537 as soon as possible. Sendero will give these materials to you at no cost.
Order or Replace your Sendero Health Plans ID Card Call Sendero’s Member Services Department at 1-844-872-0537 anytime Monday through Friday 8- 5 pm, and request a new identification card. We will mail you your new identification card the next day.
Prescription, Vision, and Dental Benefits Information
To lookup a specific drug click here.
24-Hour Nurse Help Line
How can I Access Behavioral Health or Substance Abuse Services?
Beacon Health Options
If you need to speak to a Customer Service Representatives to about your benefits, how to get care, or any other questions or concerns. We have bilingual Customer Service Representatives that can help you. Our Customer Service Representatives speak English and Spanish. We also offer over the phone interpreters in other languages. When you call us, you can ask to talk to someone in the language you speak. The services are free. If you need help with your benefits or have questions on how to get care or services please call us.
If you need face-to-face interpreter assistance for your doctor’s appointments, call Sendero Customer Service toll-free at 1-855-826-7388. For face-to-face services you will have to call at least 48 hours before your appointment.
How to file a Complaint
For detailed instructions click here.
How to file an Appeal
For detailed instructions click here.
Availability of Material in Alternate Formats
Information is available in English and Spanish. Call us to get an interpreter. Information can also be made available in audio, large print,
Braille or other languages, if needed.
State Fair Hearing Information
If you, as a member of the Medicaid STAR health plan, disagree with the health plan’s decision, you have the right to ask for a fair hearing. You may name someone to
represent you by writing a letter to the health plan telling them the name of the person you want to represent you. A doctor or other medical provider
may be your representative. If you want to challenge a decision made by your health plan, you or your representative must ask for the fair hearing within
90 days of the date on the health plan’s letter with the decision. If you do not ask for the fair hearing within 90 days, you may lose your right to a fair
hearing. To ask for a fair hearing, you or your representative should either send a letter to the health plan at 2028 E. Ben White Blvd., Suite 400, Austin,
TX 78741 or call 1-844-872-0537.
Member Advisory Group
Would you like to get more involved with your health plan? Sendero is looking for members to join the Member Advisory Committee. This committee will give Sendero ideas and feedback from a member’s point of view. Call us toll-free at 1-844-872-0537 to learn more.
Provider Services and Provider Relations Contact Information
Monday through Friday 8 AM - 5 PM
For more information on joining the Sendero network, please email us at email@example.com or click here to download a provider interest form.
You may also call our Network Management team at 1-855-895-0475.
Email firstname.lastname@example.org to request an in-office training by a Sendero Provider Representative. Please include in the request any special topics that you would like more information about from Sendero.