What does it cover?

Both CHIP and Children's Medicaid cover a wide range of benefits including:

  • Choice of doctors
  • Regular check-ups and office visits
  • Prescription drugs and medical supplies
  • Dentist visits, cleanings and fillings
  • Access to medical specialists
  • Shots and immunizations
  • Hospital care and services
  • X-rays and lab tests
  • Mental health care
  • Coverage for special health needs
  • Coverage for pre-existing conditions
  • Eye exams and glasses

Families enrolled in CHIP can call their health plan to get more details on the services available to them. For more information on benefits available through Children's Medicaid, call the Medicaid Hotline at 1-800-252-8263.

CHIP Perinatal

Texas residents who are pregnant, uninsured and not eligible for Medicaid may qualify for CHIP perinatal benefits. Coverage starts before the child is born and continues after the child’s birth. Total perinatal coverage is 12 continuous months from the date the unborn child is enrolled. Benefits include:

  • Up to 20 prenatal visits.
  • Prescription drug coverage based on the current CHIP formulary.
  • Hospital facility charges and professional services charges related to labor with delivery only. Preterm labor that does not result in a birth and false labor are not covered benefits.
  • Two postpartum visits for the mother.
  • Regular check-ups, immunizations and prescriptions for the baby.
  • A full list of covered benefits is available at http://www.hhsc.state.tx.us/chip/perinatal/index.htm.