What does it cover?

CHIP and Children's Medicaid both offer a lot of benefits:

  • Choice of doctors.
  • Regular checkups and office visits.
  • Dentist visits, cleanings and fillings.
  • Prescription drugs and medical supplies.
  • Access to medical specialists.
  • Vaccines.
  • Hospital care and services.
  • X-rays and lab tests.
  • Mental health care.
  • Treatment of special health needs.
  • Treatment of pre-existing conditions.
  • Eye exams and glasses.

Families who get CHIP benefits can call their health plan for more details about services. To learn more about Children’s Medicaid benefits, call the CHIP/Children's Medicaid Help Line at 1-800-252-8263. Select your language, then push 6.

CHIP Perinatal

Texas residents who are pregnant, uninsured and not able to get Medicaid may be able to get CHIP perinatal benefits. Coverage starts before the child is born and lasts 12 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 checkups, vaccines and prescriptions for the baby.
  • View the full list of benefits.