Health care coverage for Texas children (2024)

FAQs

Health care coverage for Texas children? ›

Children in Texas might be able to get low-cost or free health coverage through Children's Medicaid or the Children's Health Insurance Program. Children's Medicaid is a health care program for children in low-income families.

CHIP: Sign-up fees range from $0 - $50 a year for all the children in the family. Co-pays are based on the service and range from $3 - $25. Co-pays vary based on the family's income.

Texas Children's Health Plan offers no-cost health coverage for children and young adults under the age of 21 with disabilities who cannot afford health insurance.

Children in Texas might be able to get low cost or free health coverage from Children's Medicaid or from the Children's Health Insurance Program (CHIP). Both programs cover doctor visits, prescription drugs, dental care, eye exams, glasses, and more.

Who can get Obamacare in Texas? Eligibility for Obamacare in Texas is fairly far-reaching. You need to live in the United States (the ACA is basically nation-wide) and be a U.S. citizen, national, or legal resident. You can't be in prison and get Obamacare; you'll have to wait until you're released.

Texas Children's Health Plan was founded in 1996 by Texas Children's Hospital. We are the nation's first health maintenance organization (HMO) created just for children. We cover kids, teens, pregnant women, and adults.

How much does health insurance cost in Texas? Health insurance in Texas costs an average of $584 per month for a Silver plan and $519 per month for a Gold plan in 2024.

What are the two types of Medicaid in Texas? ›

To get Medicaid or CHIP, a child must be age 18 and younger (in some cases children with disabilities age 19 and 20 can get Medicaid).

1) Go to the tmhp.com. 2) Select Eligibility Quick Check from the Resources drop-down menu. 3) You must complete two of the following fields: Patient Control Number (PCN), also known as the Medicaid number, Date of Birth (DOB), Social Security Number (SSN), or Last Name.

Texas Children's Health Plan is responsible for providing a benefit package to STAR Kids Members that includes all medically necessary services covered under the traditional, fee-for-service Medicaid programs, except for Non-capitated Services provided to Medicaid Members outside of the health plan's capitation.

You can stay on a parent's plan until you turn 26

Once you're on a parent's job-based plan, in most cases you can stay on it until you turn 26. Generally, you can join a parent's plan and stay on until you turn 26 even if you: Get married.

STAR Kids is a Texas Medicaid managed care program that provides Medicaid benefits to children and adults 20 and younger who have disabilities.

The parent ordered to pay child support (the “obligor”) usually also provides medical and dental support. Each parent usually has to pay 50% of uninsured or out-of-pocket medical expenses. The obligor only has to pay for the “reasonable cost” of insurance coverage.

To be eligible for the PHC program, Texas residents must be 21+ years old and require assistance to perform at least one of the activities of daily living, such as bathing, grooming, eating, or toileting. Their functional limitation must result from a medical condition and must be documented by a medical professional.