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Cold and flu season Temporada de influenza y resfriados

ALERT: Stay healthy this cold and flu season! Learn more

ALERTA: ¡Mantente sano durante esta temporada de influenza y resfriados! Más información

New Website! ¡Nuevo sitio web!

ALERT: We have made the Texas Children’s Health Plan website even easier to use! Click here to learn more.

ALERTA: ¡Ahora el sitio web de Texas Children’s Health Plan es aún más sencillo de usar! Haz clic aquí para más información.

Enfamil shortage updates Escasez de Enfamil Reguline

ALERT: Shortage of Enfamil products until October 31, 2024. Learn more.

ALERTA: Escasez de productos de Enfamil hasta el 31 de octubre de 2024. Más información.

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Annual Notice of Changes 2024-2025

In an effort to always do better for our members, every year we make updates to our Healthy Rewards Program.

The table below compares the changes to our Healthy Rewards Program that will take effect on September 1, 2024. Please note this is only a summary of changes. For a full list of the benefits and rewards, please visit www.healthyrewardsprogram.org or call Member Services at 1-866-959-2555 (STAR), 1-866-959-6555 (CHIP), or 1-800-659-5764 (STAR Kids).

Healthy Pregnancy

BenefitThis Year
September 1, 2023 - August 31 2024
Next Year
September 1, 2024 - August 31, 2025
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Portable Cribs / Playpen

Portable Crib/Playpen

Receive a portable crib that doubles as a playpen when you notify Texas Children’s Health within 14 days of giving birth.

Reward can be requested up to 15 days after the end of the eligible year. Eligible members: CHIP, STAR, and STAR Kids members who notify Texas Children’s Health Plan within 14 days of giving birth.

Timeframe to request reward changed – Members can now request a portable crib any time during the third trimester of their pregnancy. Previous timeframe was 14 days after giving birth.

Eligible members: CHIP, STAR, and STAR Kids members who notify Texas Children’s Health Plan of their pregnancy any time during their third trimester.

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Postpartum Visit Reward

Postpartum Visit Reward

 Receive a $25 reward card when you complete at least one postpartum visit within 42 days of giving birth.

Reward can be requested up to 60 days after the end of the eligible year.

Eligible members: CHIP, STAR, and STAR Kids members who complete at least one postpartum visit within 42 days of giving birth.

Timeframe to complete visit changed – Members now have 84 days to complete the postpartum visit and claim the reward. Previous timeframe was 42 days.

Eligible members: CHIP, STAR, and STAR Kids members who complete at least one postpartum visit within 84 days of giving birth.

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Flu Prevention

Flu Prevention Reward

Not available

NEW BENEFIT! 

 Receive a $25 reward card when you receive a flu vaccine during your pregnancy.  

Reward can be requested up to 30 days after the end of the eligible year. Eligible members: CHIP and STAR members who receive a flu vaccine during their pregnancy.

Health & Wellness

Benefit

This Year
September 1, 2023 - August 31 2024

Next Year
September 1, 2024 - August 31, 2025
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Vision Reward

Eyewear Support

Receive an allowance towards upgrades of $110 for framed glasses or $90 for contact lenses and contact fittings.

Eligible members: CHIP, STAR, and STAR Kids members up to 18 years old.

Name and description of the benefit changed for clarity purposes - In addition to the covered free pair of glasses each year, receive $110 to upgrade or replace your glasses or $90 towards contacts and contact fittings.

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Well-Child Checkups Reward

Well-Child Checkups Reward

  •  Receive a $50 reward card when your baby completes 3 well-child checkups by the age of 15 months.
  • Receive an additional $100 reward card when your baby completes 6 well-child checkups by the age of 15 months.

Rewards can be requested up to 30 days after the end of the eligible year. Eligible members: CHIP, STAR, and STAR Kids members up to 15 months old who complete at least 3 well-child checkups.

 Updated number of visits and extended timeframe to qualify for the reward –

  • Members now receive a $100 reward card when they complete 6 well-child checkups by the age of 15 months. Previous reward was $50 after 3 well-child checkups.
  • Members now receive an additional $50 reward card when they complete 2 more well-child checkups by the age of 30 months. Previous reward was $100 after 6 well-child checkups by 15 months.

Eligible members: CHIP, STAR, and STAR Kids members up to 30 months old who complete at least 6 well-child checkups.

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Young Adult Wellness Reward

Young Adult Wellness Visit Reward

 Receive a $25 reward card when you complete a yearly wellness visit between the ages of 18 and 21.

Rewards can be requested up to 30 days after the end of the eligible year.

Eligible members: CHIP, STAR, and STAR Kids members who complete a yearly wellness visit between the ages of 18 and 21.

 Age range changed –

Members can now get a $25 reward card when they complete a yearly wellness visit between the ages of 16 and 21. Previous age range was 18-21.

Eligible members: CHIP, STAR, and STAR Kids members who complete a yearly wellness visit between the ages of 16 and 21.

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Health Risk Assessment Reward

Health Risk Assessment Completion Reward

 Receive a $10 reward card when you fill out the Health Risk Assessment form within 90 days of becoming a member.

Reward can be claimed up to 30 days after the end of the eligible year.

Eligible members: CHIP, STAR, and STAR Kids members who enrolled within the last 90 days.

Benefit no longer available for STAR Kids members. The Screening and Assessment Instrument Completion Reward below will now be available for STAR kids.

Eligible members: CHIP and STAR members who enrolled within the last 90 days.

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SAI Reward

Screening and Assessment Instrument (SAI) Completion Reward

Not available

NEW BENEFIT!

 Receive a $50 reward card when you enroll in the Case Management Program and complete the Screening and Assessment Instrument (SAI) within 90 days of becoming a member.

Reward can be requested up to 90 days after the end of the eligible year.

Eligible members: New STAR Kids members who enroll in the Case Management Program and complete the Screening and Assessment Instrument (SAI) within 90 days of enrollment.

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Asthma Education Reward

Asthma Education Reward

Not available

NEW BENEFIT!

 Receive a $25 reward If you are a member with a new high-risk asthma diagnosis who has enrolled in and completed the 90-day asthma Case Management program.

Reward can be redeemed up to 90 days after the end of the eligible year. Eligible members: CHIP, STAR, and STAR Kids members with a high-risk asthma diagnosis who enroll in and complete the 90-day asthma Case Management program.

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ADHD Followup Visit Reward

ADHD Followup Visit Reward

Not available

NEW BENEFIT!

 Receive a $25 reward card if you are a member who has been newly diagnosed with ADHD, is prescribed ADHD medication and completes a 30-day follow up visit after initial diagnosis.

Reward can be requested up to 90 days after the end of the eligible year.

Eligible members: STAR and STAR Kids members ages 6 to 12 who have been newly diagnosed with ADHD, are prescribed ADHD medication and complete a 30-day follow up visit after initial diagnosis.

Healthy Play and Exercise

Benefit

This Year
September 1, 2023 - August 31 2024

Next Year
September 1, 2024 - August 31, 2025
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Sports and School Physicals

Physical Exams for School and Sports Programs

Receive one yearly sports or school physical exam at no cost with your primary care provider.

Eligible members: CHIP, STAR, and STAR Kids members 5 to 19 years old who have completed a well-child checkup in the last 12 months.

Name of the benefit changed for clarity purposes

Extra Help for Families

Benefit

This Year
September 1, 2023 - August 31 2024

Next Year
September 1, 2024 - August 31, 2025
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24-Hour Nurse Help Line

24-Hour Help Line

Don’t feel good? Our registered nurses are available 24 hours a day, 7 days a week to offer you advice with symptoms, understand doctor’s instructions, and recommendations for treatment.

Eligible members: CHIP, STAR, and STAR Kids members.

Name of the benefit changed for clarity purposes

How to Redeem Your Rewards