ALERT: Stay healthy this cold and flu season! Learn more
ALERTA: ¡Mantente sano durante esta temporada de influenza y resfriados! Más información
A Quarter Century Caring for You.
Thank you for choosing Texas Children’s Health Plan!
For more than 25 years, we have kept the children and women of Texas healthy. We were founded in 1996 by Texas Children’s Hospital as the nation’s first managed care organization (MCO) created just for children. Since then, we have grown to cover more than 600,000 pregnant women, teens, and adults with special health care needs in over 50 counties of East Texas.
As a member, you will receive quality care from a wide network of doctors, specialists, and hospitals. You will also enjoy exclusive benefits and services, such as reward cards for staying on top of your health, special events, a 24-hour nurse help line, and more. We are here for you and look forward to serving you!
Get to know your coverage in three easy steps!
1. Understand your Member ID card
You and each person in your family covered by Texas Children’s Health Plan will get your own Member ID card. Always carry this card with you. If you do not have your ID card, the doctor might refuse to see you, or you may have to pay for the services you get. Do not let other people use it.
When you get your Member ID check to make sure that everything is correct:
- Your name and date of birth
- Your primary care provider’s name and phone number
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We can fix your ID card or get you a new one. Just call Member Services at:
- CHIP: 1-866-959-6555
- STAR: 1-866-959-2555
- STAR Kids: 1-800-659-5764
Your primary care provider is your main doctor. He or she will provide most of your health care, keep your medical records, know your medical history, and set up visits with specialists if you need them.
When you signed up for your benefits, you may have picked the doctor on your ID card. If you didn’t, we picked one for you. You can always change your doctor. We have more than 27,000 in our network, so you can have the choice you need. You can find a doctor that is near to where you live or work by using our online search tool.
2. Learn what’s covered under your plan
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Understand your Pregnancy Benefits
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Understand your Child Benefits
3. Set an appointment with your doctor!
The best way to get started is to visit your primary care provider. When you signed up for your benefits, you may have picked a doctor. If you didn’t, we picked one for you. This doctor will give you all of the care you need and will make sure that you get any additional, special care necessary.
You can also switch your doctor. We have more than 27,000 in our network, so you can have the choice you need. Check out our Find a Doctor tool, or if you have questions – or need a ride – give us a call.
- Have your Member ID card with you. The phone number of your doctor is listed on your Member ID card. If you need medical care the same day, call as early in the day as possible.
- Be ready to tell the doctor your health problem or the reason for your visit.
- Write down the day and time of your visit.
- If it is your first visit to this doctor, bring the name and address of your previous doctor.
- Your Member ID card.
- A list of the medicines you are taking.
- Children should bring their vaccination records.
- Take notes about the information you get from the doctor.
- Be on time for your doctor visits.
- We can help you get a ride at no cost to your visit. Call our transportation line at 346-232-4130, or toll-free at 888-401-0170 or visit our website.
- If you are late or if you can’t go to your visit, call your doctor’s office as soon as possible to cancel or change it. If you booked a ride to the visit, make sure to also cancel or change it.
Give your health the boost it needs!
Our first goal for you as a member is your good health. Click on the following links to create a full health profile and start reaching your goals.
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