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Your Texas Benefits Medicaid Card

The Your Texas Benefits Medicaid card is your Medicaid ID card. Take it with you whenever you go to the doctor, dentist, or drug store. Protect it the way you would your driver’s license or credit card. If you lost your card or it got damaged, you can order a new one by calling 1-855-827-3748. That’s a toll-free call.

To learn more about the Your Texas Benefits Medicaid card, look at the questions and answers we have posted.


Lone Star Card

HHSC gives SNAP food benefits and TANF cash help payments through the Lone Star Card. It is a plastic card that is used like a debit card to pay for items.

If your card is lost or stolen, or if you forgot your PIN (password), call us as soon as you can 1-800-777-7328 (toll-free).

To learn more, go to the Lone Star Card Questions and Answers page.


Find a Doctor

You can use our search tool to find a doctor who gives Medicaid services. There are two types of searches — the Basic Search and the Advanced Search. The Advanced Search gives you more options to help you narrow your search. For example, you can look up a doctor by the language they speak, find doctors who work on the weekends and find a doctor that will see someone your age.

The Basic Search, Advanced Search and text in Spanish options will be on the top of these web pages: Start your search


Find a Drug Store

You can use our search tools to find a drug store that takes Medicaid or CHIP.

Find drug stores that deliver.

Find drug stores that take Children's Medicaid and CHIP.

Find drug stores that take Medicaid for adults.

Remember: Try to use one drug store at the same location to get all of your prescriptions.

Need medical supplies? You can get some supplies like insulin syringes and inhalers at drug stores that take Medicaid. [Learn more]

Does your child or youth need vitamins or minerals? Medicaid will cover the costs if you have a written doctor’s order (a prescription). You now can go to any Medicaid drug store to get them.

Do you know how often you can refill your drugs? Some drugs must be used by 90 percent before you can get a refill. For all other drugs, you must use 75 percent before refilling. If it looks like you will run out of your drugs sooner, talk to your doctor or pharmacist. If you have questions, call 1-800-335-8957. When you call, pick a language and then press 6. Ask to talk with a regional pharmacist. [List of drugs that must be used by 90 percent before refilling]


MyChildrensMedicaid.org

Need to know more about your child’s Medicaid benefits? Do you have questions about Texas Health Steps? MyChildrensMedicaid.org is your online source for facts about Children’s Medicaid and the checkups and services your child gets through Texas Health Steps.


How to Pay CHIP Enrollment Fee

Pay Online
You may pay a Children's Health Insurance Program (CHIP) enrollment fee online with a credit card. There is a $2 charge to pay online.

Pay by Mail
If you would like to pay by check or money order, you can send your payment to:

CHIP
PO Box 660287
Dallas, TX 75266-9792

To learn more about CHIP, visit the CHIP and Children's Medicaid website.


Repay Benefits Online

If the Texas Health and Human Services Commission (HHSC) sent you a letter saying you need to repay part of your benefits, you can do that online: HHSC online payment system.


Health Insurance Premium Payment

The Health Insurance Premium Payment program (HIPP) is a Medicaid program that helps families pay for private health insurance. This program is for families who have:

  • A parent or a spouse with private health insurance.
  • AND

  • A child or a spouse with Medicaid.

Medicaid will pay the family's private health insurance if the total cost of that insurance is less than the total cost of care with Medicaid. The total cost of the private insurance includes the premium, coinsurance and deductibles.

If approved, Medicaid may pay the private health insurance costs for the entire family and not just for the family members who get Medicaid. The family will get services through the private health insurance plan.

To learn more or to apply, visit the Get HIPP Texas website or call us toll-free at 1-800-440-0493. You also can ask us to send you an application. Write to the Texas Health and Human Services Commission, TMHP-HIPP, PO Box 201120; Austin, Texas 78720-1120.


How to Get a Ride to the Doctor, Dentist, or Drug Store

If you need a ride to the doctor or dentist’s office, hospital, drug store or any place you get Medicaid services, call us toll-free: 
Live in the Houston / Beaumont area? Call 1-855-687-4786.
Live in the Dallas area? Call 1-855-687-3255.
Everyone else can call 1-877-633-8747 (1-877-MED-TRIP).
To get a ride, you or your child must be on Medicaid or be in the Children with Special Health Care Needs program. You also must not have any other way to get to the doctor or drug store.
Before you call for a ride you must have already set up a time to see a doctor. To get a ride:

  1. Call us at least 2 work days or more before you need a ride. If you will need to travel a long way out of town to see your doctor, call us at least 5 work days before you need a ride. If you need a ride the same day you call us, we will do everything we can to help, but we can’t promise we will be able to get you a ride.

  2. Tell us your Medicaid ID, Children with Special Health Care Needs program number or your Social Security number.

  3. Tell us the address where we will pick you up. If there is a phone number at the place we are picking you up, we need that too.

  4. Tell us the name, address and phone number of the doctor or drug store where you need to go.

  5. Tell us the date and time of your doctor’s visit.

  6. Tell us if you or your children have any special needs so we can send the right type of vehicle. For example, for people who use a wheelchair, we can send a van with a wheelchair ramp.

[Read Frequently Asked Questions about Getting a Ride]


Share Facts About Your Health

To help improve the quality of care you get through Medicaid, HHSC has created a secure online network that will allow your doctors to see your Medicaid health records quickly and safely. Only approved Medicaid doctors and other providers like nurses and clinics will be able to see your records through this network.

Sharing facts about your health through an online network is:

  • More secure than mailing or faxing your records.
  • A faster way to share your health history and records with your doctors.

[Answers to Questions: Sharing Facts about your health]


Texas Medicaid Wellness Program

The Texas Medicaid Wellness Program is a special health program for people who get Medicaid and have long-lasting or serious health conditions. These conditions can include asthma, diabetes, congestive heart failure, coronary artery disease, chronic obstructive pulmonary disease (COPD), and others.

People in this program can get help anytime of day or night with:

  • Getting an answer to a health question.

  • Finding a main doctor.

  • Managing their health between doctor visits.

  • Learning more about their health conditions.

  • Knowing how to take their medicines.

  • Picking the best medical care for their health.

Learn more about the Wellness Program.


Different Types of Medicaid: STAR, STAR+PLUS, STAR Health, and traditional Medicaid

In Texas, there are 4 different types of Medicaid: STAR, STAR+PLUS, STAR Health, and traditional Medicaid. The type of Medicaid coverage a person gets depends on where the person lives and what kind of health issues the person has.

If you don't know what type of Medicaid you have, call toll-free 1-800-964-2777.


Traditional Medicaid

You get traditional Medicaid if you are not in STAR, STAR+PLUS, or STAR Health.
Member Handbook - English | Member Handbook - Spanish

STAR

You can find the STAR health plans in your area by using the Find Your Medical Plan search tool. You can see how well some STAR health plans perform by looking at the STAR health plan report cards.

STAR+PLUS

You can find the STAR+PLUS health plans in your area by using the Find Your Medical Plan search tool. You can see how well some STAR+PLUS health plans perform by looking at the STAR+PLUS health plan report cards.

STAR Health

Children's Health Insurance Program (CHIP) Health Plans

Children in CHIP get services through a medical plan in their area. Some CHIP plans also offer services to mothers who are pregnant. This is called CHIP perinatal coverage.

You can find the CHIP health plans in your area by using the Find Your Medical Plan search tool. You can see how well some CHIP health plans perform by looking at the CHIP health plan report cards.

CHIP and Children’s Medicaid Dental Services

Most children and teens with CHIP or Children's Medicaid coverage get their dental services through a managed care dental plan. There are two dental plans to choose from. 

Those with Medicaid who do not get their dental services through one of those two plans include:

  • People with Medicaid age 21 and older.

  • All people with Medicaid, regardless of their age, who live in facilities such as nursing homes, state supported living centers, or community-based Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IID).

  • Children and young adults in the state’s foster care program who get their dental services through STAR Health.

CHIP Dental Plans

Children’s Medicaid Dental Plans

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