This insurance program is designed for families who earn too
much money to qualify for Medicaid health care, yet cannot afford to buy
private insurance. The parents in some of these families have jobs that do not
offer health insurance for children. Other parents' jobs offer health
insurance, but the insurance is so expensive that families cannot afford it.
CHIP covers services such as hospital care,
surgery, x-rays, therapies, prescription drugs, mental health and substance
abuse treatment, emergency services, eye tests and glasses, dental care, and
regular health check-ups and vaccinations.
To Qualify For CHIP A Child Must Be:
-
A Texas Resident
-
A US citizen or legal permanent resident (the citizenship
or immigration status of the parents does not affect the child(ren)'s
eligibility and is not reported on the application form)
-
Under age 19
-
Be uninsured for at least 90 days (although there are
several exceptions to this requirement)
-
Living in a family that meets CHIP Income
Requirements
Call 1-800-647-6558 to ask questions about
CHIP or to apply over the phone.
About CHIP Dental Benefits
The CHIP dental benefit gives CHIP-eligible children access to
preventive and therapeutic dental care. The goal is to keep children healthy
through regular dental check-ups. United Concordia is partnering with the Texas
Health and Human Services Commission to provide dental health benefits to
children in the Texas Children's Health Insurance Program (CHIP).
CHIP dental benefits include:
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Routine teeth cleanings
-
X-rays
-
Dental check-ups
-
Sealants
-
Fillings
-
Root canals
-
Crowns
-
Extractions (tooth removal)
Only dental procedures listed in the CHIP Schedule of Dental
Services will be covered by CHIP. Children must visit a CHIP network dentist in
order to receive benefits under CHIP.
There is a dollar limit on CHIP preventive dental benefits
linked to the 12-month enrollment period: $172 for preventive services for
children ages one through 12, and $181 for children 13 through 18. One
preventive dental visit per enrollment year per child is covered by CHIP.
CHIP therapeutic dental treatment is also capped at $300 per
enrollment year. Thus, the total yearly cap on preventive and therapeutic
dental care is $472 for children age 13 and younger, and $481 for children
older than 13.
Any child enrolled in CHIP is automatically enrolled in the
CHIP dental services program and will receive a dental services ID card, a
certificate of coverage, and a dental provider directory.
Families with children enrolled in CHIP may
contact Concordia toll-free at 1-877-466-8298.
Visit
www.texcarepartnership.com for
more information about CHIP Dental Services. |
