Children's Health Insurance Program

Children in Texas without health insurance may be able to get low cost or no cost health coverage from the Children’s Health Insurance Program (CHIP). El Paso Health helps you to keep your children healthy and happy.

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The CHIP Program covers office visits, prescription drugs, dental care, eye exams, glasses, and much more. Families with children with CHIP pay no more than $50 a year for health care coverage. Some families with CHIP also may need to pay co-pays for some services.

CHIP is for children ages 18 and younger who are residents of Texas.
Benefits include:

  • Checkups (well child visits)
  • Shots (Immunizations)
  • Prescription medicine
  • Specialist care
  • Hospital care (inpatient and outpatient)
  • X-rays
  • Lab tests
  • Medical supplies
  • Treatment of special health needs
  • Treatment of pre-existing conditions

 

What are co-payments? How much are they and when do I have to pay them?
Co-payments for medical services or prescription drugs are paid to the health care provider at the time of service. CHIP Perinatal members and CHIP members who are Native American or Alaskan Native are exempt from all cost-sharing obligations, including enrollment fees and co-pays. Additionally, for all CHIP Members there is no cost-sharing on benefits for well-baby and well-child services, preventive services, or pregnancy-related assistance.

Your child’s El Paso Health ID card lists the co-payments that apply to your family situation. Present your child’s ID card when you receive office visit or emergency room services or have a prescription filled.

Federal Poverty Levels Office Visit Non-Emergency ER Prescription Generic Drugs Prescription Brand Name Drugs Facility Co-pay, Inpatient (per admission) Annual co-pay Maximum
Native American’s $0 $0 $0 $0 $0 None
At or below 151% $5 $5 $0 $5 $35 5% of family’s income
Above 151% up to and including 186% $20 $75 $10 $35 $75 5% of family’s income
Above 186% up to and including 201% $25 $75 $10 $35 $125 5% of family’s income

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Well Child Visits are Key to Having a Healthy Child
Well Child visits are an important part of keeping your child healthy. These visits will make sure your child is growing right. They help find problems early, if there are any. And, as a parent, you can know what to expect as your child gets older.

If your child has El Paso Health and is between the ages of, 3-6 years old and 12-19 years of age, don’t forget to take your child’s birthday reminder card when they see their doctor for a Well-Child visit once a year.

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If you need help, please call us today!
915-532-3778 or 1-877- 532-3778