We’re about more than just doctor visits. Starting September 1st, 2019, you can get these free extra benefits, designed to make a difference in your child’s life:
- myStrength™ secure website and mobile app for members ages 13 and older to help improve your child’s mental and emotional health, anytime they need it
- Earn Healthy Rewards debit card dollars to use at local stores for doing healthy activities like getting certain checkups or treatments
- Rides for you and your child to:
- Doctor visits for members with chronic illnesses
- Pregnancy, birthing, or newborn classes for pregnant members
- Woman, Infants, and Children (WIC) offices
- Member Advisory Group meetings
- Up to $50 per semester for a Boys & Girls Club basic membership where available for members ages 6 to 18
- Cellphone or smartphone with monthly minutes, data, and texts
- One sports or school physical every year for members ages 6 to 18
- Help from a nurse, day or night, to answer your health questions with our 24-hour Nurse HelpLine
- First aid kit when you complete a personal disaster plan online. Call the Member Services number on the back of your member ID card for more information.
- Personal coaching to help your child quit smoking for life, and nicotine replacement therapy for members age 18
- Taking Care of Baby and Me® program for pregnant members and new moms
- Allergy-free pillow cover for members with asthma
CHIP members who are Native American or Alaskan Native do not have any cost-sharing. This includes enrollment fees and co-pays. If you are Native American or Alaskan Native and your member ID card shows that a copay is required, please call Superior so we can send you a new card. The table below lists the CHIP copayment schedule.
You can find specific benefit details, including exclusions and limitations, in your child’s member handbook.
Chip Copay
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CHIP is free for most families with no copays or monthly premiums.
For low-cost and full-cost members, some benefits require a copayment or “copay” that you pay directly to the provider each time your children get services. If you are a low-cost or full-cost CHIP enrollee, we will notify you about your premium when we process your application.
Type of Service | Low-Cost Ucla office 365 free. | Full-Cost | |
PCP visits | $0 | $5 | $15 |
Specialist visits | $0 | $5 | $15 |
Emergency Room (waived, if admitted) | $0 | $25 | $50 |
Prescriptions (Generic/Brand) | $0 | $6/$9 | |
Mental Health/ | $0 | $0 | $0 |
If your child is in the low-cost premium category, the maximum you will pay for copays annually is five percent of your family income.
There are no PCP copays for preventive care services, including well-child visits and visits for immunizations, for members in any premium category.
Chip Copay Texas
Chip Copay Waiver
- CHIP enrollment fees and copays are based on family income. Enrollment fees are $50 or less per family, per year. Some families pay no enrollment fee. Copays for doctor visits and prescriptions range from $0 to $5 for lower-income families and $10 to $35 for higher-income families.
- CHIP Copay Provider Notice Reimbursement Rate Updates for Texas Medicaid - Effective April 1 through Remainder of COVID-19 Disaster Declaration Reimbursement Rate Updates for Procedure Code C9803 - Effective March 1, 2020 Coronavirus Testing Procedure Codes to Become Benefit.