Texas – CHIP - Member Information

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Children's Health Insurance Program (CHIP)

Member Information

Toll-Free Telephone Numbers

 

Member Services

(8 a.m. to 8 p.m. Monday through Friday  
1-888-887-9003 TDD/TTY (for hearing impaired  711)

• After hours, please contact NurseLine.
• Se Habla Español.
• Interpreter services available.
• How to access covered services.

Behavioral Health and Substance Abuse Services

(for CHIP members and CHIP Perinate Newborn members)

Optum Behavioral Health

1-888-887-9003

• Available 24 hours, 7 days a week.
• Interpreter services available.
• Authorizations, referrals and benefit verification.
• Se Habla Español.

24/7 NurseLine

Available 24 hours a day, 7 days a week  
1-800-850-1267
If you have an emergency or a crisis, call 911.

Dental Care

(for CHIP members and CHIP Perinate Newborn members)
DentaQuest
1-800-508-6775
MCNA Dental  
1-855-691-6262

Texas CHIP Program Helpline    
1-800-647-6558

Texas Health and Human Services Commission
1-800-252-8263

Vision Care  
1-888-887-9003 (for CHIP members and CHIP Perinate Newborn members)

Prescription Drugs
1-888-887-9003

Medicaid Fraud Notice from Health and Human Services Commission (HHSC)

Important notice about Medicaid Fraud: English (PDF 217.82 KB) | Espanol (PDF 218.46 KB)

Chip Premiums and Cost Sharing
TX-CHIP-Cost-Sharing-Pg3
TX-CHIP-Cost-Sharing-Pg4
Zika Help - Mosquito Repellent Is Now a Benefit

Texas Medicaid now covers certain mosquito repellent products as a Medicaid benefit for the prevention of Zika virus. Learn more about the details of coverage. (PDF 300.01 KB)

National Flu Campaign Questions and Answers

National Flu Campaign Questions and Answers: English (PDF 60.85 KB) | Español (PDF 69.53 KB) 

Just for Teens

Just for Teens (PDF 5.1 MB) 

Member Handbook

Member Handbook (PDF 777.01 KB) (English)
Member Handbook (PDF 820.16 KB) (Español)

Member Newsletters
Member Newsletters 2016 - Current

2019

Spring 2019 English (PDF 490.86 KB)
Spring 2019 Español (PDF 466.87 KB)

Winter 2019 English (PDF 431.68 KB)
Winter 2019 Español (PDF 432.46 KB)

2018

Fall 2018 English (PDF 489.14 KB)
Fall 2018 Español (PDF 465.93 KB)

Summer 2018 English (PDF 440.83 KB)
Summer 2018 Español (PDF 417.99 KB)

Spring 2018 English (PDF 659.28 KB)
Spring 2018 Español (PDF 619.32 KB)

2017

Fall 2017 English (PDF 473.79 KB)
Fall 2017 Español (PDF 423.53 KB)

2016

Spring 2016 English (PDF 516 KB)
Spring 2016 Español (PDF 525.05 KB)

Member Newsletters Prior to 2016

2015

Fall 2015 English (PDF 2 MB)
Fall 2015 Español (PDF 522.5 KB)

Summer 2015 English (PDF 647.8 KB)
Summer 2015 Español (PDF 639.99 KB)

Spring 2015 English (PDF 615.75 KB)
Spring 2015 Español (PDF 645.63 KB)

Winter 2015 English (PDF 600.73 KB)
Winter 2015 Español (PDF 684.53 KB)

2014

Fall 2014 English (PDF 2.39 MB)
Fall 2014 Español (PDF 2.45 MB)

Summer 2014 English (PDF 683.16 KB)
Summer 2014 Español (PDF 682.54 KB)

Spring 2014 Issue (English) (PDF 818.91 KB)
Spring 2014 Issue (Español) (PDF 805.29 KB)

Winter 2014 Issue (English) (PDF 1.13 MB)
Winter 2014 Issue (Español) (PDF 1.17 MB)

2013

Fall 2013 Issue (English) (PDF 728.77 KB)
Fall 2013 Issue (Español) (PDF 714.21 KB)

Summer 2013 Issue (English) (PDF 791.43 KB)
Summer 2013 Issue (Español) (PDF 993.49 KB)

Spring 2013 Issue (English) (PDF 845.57 KB)
Spring 2013 Issue (Español) (PDF 922.4 KB)

Winter 2013 (English) (PDF 571.29 KB)
Winter 2013 (Español) (PDF 585.19 KB)

Member Advisory Committee Meetings

Children's Health Insurance Program (CHIP) Advisory Committee Meetings (PDF 77.25 KB)

Time to See Your Doctor?

It’s important to get medical care when you need it. Call your doctor’s office to make an appointment. Tell them the reason for the visit. This will help them make the appointment within the right time frame.

Download our Access to Care document in English  (PDF 72.37 KB)and Español (PDF 71.53 KB)

Questions?

Ready to get started?

Call Us:
1-888-887-9003
TTY: 711

Monday - Friday
8 a.m. - 8 p.m. local time

Lookup Tools

Doctor Lookup

Search for doctors, hospitals and specialists.

Download Directories
Harris Area (PDF 11.45 MB)
Jefferson Area (PDF 8.36 MB)
Nueces Area (PDF 8.4 MB)
View Drug List

Find medications covered by this plan.

Pharmacy Lookup

Find a pharmacy near you.

Member Information

Member Website

Already a member? You have access to our member-only website. Print ID cards, chat with a nurse online, and more.

Member Handbook
English (PDF 777.01 KB)
Spanish (PDF 820.16 KB)

More Resources

Member Page

View more news, updates and resources for members.

Member Handbook
English (PDF 777.01 KB)
Spanish (PDF 820.16 KB)

Learn More

Children's Health Insurance Program (CHIP)

 

 

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Disclaimer Information

Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.

UnitedHealthcare Dual Complete Plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. This information is not a complete description of benefits. Call 1-800-905-8671 TTY 711 for more information. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.  

Nurseline Disclaimer

This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your doctor's care. Your health information is kept confidential in accordance with the law. The service is not an insurance program and may be discontinued at any time.

UnitedHealthcare Connected™ for MyCare Ohio (Medicare-Medicaid Plan)

UnitedHealthcare Connected for MyCare Ohio (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. If you have any problem reading or understanding this or any other UnitedHealthcare Connected for MyCare Ohio (Medicare-Medicaid Plan) information, please contact our Member Services at 1-877-542-9236 (TTY 711) from 7 a.m. to 8 p.m. Monday through Friday (voice mail available 24 hours a day/7 days a week) for help at no cost to you.

Si tiene problemas para leer o comprender esta o cualquier otra documentación de UnitedHealthcare® Connected™ de MyCare Ohio (plan Medicare-Medicaid), comuníquese con nuestro Departamento de Servicio al Cliente para obtener información adicional sin costo para usted al 1-877-542-9236 (TTY 711) de lunes a viernes de 7 a.m. a 8 p.m. (correo de voz disponible las 24 horas del día, los 7 días de la semana).

UnitedHealthcare Connected™ (Medicare-Medicaid Plan)

UnitedHealthcare Connected (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees.

UnitedHealthcare Connected Benefit Disclaimer

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected Member Services or read the UnitedHealthcare Connected Member Handbook. Benefits and/or copayments may change on January 1 of each year.

UnitedHealthcare Senior Care Options (HMO SNP) Plan

UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCO program.

Availability of Non-English Disclaimer

ATTENTION: If you speak [insert language], language assistance services, free of charge, are available to you. Call 1-800-905-8671 TTY 711.  

ATENCIÓN: Si habla [ingrese el idioma], hay servicios de asistencia lingüística disponibles para usted y que no tienen cargo. Llame al 1-800-905-8671 TTY 711.

Star Ratings Disclaimer

Medicare evaluates plans based on a 5-Star rating system. 

Formularies

The formulary, pharmacy network and provider network may change at any time. You will receive notice when necessary.

NCQA

UnitedHealthcare Connected has a Model of Care approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) unitl 2017 based on a review of UnitedHealthcare Connected’s Model of Care.

Important Provider Information

The Choice is Yours

We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.

The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.

Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.

Out-of-network/non- contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.

American Disabilities Act Notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Referrals

Network providers help you and your covered family members get the care needed. Access to specialists may be coordinated by your primary care physician.

Paper Directory Requests

Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.

Inaccurate Information

To report incorrect information, email provider_directory_invalid_issues@uhc.com. This email box is for members to report potential inaccuracies for demographic (address, phone, etc.) information in the online or paper directories. Reporting issues via this mail box will result in an outreach to the provider’s office to verify all directory demographic data, which can take approximately 30 days. Individuals can also report potential inaccuracies via phone. UHC Members should call the number on the back of their ID card, and non-UHC members can call 888-638-6613 TTY 711.

© 2019 UnitedHealthcare Services, Inc. All rights reserved.
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Last Updated: Fri Mar 15 12:15:27 CDT 2019