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See what’s covered
You have many benefits and services that can help you reach your health goals. These include benefits that go beyond your standard health coverage, like:
- Rewards you can earn
- No-cost smartphone
- $25 for over-the-counter products
These extras and more are here for you. So make sure you know all about them. Just choose your plan type to learn more.
STAR is Medicaid coverage for kids, newborns, pregnant women and some families.
STAR Kids is Medicaid coverage for kids and adults ages 20 or younger who have disabilities.
CHIP offers coverage for families that earn too much money to use Medicaid, but can’t afford to buy private health insurance. CHIP Perinatal offers coverage for mothers-to-be.
Learn about key topics
Learn about key topics
These links include answers to questions about common topics, like renewing coverage, getting medications, using the Member Portal and telling us what you think about our services. Choose any topic you’d like to learn more about.
Coming soon.
Find providers and pharmacies
Get quality care and services close to home. You have a variety of providers and pharmacies to choose from. You can find providers of all kinds, from your PCP to your dentist or specialist. It’s all inside your provider directory (PDF or online). Need help finding providers, making appointments or learning about referrals? Just visit our find a provider page.
Get help in an emergency
Call 911 right away if you have a serious illness or injury. You can also use these resources when you need medical help:
24-Hour Nurse Line
Just call 1-800-556-1555 (TTY: 711).
Your ride is covered
We cover ambulance rides. Call 911 in an emergency.
Know when to get emergency care.
Use your Member Portal
Use your Member Portal
When you log in or create an account for our Member Portal, you can do so much more with your health plan, like:
- Search for or change providers
- Find your digital member ID card with the name of your primary care provider (PCP)
- Replace your lost or stolen member ID card
- Manage your plan benefits and health goals from anywhere
- Send secure messages if you have questions
- Ask for forms
- Get info about health conditions
Contact us for help
Contact us for help
You can find all the phone numbers you need on our contact us page:
- Member Services
- Behavioral health services
- 24-Hour Nurse Line
- Help lines for STAR, STAR Kids and CHIP
- Enrollment broker for STAR (Medicaid) or CHIP
- Pharmacy benefits, mail-order medicine and specialty medicine
- Vision and dental care
- Rides (non-emergency medical transportation or NEMT services)
Find helpful resources
Member handbook
You can get a printed copy of your member handbook in English or Spanish at no charge. We’ll send it to you within five days of your request. Just contact us. Or visit the materials and forms page to download the handbook.
Help in your neighborhood
Need help finding resources in your community and beyond? We can help.
Get help with key concerns
Need to file an appeal on a coverage decision? Or get materials in another language? We’re here for you. Just choose the topic that applies to your needs.
You can change your PCP through your Member Portal. Or just contact us.
You can also learn more about choosing a PCP.
Just contact us. Call the number based on your plan and service area. Or log in to your Member Portal. We’ll mail you a new ID card.
You don't need a referral for any services. But some types of care need PA, or approval, before you get them.
A complaint is when you’re unhappy with the quality of care or service you received. You file an appeal when you want us to review and change a decision we made about your coverage.
You can learn about what to do if you have a complaint or want to appeal a decision we made. As part of this process, you can find info about things like:
- Complaints and appeals
- Complaint panels
- State fair hearings
- Independent reviews
Get more info about how we use your private health info.
Read our Notice of Privacy Practices (NOPP)
You can get a printed copy of materials and forms in English or Spanish at no charge. We’ll send it to you within five days of your request.
Fraud is when someone lies to get money or services. You have the right to report anyone that you believe is committing fraud or abusing the Texas Medicaid system.
Need language help? Just contact us. You can get:
- Interpreter services at no cost during any service or complaint process, including American Sign Language and real-time oral interpretation
- Interpreter services for your health visit (be sure to call 48 hours before your visit)
- Info in another format, like audio, large print and braille
- Materials in other languages if your primary language isn’t English
Questions?
Just contact us.