Member Services is available Monday - Friday from 8 a.m-5 p.m. We will need that information so we can help you. Out-of-state: Not covered unless visit is medically necessary AND the provider enrolls in HUSKY. When you call us, please have your/child's ID card and the doctor's bill with you. Emergency Services/Urgent Care In-state: Covered at a Hospital or Urgent Care Center. We can talk to the doctor's office for you to explain your/your child's benefits.
If you feel that you should not have received a bill or you need help to understand the bill, call Member Services. All of the information your doctor needs to bill Cook Children's Health Plan for the service is on your/child's ID Card. If you do get a bill from a doctor, call the doctor's office and make sure they have your CHIP information. Your doctor should not bill you for a covered service. If you have any questions please call Member Services. If the service is not a covered benefit, then you will have to pay for the service. Will I have to pay for services that are not covered? In such circumstances, the CHIP Member will be responsible for all costs. There are no co-payments for well-baby and well-child care services, preventative services or pregnancy-related assistance.ĬHIP Perinatal Members do not have to pay the enrollment fee.Ĭook Children's Health Plan is not responsible for payment of unauthorized non-emergency services provided to a CHIP Member by an out-of-network Provider. We will issue a new Member ID card which will show that no co-payments are due when you/your child receive services.Ĭo-payments do not apply to CHIP Perinate newborn, CHIP Perinatal and CHIP Members that are Native Americans or Alaskan Natives. When you reach your yearly cap, please send the form to CHIP and they will tell us.
CHIP URGENT CARE COPAY FREE
If you have misplaced your welcome letter, please call CHIP toll free at 1-80 and they will tell you your yearly cost-sharing limit. Copayments for medical services or prescription drugs are paid to the health care provider at the time of service.
It also tells you exactly how much you must spend before you are able to mail the form back to CHIP. The enrollment packet welcome letter has a tear off form to track your expenses. During the COVID-19 public health emergency, the Texas Health and Human Services Commission (HHSC) waived copays for Children’s Health Insurance Program (CHIP) medical office visits. To ensure that you do not exceed your cost-sharing limit, please keep track of your CHIP related expenses. Attention Community First Providers: You may begin collecting CHIP copays on May 12, 2023. Remember to show your ID card when you have an office visit, go to the hospital or have a prescription filled. Co-payments are paid to the doctor or drug store at the time of service. The table below lists the CHIP co-payment by the amount your family makes. What are Co-payments? How much are they and when do I have to pay them? Your ID card will list your co-payment amount.Ĭo-pays for some CHIP services will resume starting May 12, 2023. You might have to pay a co-payment when you or your child gets certain covered services.
How much do I have to pay for my health care? Attention CCHP Members, do not wait! Make sure that Texas HHSC has your current contact information so you won't miss important updates regarding the expiration of your healthcare coverage.
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