You must take your DHP ID Card. Bring a list of medicines you are taking, including any herbal supplements. A list of health concerns. Medical records if you are a new patient.
CHIP (Children’s Health Insurance Program) is the healthcare program for families who do not qualify for Medicaid-managed STAR programs. It provides low-cost, quality coverage for newborns and children up to 18 years old. The CHIP program may require enrollment fees based on HHSC Guidelines. To continue enjoying the cost-effective coverage and excellent benefits, CHIP families must renew their coverage yearly.
Texas Health and Human Services Commission (HHSC) enrollment fees range from $0 - $50 a year for all the children in the family.
| Income Level | Enrollment Fees: (for 12-month enrollment period) |
|---|---|
| At or below 151% of FPL* | $0 |
| Above 151% up to and including 186% of FPL | $35 |
| Above 186% up to and including 201% of FPL | $50 |
| Type of Visit | Co-Pays (per visit): |
|---|---|
| Office Visit (non-preventive) No Co-Pay is applied for Mental Health/Substance Use Disorder office visits. | $5 |
| Non-Emergency ER | $5 |
| Generic Drug | $0 |
| Brand Drug | $5 |
| Facility Co-pay, Inpatient (per admission) No Co-Pay is applied for Mental Health/Substance Use Disorder office visits. | $35 |
| Cost-sharing Cap | 5% (of family’s income)** |
| Type of Visit | Co-Pays (per visit): |
|---|---|
| Office Visit (non-preventive) No Co-Pay is applied for Mental Health/Substance Use Disorder office visits. | $20 |
| Non-Emergency ER | $75 |
| Generic Drug | $10 |
| Brand Drug | $35 |
| Facility Co-pay, Inpatient (per admission) No Co-Pay is applied for Mental Health/Substance Use Disorder office visits. | $75 |
| Cost-sharing Cap | 5% (of family’s income)** |
| Type of Visit | Co-Pays (per visit): |
|---|---|
| Office Visit | $20 |
| Non-Emergency ER | $75 |
| Generic Drug | $10 |
| Brand Drug | $25 for insulin, $35 for all other drugs*** |
| Facility Co-pay, Inpatient (per admission) No Co-Pay is applied for Mental Health/Substance Use Disorder office visits. | $75 |
| Cost-sharing Cap | 5% (of family’s income)** |
| Type of Visit | Co-Pays (per visit): |
|---|---|
| Office Visit (non-preventive) No Co-Pay is applied for Mental Health/Substance Use Disorder office visits. | $25 |
| Non-Emergency ER | $75 |
| Generic Drug | $10 |
| Brand Drug | $25 for insulin, $35 for all other drugs*** |
| Facility Co-pay, Inpatient (per admission) No Co-Pay is applied for Mental Health/Substance Use Disorder office visits. | $125 |
| Cost-sharing Cap | 5% (of family’s income)** |
*The federal poverty level (FPL) refers to income guidelines established annually by the federal government.
** Per 12-month term of coverage.
***Copays for insulin cannot exceed $25 per prescription for a 30-day supply, in accordance with Section 1358.103 of the Texas Insurance Code
In addition to your regular health benefits, Driscoll Health Plan offers extra services to our members at no cost.
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You must take your DHP ID Card. Bring a list of medicines you are taking, including any herbal supplements. A list of health concerns. Medical records if you are a new patient.
If you lose your DHPID card, call us right away at 1-877-451-5598 to get a new one. We can mail you one right away. If you move or change phone numbers, call us so we can send you another ID card. We always need to have your correct address and phone number.
Our staff speaks English or Spanish and can help you with questions. We also have special services for people who have trouble reading, hearing, seeing, or speaking a language other than English or Spanish. You can ask for member materials in audio, larger print, Braille, and other languages. To get help, call our Member Services toll-free number on your ID card.
As soon as you have your new address, give it to the HHSC by calling 2-1-1, or updating your account on yourtexasbenefits.com and calling Driscoll Health Plan Member Services at 1-877-451-5598. Before you get CHIP services in your new area, you must call Driscoll Health Plan Member Services, unless you need emergency services. You will continue to get care through Driscoll Health Plan until HHSC changes your address.
If you get a bill from your provider, call Member Services at 1-877-451-5598. We will contact the provider’s office and explain your benefits.
