CHIP and STAR Benefits

• 24 hour nurse help line
• CHIP 1-888-497-8989
• STAR 1-855-782-4214
• Choice of doctors, regular checkups, and office visits
• Texas Health Steps Visits (for STAR members)
• Well Child Check Ups (for CHIP members)
• Hospital care and services (inpatient and outpatient)
• Emergency Room care and ambulance services
• Eye exams and glasses for both children and adults
• Dental exams (under 21 only)
• Mental health care
  • Alcohol and substance abuse care (for members 21 years of age and younger)
• Medical supplies, X-rays, and lab tests
• Specialist Visits (some may require a referral)
• Access to medical specialists and mental health care
• Treatment of special health needs
  • Physical therapy
  • Home healthcare
  • Foot care
  • Speech therapy
  • Occupational therapy
  • Transplants
• Treatment of pre-existing conditions
• Transportation to medical appointments and in emergencies
• Prescription drugs and vaccines
• Women's health services
  • Pregnancy care Prenatal care
  • Nurse midwife care
• Translation and Interpreter services

CHIP Perinatal Benefits

• Up to 20 prenatal visits
• Prescription drug coverage
• The cost of giving birth
• Two doctor visits for mom after the birth of the baby
• Regular checkups, vaccines, and prescriptions for your baby

How do I get these benefits for me/my child?

You get the services from you/your child's Primary Care Provider. The Primary Care Provider and you can talk about what you/your child needs. Sometimes your Primary Care Provider may not be able to help you/your child. The Primary Care Provider may send you/your child to another doctor, specialists, or to a hospital for services.

How do I obtain these services?

Member Services can help direct to any services you are not sure about.

You can get the following benefits by calling:

Substance Abuse and Mental Health
Beacon Behavioral Health	1-855-744-7190
Vision Care
Block Vision of Texas	1-800-879-6901
Dental Services
MCNA	1-800-494-6262
Delta Dental	1-866-561-5892
Dental Quest	1-888-788-8600

How long do benefits last?

CHIP benefits last 12 months. There are limits on some services. Co pays apply to some services. You must pay the co pay amount listed on your child's Seton Health Plan ID card. You must track how much you spend on co pays.

STAR benefits depend on a member's eligibility. There are limits on some services. And there is no co pay for services.