Texas Health and Human Services
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Medicaid and CHIP | Texas Health and Human Services
Medicaid and the Children's Health Insurance Program (CHIP) provide health coverage for low-income children, families, seniors and people with disabilities.
HealthInsurance.org
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Medicaid eligibility and enrollment in Texas
November 26, 2025 - The federal poverty level (FPL) - also referred to as the federal poverty guidelines – is used to determine eligibility for Medicaid and CHIP, and for premium subsidies and cost-sharing reductions in the health insurance marketplace. ... Lack of Medicaid expansion and stringent eligibility requirements drive highest uninsured rate in U.S. ... In addition to those with low incomes who are aged, blind, or disabled (receiving SSI benefits), the following populations are eligible for Medicaid in Texas:1
Who is eligible for Medicaid in Texas?
In addition to those with low incomes who are aged, blind, or disabled (receiving SSI benefits), the following populations are eligible for Medicaid in Texas:[efn_note]”Medicaid, Children’s Health Insurance Program, & Basic Health Program Eligibility Levels” Medicaid.gov. Accessed Feb. 4, 2025[/efn_note]
- Children aged 0-1: 198% of the federal poverty level (FPL)
- Children aged 1-5: 144% of FPL
- Children age 6-18: 133% of FPL
- Pregnant women: 198% of FPL
- Adults caregivers of children or adult relatives: 12% of FPL
- Children are eligible for either Medicaid or CHIP if their household incomes are up to 201% of poverty
Texas has not expanded Medicaid under the ACA, so adults under 65 who aren’t disabled or raising a child are ineligible for Medicaid regardless of how low their income is.
healthinsurance.org
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Medicaid eligibility and enrollment in Texas
How does Medicaid provide financial assistance to Medicare beneficiaries in Texas?
Many Medicare beneficiaries receive Medicaid’s help with paying for Medicare premiums, affording prescription drug costs, and covering expenses not reimbursed by Medicare – such as long-term care. Our guide to financial assistance for Medicare enrollees in Texas includes overviews of these benefits, including Medicare Savings Programs, long-term care coverage, and eligibility guidelines for assistance.
healthinsurance.org
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Medicaid eligibility and enrollment in Texas
How can I enroll in Texas Medicaid?
If you believe you may be eligible to enroll in Medicaid in Texas:
- You can start the process through HealthCare.gov, either online or by phone at 1-800-318-2596. (Use this option if you’re under 65 and don’t have Medicare; you will be directed to the Texas Medicaid agency if HealthCare.gov believes you’re eligible for that coverage.)
- You can enroll through the Medicaid website maintained by the Texas Health and Human Services Commission.
- You can also download and print a paper application, or request that one be mailed to you, by using this page on the Texas Medicaid website.
healthinsurance.org
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Medicaid eligibility and enrollment in Texas
Videos
Texas Health and Human Services
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Health | Texas Health and Human Services
Find out if you're eligible for Medicaid in Texas. Locate aging, disability, behavioral health, and intellectual or developmental disabilities service offices near you. ... Medicaid and the Children's Health Insurance Program (CHIP) provide health coverage for low-income children, families, ...
Every Texan
everytexan.org › home › our work › policy areas › health care › health insurance coverage › medicaid
Medicaid - Every Texan
February 23, 2024 - Texas qualifies for 90% federal funding for Medicaid expansion. A number of conservative states have coverage programs with co-pays, private insurance plans, and other market-based components. A solution would benefit those Texans in the Coverage Gap and their families by ensuring they have ...
Wellpoint
wellpoint.com › tx › medicaid › eligibility-and-enrollment
Texas Medicaid Eligibility and Enrollment | Wellpoint
Ineligible for Medicaid. Without other private health insurance. You can also check your eligibility for these programs by visiting the Your Texas Benefits website and
Medicaid
medicaid.gov › state-overviews › stateprofile.html
Texas | Medicaid
Information about efforts to enroll eligible individuals in Medicaid and CHIP in . The table below presents the most recent, point-in-time count of total Medicaid and CHIP enrollment in for the last day of the indicated month, and is not solely a count of those newly enrolled during the reporting period. For purpose of comparison, the table also presents (a) the change in enrollment since the initial open of the Health Insurance ...
TexasLawHelp.org
texaslawhelp.org › health-benefits › health-insurance-medicaid-medicare
Health Insurance Medicaid & Medicare | Texas Law Help
Medicaid and Medicare are government programs that help cover healthcare costs. The state of Texas manages Medicaid, and program eligibility is based on income level. The federal government administers Medicare. Medicare eligibility is mainly based on age, but there are circumstances—like ...
SingleCare
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Guide to Medicaid in Texas | SingleCare
October 25, 2024 - While income is not the only thing the state considers when a person applies, it’s very important, even though Texas has not expanded Medicaid for all low-income applicants. Texas uses several factors to determine eligibility, including the household’s modified adjusted gross income (MAGI). It’s used for the Children’s Health Insurance Program (CHIP) and some Medicaid programs.
UnitedHealthcare Community Plan
uhc.com › home › texas
Texas Medicaid | UnitedHealthcare Community Plan
Dual Special Needs plans (also called Dual Health plans or D-SNPs for short) are for people who have both Medicaid and Medicare. Dual plans cover most doctor visits, hospital stays and prescription drugs. They offer many extra benefits beyond those you get with either Original Medicare or Medicaid. ... Our Texas CHIP is a program for children and unborn children in families that earn too much money to qualify for Medicaid but can’t afford private insurance.
Superior HealthPlan
superiorhealthplan.com › members › medicaid › how-to-enroll.html
How to Apply for Medicaid in Texas | Superior HealthPlan
Applying for Medicaid or CHIP in Texas can seem complicated, but Superior HealthPlan makes it easy. Learn more about eligibility requirements, qualifications and benefits today.
Medicaid Planning Assistance
medicaidplanningassistance.org › medicaid-eligibility-texas
Texas Medicaid Eligibility: 2026 Income & Assets Limits
Read Texas Medicaid eligibility requirements for long term care for seniors including the income, assets and level of care requirements.
Connie Health
conniehealth.com › home › blog › medicare costs › 2025 medicare and medicaid in texas: eligibility & how to enroll
2025 Medicare & Medicaid in Texas: Eligibility & Enroll | Connie Health
December 13, 2024 - Call (623) 223-8884 to ensure you enroll in the right dual-eligible plan for your health needs. ... Be a resident of the state of Texas. Be a U.S. national, citizen, permanent resident, or legal alien.
Texas Health and Human Services
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A-800, Medicaid Eligibility | Texas Health and Human Services
Part D, Children's Health Insurance Program · Part E, Former Foster Care Children · Part F, Former Foster Care in Higher Education · Part M, Medicaid for Transitioning Foster Care Youth · Part R, Refugee Medical Assistance · Part W, Healthy Texas Women ·
Texas Health and Human Services
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Medicaid and CHIP Programs and Services | Texas Health and Human Services
Medicaid and the Children’s Health Insurance Program (CHIP) provide health care for low-income children and families, as well as long-term services and supports for seniors and people with disabilities.
Aetna Better Health
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Texas Medicaid Plans | Aetna Medicaid Texas
You and your family may be eligible for benefits without knowing it. The first step? See if you qualify. You can use the prescreening tool. ... TITLE: Lots of people have questions right now. ... TITLE: Some questions are harder to ask. GONZALO: What if I keep my job but I get furloughed? ... TITLE: You’re not alone. TITLE: Millions of people have lost their health insurance in 2020. TITLE: Many of them are now on Medicaid...
Your Texas Benefits
yourtexasbenefits.com
Your Texas Benefits - Learn
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Texas Health and Human Services
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About Medicaid and CHIP | Texas Health and Human Services
Medicaid and the Children’s Health Insurance Program (CHIP) provide medical coverage for more than 4 million low-income Texans.
Texas Health and Human Services
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Medicaid for the Elderly and People with Disabilities | Texas Health and Human Services
Seniors, adults with disabilities and some children with disabilities who don't have health insurance might be able to get health coverage through the Medicaid for the Elderly and People with Disabilities program.
Superior HealthPlan
superiorhealthplan.com
Superior HealthPlan: Texas Medicaid, CHIP & Affordable Health Insurance
Texas Medicaid/CHIP: Apply at YourTexasBenefits.com or call 2-1-1 if you have low income, are pregnant, have children, or have a disability. Marketplace: Visit HealthCare.gov during Open Enrollment (November–January) for affordable plans. Employer: Enroll through your workplace benefits.
Community Health Choice
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Texas STAR (Medicaid) Plan - Community Health Choice
July 16, 2020 - Community provides both Children’s Medicaid and Medicaid for Pregnant Women. These programs are provided at no cost to U.S. residents who cannot afford health insurance. Children’s Medicaid – Children’s Medicaid covers a child up through the month of his or her 21st birthday. Income determines eligibility.